HomeMy WebLinkAboutChange Form #3 10th St PS Expansion CONTRACT CHANGE ORDER FORM •
TO Pace Contracting CONTRACT CHANGE ORDER NO.: 3
DATE: 12/13/2011
PROJECT NAME: Tenth Street Pump Station Expansion Project
ORIGINAL CITY P.O. NO.:
I. You are directed to make the following changes to this Contract:
IIGM AMOUNT($) SCHEDULED ADJUSTMENT ( +) or ( -) DAYS
1. Force Main Restraint (FO 16) 10,576.00 No schedule adjustment
2. Unit Heaters (FO 48) 18,225.00 No schedule adjustment
3. Resteel Laps (FO 413) 2,559.00 No schedule adjustment
4. Diversion Structure (F0114) - 14,539.00 No schedule adjustment
5. Smart Bldg Egress (FO 917) 3,443.00 No schedule adjustment
6. Screen 514 Mods (FO 418) 41,161.00 No schedule adjustment
7. Flow Control Vault (FO 419) 26,936.00 No schedule adjustment
8. Smart Bldg Doors (FO 420) 222.00 No schedule adjustment
9. Slide Gate Throttle (FO 422) 7,802.00 No schedule adjustment
10. Dumpster Size (F01124) 1,066.00 No schedule adjustment
11. Pump Junction Boxes (FO 925) 48,872.00 No schedule adjustment
12. Asphalt Limits (FO 428) 21,610.00 No schedule adjustment
13. Bulkheads/Flap Gate (FO 029) 21,234.00 No schedule adjustment
14. Flow Spatter Box (FO 430) 3,530.00 No schedule adjustment
15. Junction Box Mods (F0131) 1,942.00 No schedule adjustment
16. Ex. Flow Meter Hatch (FO 432) 3,546.00 No schedule adjustment
17. Cap Existing 30" FM (FO 433) 10,676.00 No schedule adjustment
18. P &IDs (F0/34) 35,566.00 No schedule adjustment
19. Screen Room Hatch (FO 135) 999.00 No schedule adjustment
20. 96" RCP Tie-In (PO 136) 610.00 No schedule adjustment
21. Yard Hydrant (FO 438) 8,114.00 No schedule adjustment
22. PS Egress (FO 939) 34,475.00 No schedule adjustment
23. Fill 90" CMP (FO 442) 16,561.00 No schedule adjustment
24. Generator Mods (FO 443) - 12,210.00 No schedule adjustment
25. Office Equip. (FO 944) - 2,069.00 No schedule adjustment
26. 72" RCP Bulkheads (FO 445) 7,900.00 No schedule adjustment
II. The following referenced documents further describe the changes outlined in Paragraph L and are
to be considered part of this Change Order:
F.O.: 6 : 1 . • 1 2528 2• . .i . X35 •
Jeffersonville, Indiana Additional Forams Supplemental to Agreement Form
Tenth Street Pump Station Expansion 00 52 25
III. The changes result in the following adjustment of Contract ('rice and Contrail Time
Contract Sum Prior to this Change Order $ 10,574.851.00
Contract Sum will be increase /decrease by this Change Order $ 298,807.00
New Contract Sum including this Change Order $ 10,873.658.00
Contract Time Prior to this Mange Order lune 7.2012 Substantial Completion Date
Tuly 30, 2012 Final Completion Date
Net Increase/decrease resulting from this Change Order Q Days
Current Contract Time including this Change Order Tune 7, 2012 Substantial Completion Date
Tuly 30, 2012 Final Completion Date
This Change Order is for full and final Settlement of all direct, indirect, impact costs and time extension
incurred at any time resulting from the performance of the changed work.
The Above Changes Are The Above Changes are Approved:
Recommended: Accepted:
CH2M HILL face Contractine City of Ieffersonville
Engineer Contractor Owner
401 W. Main St. Ste 500 200 Wil&nger Lane 500 Ouartermaster Court
Address Address Address
1 nnisville. KY 40202 Jeffersonville. IN 47130 Jeffersonville. Indiana 47130
City/StateJZip /Sta ip Ci •tate/Zip
By:., c;.,. ego s 3 . / y �u
Phone: 5t12..-1$ 25 Ito Phone: 419 -24 3 ^ 51 R t( Phone: (ill ' o74 Y 5 /
Date: 124131 t\ Date 12)1z/$j Date: /Z/ /' /a
Jeffersonville, Indiana Additional Forms Supplemental to Agreement Form
Tenth Street Pump Station Expansion 00 52 25