HomeMy WebLinkAboutMac Change Order No.1 for Shungate City of Jeffersonville
Government Contract Coversheet
Please note:All information MUST be completely filled out and submitted to Clerk's Office
within 48 hrs of execution.
Date Submitted to Clerk: I O( ( in
Department: k(L
I,O I1 At1it-V
Vendor Name: J e / 1 ae-(7 t 1
Sign Date: I l> 75 Z
Ending Date: / 1 / 3 //?)
Amount of Original Contract: g 516V
Is this an amendment or change order
to original contract? es or No
Amended Contract Amount:
Purpose:
24)1105 1(1(1 al/title fe,et-
For Clerk's Office to fill out
Date uploaded to Gateway:
City of Jeffersonville
Shungate Paving Project
Change Order
Change Order No. 1
Date of Issuance: Effective Date:
Owner: City of Jeffersonville Owner's Contract No.: N/A
Contractor: MAC Construction & Excavating Contractor's Project No.: N/A
Engineer: Jacobi Toombs& Lanz Engineer's Project No.: 22141
Project: JEFFERSONVILLE STREET MILLING, PAVING,
BASE REPAIR AND PATCHING OF SHUNGATE
ROAD, ROBIN DR, WHELAN LN, ROSS AVE,
HENRY ST,AND BRUNSWICK DR.
The Contract is modified as follows upon execution of this Change Order:
Description:This Change order is for the following:
36" CMP Pipe Extension 1 LS $7,500.00
24" CMP Pipe Extension 1 LS $6,500.00
Total $14,000.00
.56 of Line Item G1 Conflict Contingency will be charged to cover the expenses.
Attachments:
CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIMES
[note changes in Milestones if applicable]
Current Contract Price: Original Contract Times:
Substantial Completion: October 31, 2023
$565,000.00 Substantial Completion: October 31, 2023
$ Increase of this Change Order: [Increase] of this Change Order:
Substantial Completion: 3 Working Days
$0 Ready for Final Payment: 3 Working Days
Contract Price incorporating this Change Order: Contract Times with all approved Change Orders:
Substantial Completion: Nov 3 ,2023
$565,000.00 Ready for Final Payment: Nov 3 ,2023
n
RECO M DED: ( A :PT r: ACCEPTED:
By: By: By: (,�
Engineer(if required) Owner(Authorized Signature) Contractor(Authorized Signature)ature)
Title: Project Engineer Title --p,--04a �-f Title Project Manager
Date: 10/3/2023 Date rj l I ZZj Date 10/3/23
Approved by Funding Agency(if
applicable)
By: Date:
Title:
006363-1