HomeMy WebLinkAboutNew Chapel Sidewalk Phase III Reduction to Original Contract 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: Le P/3-/-(
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Department: yP/ A (ricAirlent
Vendor Name: C.NO ,475lie
Sign Date: Leis ( !1
4
Ending Date:_ (-( ( 24-
gi V c Jo' 19�
Amount of Original Contract: fS O
Is this an amendment or change order
to original contract? or No
Amended Contract Amount: —
Purpose:
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exviratat
For Clerk's Office to fill out �-7
Date uploaded to Gateway: 'e// /�
CHANGE ORDER-EXTRA WORK AGREEMENT NO. 1 JOB NO. 19054i
Project Name New Chapel Sidewalk Phase III from Sundancer to Gottbrath Parkway
Contractor Temple and Temple Excavating&Paving,Inc.
You are hereby authorized to proceed with the following described change or extra work:
1 Delete Quantity from Pay Item No.8 IIh4A Type B Wedge Level:58.25 TON @$89.00/TON = $ (5,184.25)
2 Delete Quantity from Pay Item No.9 6.5"PCC for Patching:36.4 SY @$43.00/SY = $ (1,565.20)
3 Delete Quantity from Pay Item No. 11 Concrete Curb and Gutter. 100 LF @$30.00/LF = $ (3,000.00)
4 Delete Quantity from Pay Item No. 12 Concrete Sidewalk:163.8 SY @$66.00/SY = $ (10,810.80)
5 Delete Quantity from Pay Item No. 13 Concrete Driveway Apron,6":94 SY @$90.00/SY = $ (8,460.00)
6 Delete Quantity from Pay Item No. 14 Concrete Driveway Apron,9":14.9 SY @$129.00/SY = $ (1,922.10)
7 Delete Quantity from Pay Item No. 18 Storm Sewer Manhole: 1 EA @$3,500.00/EA = $ (3,500.00)
8 Delete Quantity from Pay Item No.20 12"Storm Sewer Pipe:34 LF @$45.00/LF = $ (1,530.00)
9 Delete Quantity from Pay Item No.29 Sod:2,293.3 SY @$10.00/SY = $ (22,933.00)
10 Delete Quantity from Pay Item No.32 Road Widening at Sundancer: 14 SY @$285.00/SY $ (3,990.00)
11 Add Quantity to Pay Item No.33 12"Water Main-C900 PVC:4 LF @$89.00/LF = $ 356.00
12 Delete Quantity from Pay Item No.38 Tree Removal for Ditch Restoration:3 EA @$2,469.00/EA = $ (7,407.00)
13 Delete Quantity from Pay Item No.39 Ditch Clearing and Grubbing:400 LF @$20.00/LF = $ (8,000.00)
14 Delete Quantity from Pay Item No.41 Unidentified Rock Removal:50 CY @$175.00/CY = $ (8,750.00)
15 Delete Quantity from Pay Item No.42 Undercut/Stabilization of Unsuitable Subgrade:150 CY @$64.00/CY = $ (9,600.00)
16 Delete Quantity from Pay Item No.43 Unidentified Conflict Contingency:0.76004 LS @$50,000/LS = $ (38,002.00)
TOTAL = $ (134,298.35)
The method of payment for this change or extra work shall be:
A reduction in the amount of One hundred thirty four thousand two hundred ninety eight dollars and thirty five cents=$134,298.35
Consulting Engineer T bs and Lanz,Inc.
5-2-2024
Engineer's Signature Date
Owner's Approval: Qlty ofJe e Redevelopment Commission I��
Signature of Owner(s) to
Owner's Approval: City ofJefforsonville Board ofPublic Works and Safety
Si ature of Owner(s) Date
Co ctor's A. r. Tern le and Temple Excavating&Paving,Inc.
. u rized Represen v dve Title D e
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