HomeMy WebLinkAboutChange Order #1 for 2023-2 Community Crossing Grant Funded Street Paving Project 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: 5/15/2024
Department: Motor Vehicle (Street)
Vendor Name: Libs Paving, LLC
Sign Date: 2/21/2024
Ending Date: 6/22/2022
Amount of Original Contract: $1,683,057.05
Is this an amendment or change order
to original contract? e5/ or No
Amended Contract Amount: $21,038.00
Purpose: Change Order#1 for 2023-2 Community Crossings Grant
Funded Street Paving Project
For Clerk's Office to fill out
Date uploaded to Gateway:
CHANGE ORDER-EXTRA WORK AGREEMENT NO. 1 JOB NO. 24012
Project Name Jeffersonville CCMG 2023-2 Street Paving Project
Contractor Libs Paving Co.,Inc.
You are hereby authorized to proceed with the following described change or extra work:
As per attached documentation:
Install Raised Pavement Markers (RPM) along the Center Line of Coopers Lane. Traffic
1. Control is Included. = $ 21,038.00
TOTAL = $ 21,038.00
The method of payment for this change or extra work shall be:
An additional amount of Twenty one thousand thirty eight dollars and no cents= $21,038.00
Consulting Engineer. Jacobi, Toombs and Lanz, Inc.
/ 5-13-2024
ng - ignature fr Date
Owner's Approval: 1 ffetsonville • -ard of Public Works and Safety
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*nature of Owner(s) Date
Co> tractor's�Ajpproval: Libs Paving Co., Inc.
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Authorized Representative Title Date
Y:SharedUTL\Projects\Active1240I2.Jeffersonville CCMG 2023-2 Paving ProjeenDocuments124012 Change Order 1-Install RPMs Along Coopers Ln Centerline
240007-CO1 Jeffersonville CCMG 2023-2 Change Order Luke Hildenbrand 5/10/2024 9:55 AM
BID PROPOSAL
Biditem Description Quantity Units Unit Price Bid Total
100 RPM install 243.000 EA 66.00 16,038.00
101 Additional MOT for RPM installation 1.000 LS 5,000.00 5,000.00
Bid Total S21,038.00
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