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Change Order #3 (Final) for 2024-1 CCMG Paving Project (BPW approved 7/2/25)
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: 7/2/2025 Department: Motor Vehicle (Street) Vendor Name: MAC Construction & Excavating Sign Date: 7/2/2025 Ending Date: 7/2/2025 Amount of Original Contract: $2,447.979.10 Is this an amendment or change order to original contract? es or No Amended Contract Amount: $31,772.47 Purpose: Change Order#3 (FINAL) for 2024-1 CCMG Paving Project For Clerk's Office to fill out Date uploaded to Gateway: CHANGE ORDER-EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 2401 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. You are hereby authorized to proceed with the following described change or extra work: Final Installed Quantity Adjustment 1 Delete Quantity from Pay Item A4 HMA Base,Type B(for Patching):220 Ton @$0.01/TON = $ (2.20) 2 Add Quantity to Pay Item A5 HMA Surface,Type B: 8.2 TON @$67.00/TON = $ 549.40 3 Add Quantity to Pay Item A6 Stop Bars,Thermo:772 LF @$14.00/LF = $ 10,808.00 4 Add Quantity to Pay Item A7 Catch Basin: 1 EA @$2,775/EA = $ 2,775.00 5 Delete Quantity from Pay Item A8 Concete,Driveway Approach(6 Inch):37.3 SYD @ = $ (4,028.40) Add Quantity to Pay Item A9 Transverse Marking,Thermoplastic,Crosswalk Line,White (6 Inch): 6 336 LF @$4.25/LF = $ 1,428.00 7 Add Quantity to Pay Item A10 Roll Curb,Concrete,Remove and Replace:757.06 LF @$53.00/LF = $ 40,124.20 8 Delete Quantity from Pay Item All Curb Ramps,Concrete:232.8 SYD @$0.01/SYD = $ (2.33) 9 Add Quantity to Pay Item Al2 Sidewalk,Concrete,4 Inch:233.4 SYD @$92.00/SYD = $ 21,472.80 10 Delete Quantity from Pay Item B4 HMA Base,Type B(for Patching): 100 TON @$0.01/TON = $ (1.00) 11 Add Quantity to Pay Item B5 HMA Surface,Type B:25.01 TON @$67.00/TON = $ 1,675.67 12 Delete Quantity from Pay Item B6 Stop Bars,Thermo: 15 LF @$14.00/LF = $ (210.00) 13 Delete Quantity from Pay Item B7 Curb Ramps,Concrete:40 SYD @$0.01/SYD = $ (0.40) 14 Delete Quantity from Pay Item B8 Sidewalk,Concrete,4 Inch:9 SYD @$92.00/SYD = $ (828.00) 15 Delete Quantity from Pay Item C4 HMA Base,Type B(for Patching):55 TON @$0.01/TON = $ (0.55) 16 Add Quantity to Pay Item C6 Stop Bars,Thermo:62 LF @$14.00/LF = $ 868.00 17 Add Quantity to Pay Item C7 Concrete,Driveway Approach(6 Inch):4.9 SYD @$108.00/SYD = $ 529.20 18 Delete Quantity from Pay Item C8 Roll Curb,Concrete,Remove and Replace:50 LF @$53.00/LF = $ (2,650.00) 19 Add Quantity to Pay Item C9 Curb,Concrete,6 Inch,Remove and Replace:56 LF @$105.00/LF = $ 5,880.00 20 Delete Quantity from Pay Item CIO Curb Ramps,Concrete:64 SYD @$0.01/SYD = $ (0.64) 21 Delete Quantity from Pay Item C11 Sidewalk,Concrete,4 Inch:89.2 SYD @$92.00/SYD = $ (8,206.40) 22 Delete Quantity from Pay Item D4 HMA Base,Type B(for Patching):50 TON @$0.01/TON = $ (0.50) 23 Add Quantity to Pay Item D5 HMA Surface,Type B:4.77 TON @$67.00/TON = $ 319.59 24 Add Quantity to Pay Item D6 Stop Bars,Thermo:26 LF @$14.00/LF = $ 364.00 Delete Quantity from Pay Item D7 Concrete,Driveway Approach(6 Inch):24 SYD @ 25 $108.00/SYD = $ (2,592.00) 26 Add Quantity to Pay Item D8 Curb,Concrete,6 Inch,Remove and Replace:44 LF @$105.00/LF = $ 4,620.00 27 Delete Quantity from Pay Item D9 Curb Ramps,Concrete: 106.7 SYD @$0.01/SYD = $ (1.07) 28 Delete Quantity from Pay Item D10 Sidewalk,Concrete,4 Inch:84.8 SYD @$92.00/SYD = $ (7,801.60) 29 Delete Quantity from Pay Item E4 HMA Base,Type B(for Patching):95 TON @$0.01/TON = $ (0.95) 30 Add Quantity to Pay Item E5 HMA Surface,Type B:28.64 TON @$67.00/TON = $ 1,918.88 31 Add Quantity to Pay Item E6 Stop Bars,Thermo:27 LF @$14.00/LF = $ 378.00 32 Add Quantity to Pay Item E7 Concrete,Driveway Approach(6 Inch): 5.6 SYD @$108.00/SYD = $ 604.80 33 Delete Quantity from Pay Item E8 Catch Basin:3 EA @$2,775.00/EA = $ (8,325.00) Page 1 of 7 CHANGE ORDER-EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 24017 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. 34 Delete Quantity from Pay Item E9 Pipe,Type 2,Circular,12 Inch:67 LF @$96.00/LF = $ (6,432.00) Delete Quantity from Pay Item El0 Roll Curb,Concrete,Remove and Replace: 100 LF @ 35 $53.00/LF = $ (5,300.00) 36 Delete Quantity from Pay Item F4 HMA Base,Type B(for Patching):70 TON @$0.01/TON = $ (0.70) 37 Add Quantity to Pay Item F5 HMA Surface,Type B:60.07 TON @$67.00/TON = $ 4,024.69 38 Delete Quantity from Pay Item F7 Curb Ramps,Concrete:34 SYD @$97.00/SYD = $ (3,298.00) 39 Add Quantity to Pay Item F8 Sidewalk,Concrete,4 Inch: 94.8 SYD @$92.00/SYD = $ 8,721.60 40 Delete Quantity from Pay Item G4 HMA Base,Type B (for Patching):60 TON @$0.01/TON = $ (0.60) 41 Add Quantity to Pay Item G5 HMA Surface,Type B:30.34 TON @$67.00/TON = $ 2,032.78 42 Delete Quantity from Pay Item G6 Stop Bars,Thermo:40 LF @$14.00/LF = $ (560.00) 43 Add Quantity to Pay Item G7 Concrete,Driveway Approach(6 Inch):25.9 SYD @$108.00/SYD = $ 2,797.20 Delete Quantity from Pay Item G8 Curb,Concrete,6 Inch,Remove and Replace:4 LF @ 44 $105.00/LF = $ (420.00) 45 Delete Quantity from Pay Item G9 Curb Ramps,Concrete:71.8 SYD @$0.01/SYD = $ (0.72) 46 Delete Quantity from Pay Item G10 Sidewalk,Concrete,4 Inch:246 SYD @$92.00/SYD = $ (22,632.00) 47 Delete Quantity from Pay Item H4 HMA Base,Type B(for Patching): 130 TON @$0.01/TON = $ (1.30) 48 Delete Quantity from Pay Item H5 HMA Surface,Type B:46.9 TON @$67.00/TON = $ (3,142.30) 49 Add Quantity to Pay Item H6 Stop Bars,Thermo:7 LF @$ 14.00/LF = $ 98.00 Delete Quantity from Pay Item H7 Concrete,Driveway Approach(6 Inch):35 SYD @ 50 $108.00/SYD = $ (3,780.00) 51 Delete Quantity from Pay Item H8 Thermo Painted Lines:230 LF @$1.49/LF = $ (342.70) Add Quantity to Pay Item H9 Transverse Marking,Thermopastic,Crosswalk Line,White(6 Inch): 52 63 LF @$4.25/LF = $ 267.75 Delete Quantity from Pay Item H10 Roll Curb,Concrete,Remove and Replace: 105 LF @ 53 $53.00/LF = $ (5,565.00) 54 Delete Quantity from Pay Item H11 Curb Ramps,Concrete:68.6 SYD @$0.80/SYD = $ (0.69) 55 Delete Quantity from Pay Item H12 Sidewalk,Concrete,4 Inch:64.7 SYD @$92.00/SYD = $ (5,952.40) 56 Add Quantity to Pay Item I3 Asphalt Milling. 127 SYD @$0.96./SYD = $ 121.92 57 Delete Quantity from Pay Item I4 HMA Base,Type B(for Patching): 105 TON @$0.01/TON = $ (1.05) 58 Add Quantity to Pay Item I5 HMA Surface,Type B:66.26 TON @$67.00/TON = $ 4,439.42 59 Delete Quantity from Pay Item I6 Stop Bars,Thermo:40 LF @$14.00/LF = $ (560.00) Delete Quantity from Pay Item I7 Concrete,Driveway Approach(6 Inch):59.5 SYD @ 60 $108.00/SYD = $ (6,426.00) 61 Add Quantity to Pay Item I8 Roll Curb,Concrete,Remove and Replace:7 LF @$53.00/LF = $ 371.00 62 Delete Quantity from Pay Item I9 Curb Ramps,Concrete: 72.9 SYD @$0.01/SYD = $ (0.73) 63 Delete Quantity from Pay Item I10 Sidewalk,Concrete,4 Inch: 128.1 SYD @$92.00/SYD = $ (11,785.20) 64 Add Quantity to Pay Item J3 Asphalt Milling:2,183 SYD @$0.96/SYD = $ 2,095.68 65 Delete Quantity from Pay Item J4 HMA Base,Type B(for Patching):50 TON @$0.01/TON = $ (0.50) 66 Add Quantity to Pay Item J5 HMA Surface,Type B: 188.58 TON @$67.00/TON = $ 12,634.86 Page 2 of 7 CHANGE ORDER- EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 24017 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. 67 Add Quantity to Pay Item J6 Stop Bars,Thermo: 16 LF @$14.00/LF = $ 224.00 Delete Quantity from Pay Item J7 Concrete,Driveway Approach(6 Inch):7.6 SYD @ 68 $108.00/SYD = S (820.80) 69 Add Quantity to Pay Item J8 Roll Curb,Concrete,Remove and Replace: 116 LF @$53.00/LF = $ 6,148.00 70 Delete Quantity from Pay Item J9 Curb Ramps,Concrete:32.9 SYD @$0.01/SYD = $ (0.33) 71 Delete Quantity from Pay Item J10 Sidewalk,Concrete,4 Inch:64.2 SYD @$92.00/SYD = $ (5,906.40) 72 Delete Quantity from Pay Item K4 HMA Base,Type B (for Patching):50 TON @$0.01/TON = $ (0.50) 73 Delete Quantity from Pay Item K5 HMA Surface,Type B: 5.41 TON @$67.00/TON = $ (362.47) 74 Delete Quantity from Pay Item K6 Stop Bars,Thermo: 3 LF @$14.00/LF = $ (42.00) 75 Delete Quantity from Pay Item K7 Roll Curb,Concrete,Remove and Replace:65 LF @$53.00/LF = $ (3,445.00) 76 Delete Quantity from Pay Item K8 Curb Ramps,Concrete:40 SYD @$0.01/SYD = $ (0.40) 77 Delete Quantity from Pay Item K9 Sidewalk,Concrete,4 Inch:31.8 SYD @$92.00/SYD = $ (2,925.60) 78 Add Quantity to Pay Item L3 Aspahlt Milling:789 TON @$0.96/TON = $ 757.44 79 Delete Quantity from Pay Item IA HMA Base,Type B(for Patching):230 TON @$0.01/TON = $ (2.30) 80 Add Quantity to Pay Item L5 HMA Surface,Type B:40.29 TON @$67.00/TON = $ 2,699.43 Delete Quantity from Pay Item L6 Concrete,Driveway Approach(6 Inch): 154 SYD @ 81 $108.00/SYD = $ (16,632.00) 82 Delete Quantity from Pay Item L7 Thermo Painted Lines:340 LF @$1.49/LF = $ (506.60) Delete Quantity from Pay Item L8 Roll Curb,Concrete,Remove and Replace: 190.5 LF @ 83 $53.00/LF = $ (10,096.50) 84 Delete Quantity from Pay Item L9 Curb Ramps,Concrete: 18.7 SYD @$97.00/SYD = $ (1,813.90) 85 Delete Quantity from Pay Item L10 Sidewalk,Concrete,4 Inch: 178.2 SYD @$92.00/SYD = $ (16,394.40) 86 Delete Quantity from Pay Item M4 HMA Base,Type B(For Patching):80 TON @$0.01/TON = $ (0.80) 87 Add Quantity to Pay Item M5 HMA Surface,Type B: 10.46 TON @$67.00/TON = $ 700.82 88 Delete Quantity from Pay Item M6 Stop Bars,Thermo:4 LF @$14.00/LF = $ (56.00) 89 Delete Quantity from Pay Item M7 Roll Curb,Concrete,Remove and Replace:85 LF @$53.00/LF = $ (4,505.00) 90 Delete Quantity from Pay Item M8 Sidewalk,Concrete,4 Inch:71.6 SYD @$92.00/SYD = $ (6,587.20) 91 Delete Quantity from Pay Item N4 HMA Base,Type B (For Patching):80 TON @$0.01/TON = $ (0.80) 92 Delete Quantity from Pay Item N5 HMA Surface,Type B: 22.59 TON @$67.00/TON = $ (1,513.53) 93 Delete Quantity from Pay Item N6 Stop Bars,Thermo: 13 LF @$14.00/LF = $ (182.00) 94 Add Quantity to Pay Item N7 Roll Curb,Concrete,Remove and Replace: 143 LF @$53.00/LF = $ 7,579.00 95 Delete Quantity from Pay Item N8 Curb Ramps,Concrete:38.2 SYD @$97.00/SYD = $ (3,705.40) 96 Delete Quantity fom Pay Item N9 Sidewalk,Concrete,4 Inch: 16.6 SYD @$92.00/SYD = $ (1,527.20) 97 Add Quantity to Pay Item 03 Asphalt Milling: 146 SYD @$0.96/SYD = $ 140.16 98 Delete Quantity from Pay Item 04 HMA Base,Type B(For Patching): 50 TON @$0.01/TON = $ (0.50) 99 Add Quantity to Pay Item 05 HMA Surface,Type B: 10.74 TON @$67.00/TON = $ 719.58 100 Delete Quantity from Pay Item 06 Stop Bars,Thermo:2 LF @$14.00/LF = $ (28.00) Page 3 of 7 r CHANGE ORDER- EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 24017 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. 101 Delete Quantity from Pay Item 07 Roll Curb,Concrete,Remove and Replace:35 LF @$53.00/LF = $ (1,855.00) 102 Delete Quantity from Pay Item 08 Curb Ramps,Concrete: 25.8 SYD @$0.01/SYD = $ (0.26) 103 Delete Quantity from Pay Item 09 Sidewalk,Concrete,4 Inch:2.6 SYD @$92.00/SYD = $ (239.20) 104 Delete Quantity from Pay Item P4 HMA Base,Type B(For Patching):30 TON @$0.01/TON = $ (0.30) 105 Delete Quantity from Pay Item P5 HMA Surface,Type B:3.77 TON @$67.00/TON = $ (252.59) 106 Add Quantity to Pay Item P6 Roll Curb,Concrete,Remove and Replace:22.5 LF @$53.00/LF = $ 1,192.50 107 Delete Quantity from Pay Item P7 Sidewalk,Concrete,4 Inch:20.4 SYD @$92.00/SYD = $ (1,876.80) 108 Add Quantity to Pay Item Q3 Asphalt Milling:2153 SYD @$0.96/SYD = $ 2,066.88 109 Delete Quantity from Pay Item Q4 HMA Base,Type B (For Patching): 15 TON @$0.01/TON = $ (0.15) 110 Add Quantity to Pay Item Q5 HMA Surface,Type B: 195.9 TON @$67.00/TON = $ 13,121.95 111 Delete Quantity from Pay Item Q6 Stop Bars,Thermo: 1 LF @$14.00/LF = $ (14.00) 112 Delete Quantity from Pay Item R4 HMA Base,Type B(For Patching): 110 TON @$0.01/TON = $ (1.10) 113 Add Quantity to Pay Item R5 HMA Surface,Type B: 8.12 TON @$67.00/TON = $ 544.04 114 Delete Quantity from Pay Item R6 Stop Bars,Thermo: 11 LF @$14.00/LF = $ (154.00) Delete Quantity from Pay Item R7 Concrete,Driveway Approach(6 Inch): 15 SYD @ 115 $108.00/SYD = $ (1,620.00) 116 Delete Quantity from Pay Item R8 Roll Curb,Concrete,Remove and Replace: 137 LF @$53.00/LF = $ (7,261.00) 117 Delete Quantity from Pay Item R9 Sidewalk,Concrete,4 Inch:60 SYD @$92.00/SYD = $ (5,520.00) 118 Delete Quantity from Pay Item S4 HMA Base,Type B(For Patching):75 TON @$0.01/TON = $ (0.75) 119 Delete Quantity from Pay Item S5 HMA Surface,Type B:48.37 TON @$67.00/TON = $ (3,240.79) 120 Delete Quantity from Pay Item S6 Stop Bars,Thermo: 80 LF @$14.00/LF = $ (1,120.00) 121 Delete Quantity from Pay Item T4 HMA Base,Type B(for Patching): 130 TON @$0.01/TON = $ (1.30) 122 Add Quantity to Pay Item T5 HMA Surface,Type B:3.61 TON @$67.00/TON = $ 241.87 123 Delete Quantity from Pay Item T6 Stop Bars,Thermo: 20 LF @$14.00/LF = $ (280.00) 124 Delete Quantity from Pay Item U4 HMA Base,Type B(for Patching):50 TON @$0.01/TON = $ (0.50) 125 Delete Quantity from Pay Item U5 HMA Surface,Type B: 10.29 TON @$67.00/TON = $ (689.43) 126 Delete Quantity from Pay Item U6 Stop Bars,Thermo:20 LF @$14.00/LF = $ (280.00) 127 Delete Quantity from Pay Item U7 Sidewalk,Concrete,4 Inch: 1.8 SYD @$92.00/SYD = $ (165.60) 128 Delete Quantity from Pay Item V4 HMA Base,Type B(for Patching):50 TON @$0.01/TON = $ (0.50) 129 Add Quantity to Pay Item V5 HMA Surface,Type B: 19.39 TON @$67.00/TON = $ 1,335.31 130 Delete Quantity from Pay Item V6 Stop Bars,Thermo:20 LF @$14.00/LF = $ (280.00) 131 Delete Quantity from Pay Item W4 HMA Base,Type B(for Patching): 120 TON @$0.01/TON = $ (1.20) 132 Add Quantity to Pay Item W5 HMA Surface,Type B:3.4 TON @$67.00/TON = $ 227.80 133 Delete Quantity from Pay Item W6 Stop Bars,Thermo:20 LF @$14.00/LF = $ (280.00) 134 Delete Quantity from Pay Item X4 HMA Base,Type B(for Patching):95 TON @$0.01/TON = $ (0.95) 135 Add Quantity to Pay Item X5 HMA Surface,Type B: 58.9 TON @$67.00/TON = $ 3,946.30 136 Add Quantity to Pay Item X6 Stop Bars,Thermo: 13 LF @$14.00/LF = $ 182.00 137 Add Quantity to Pay Itme Y3 Asphalt Milling 139 SYD @$0.96/SYD = $ 133.44 138 Delete Quantity from Pay Item Y4 HMA Base,Type B(for Patching):60 TON @$0.01/TON = $ (0.60) Page 4 of 7 T CHANGE ORDER-EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 24017 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. 139 Add Quantity to Pay Item Y5 HMA Surface,Type B:30.34 TON @$67.00/TON = $ 2,032.78 140 Delete Quantity from Pay Item Y6 Stop Bars,Thermo:5 LF @$14.00/LF = $ (70.00) 141 Delete Quantity from Pay Item Y7 Roll Curb,Concrete,Remove and Replace:8 LF @$53.00/LF = $ 424.00 142 Delete Quantity from Pay Item Z4 HMA Base,Type B(For Patching):25 TON @$0.01/TON = $ (0.25) 143 Add Quantity to Pay Item Z5 HMA Surface,Type B:2.38 TON @$67.00/TON = $ 159.46 144 Delete Quantity from Pay Item Z6 Stop Bars,Thermo:5 LF @$14.00/LF = $ (70.00) Delete Quantity from Pay Item Z7 Roll Curb,Concrete,Remove and Replace:37.6 LF @ 145 $53.00/LF = $ (1,992.80) 146 Delete Quantity from Pay Item Z8 Curb Ramps,Concrete:76.4 SYD @$0.01/SYD = $ (0.76) 147 Delete Quantity from Pay Item AA4 HMA Base,Type B(for Patching): 65 TON @$0.01/TON = $ (0.65) 148 Delete Quantity from Pay Item AA5 HMA Surface,Type B:48.01 TON @$67.00/TON = $ (3,216.67) 149 Add Quantity to Pay Item AA6 Roll Curb,Concrete,Remove and Replace:40 LF @$53.00/LF = $ 2,120.00 150 Delete Quantity from Pay Item BB4 HMA Base,Type B(for Patching): 160 TON @$0.01/TON = $ (1.60) 151 Add Quantity to Pay Item BB5 HMA Surface,Type B: 1.1 TON @$67.00/TON = $ 73.70 152 Delete Quantity from Pay Item BB6 Stop Bars,Thermo:6 LF @$14.00/LF = $ (84.00) 153 Delete Quantity from Pay Item BB7 Roll Curb,Concrete,Remove and Replace: 12 LF @$53.00/LF = $ (636.00) 154 Add Quantity to Pay Item BB8 Sidwalk,Concrete,4 Inch:30.9 SYD @$92.00/SYD = $ 2,842.80 155 Delete Quantity from Pay Item CC4 HMA Base,Type B(for Patching):638.98 TON @$0.01/TON = $ (6.39) 156 Delete Quantity from Pay Item CC5 HMA Surface,Type B: 152.45 TON @$67.00/TON = $ (10,214.15) 157 Delete Quantity from Pay Item CC6 Stop Bars,Thermo: 8 LF @$14.00/LF = $ (112.00) 158 Delete Quantity from Pay Item CC7 Pipe Replacement:35 LF @$123.00/LF = $ (4,305.00) Delete Quantity from Pay Item CC8 2'Shoulder,Compacted Aggregate,No.53:510 TON @ 159 $10.25/TON = $ (5,227.50) 160 Add Quantity to Pay Item CC9 Thermo Painted Lines: 5,133 LF @$1.49/LF = $ 7,648.17 161 Delete Quantity from Pay Item DD4 HMA Base,Type B(For Patching):400 TON @$0.01/TON = $ (4.00) 162 Add Quantity to Pay Item DD5 HMA Surface,Type B:298.7 TON @$67.00/TON = $ 20,012.23 163 Add Quantity to Pay Item DD6 Stop Bars,Thermo:95 LF @$14.00/LF = $ 1,330.00 164 Delete Quantity from Pay Item DD7 Thermo Painted Lines: 5,644 LF @$1.49/LF = $ (8,409.56) Add Quantity to Pay Item DD9 Transverse Marking,Thermoplastic,Crosswalk Line,White(12 165 Inch):45 LF @$7.00/LF = $ 315.00 Add Quantity to Pay Item DD10 Pavement Message Marking,Thermoplastic Lane Indication 166 Arrow: 14 EA @$125.00/EA = $ 1,750.00 167 Add Quantity to Pay Item DD11 Traffic Loops:28 EA @$950.00/EA = $ 26,600.00 168 Add Quantity to Pay Item EE3 Asphalt Milling.482 SYD @$0.96/SYD = $ 462.72 169 Delete Quantity from Pay Item EE4 HMA Base,Type B(For Patching):85 TON @$0.01/TON = $ (0.85) 170 Add Quantity to Pay Item EE5 HMA Surface,Type B:66.99 TON @$67.00/TON = $ 4,488.33 171 Delete Quantity from Pay Item EE6 Catch Basin: 1 EA @$2,775.00/EA = $ (2,775.00) 172 Delete Quantity from Pay Item EE7 Pipe,Type 2,Circular,12 Inch:80 LF @$96.00/LF = $ (7,680.00) Page 5 of 7 CHANGE ORDER- EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 24017 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. 173 Add Quantity to Pay Item FF3 Asphalt Milling:559 SYD @$0.96/SYD = $ 536.64 174 Delete Quantity from Pay Item FF4 HMA Base,Type B(For Patching): 130 TON @$0.01/TON = $ (1.30) 175 Add Quantity to Pay Item FF5 HMA Surface,Type B:24.36 TON @$67.00/TON = $ 1,632.12 176 Delete Quantity from Item FF6 Thermo Painted Lines:46 LF @$1.49/LF = $ (68.54) 177 Add Quantity to Pay Item GG3 Asphalt Milling. 1,465 SYD @$0.96/SYD = $ 1,406.40 178 Delete Quantity from Pay Item GG4 HMA Base,Type B (For Patching): 170 TON @$0.01/TON = $ (1.70) 179 Add Quantity to Pay Item GG5 HMA Surface,Type B: 168.3 TON @$67.00/TON = $ 11,272.75 180 Delete Quantity from Pay Item GG6 Stop Bars,Thermo: 13 LF @$14.00/LF = $ (182.00) 181 Add Quantity to Pay Item GG8 Roll Curb,Concrete,Remove and Replace:454.5 LF @$53.00/LF = $ 24,088.50 182 Add Quantity to Pay Item HH3 Asphalt Milling 1686 SYD @$0.96/SYD = $ 1,618.56 183 Delete Quantity from Pay Item HH4 HMA Base,Type B(For Patching): 120 TON @$0.01/TON = $ (1.20) 184 Add Quantity to Pay Item HH5 HMA Surface,Type B:60.24 TON @$67.00/TON = $ 4,036.08 185 Delete Quantity from Pay Item HH6 Stop Bars,Thermo: 12 LF @$14.00/LF = $ (168.00) 186 Delete Quantity from Pay Item HH7 Catch Basin: 1 EA @$2,775.00/EA = $ (2,775.00) 187 Delete Quantity from Pay Item HH8 Pipe,Type 2,Circular,12 Inch: 10 LF @$96.00/LF = $ (960.00) 188 Add Quantity to Pay Item HH9 Roll Curb,Concrete,Remove and Replace: 8 LF @$53.00/LF = $ 424.00 189 Delete Quantity from Pay Item HH10 Curb Ramps,Concrete:36.4 SYD @$97.00/SYD = $ (3,530.80) 190 Add Quantity to Pay Item HH11 Sidewalk,Concrete,4 Inch: 5.6 SYD @$92.00/SYD = $ 515.20 191 Delete Quantity from Pay Item I14 HMA Base,Type B(For Patching): 170 TON @$0.01/TON = $ (1.70) 192 Delete Quantity from Pay Item II5 HMA Surface,Type B: 13 TON @$67.00/TON = $ (871.00) 193 Delete Quantity from Pay Item II6 Stop Bars,Thermo:35 LF @$14.00/LF = $ (490.00) Delete Quantity from Pay Item II7 Pavement Message Marking,Thermoplastic,ONLY:2 EA @ 194 $350.00/EA = $ (700.00) 195 Delete Quantity from Pay Item II8 Catch Basin: 1 EA @$2,775.00/EA = $ (2,775.00) 196 Add Quantity to Pay Item 119 Roll Curb,Concrete,Remove and Replace: 132 LF @$53.00/LF = $ 6,996.00 197 Delete Quantity from Pay Item II10 Curb Ramps,Concrete:379.6 SYD @$0.01/SYD = $ (3.80) 198 Add Quantity to Pay Item II11 Sidewalk,Concrete,4 Inch:22.9 SYD @$92.00/SYD = $ 2,106.80 199 Delete Quantity from Pay Item JJ4 HMA Base,Type B(For Patching):30 TON @$0.01/TON = $ (0.30) 200 Delete Quantity from Pay Item JJ5 Catch Basin: 1 EA @$2,775.00/EA = $ (2,775.00) 201 Delete Quantity from Pay Item JJ6 HMA Surface,Type B:45.67 TON @$67.00/TON = $ (3,059.89) 202 Delete Quantity from Pay Item JJ7 Stop Bars,Thermo:28.5 LF @$14.00/LF = $ (399.00) 203 Delete Quantity from Pay Item KK4 HMA Base,Type B(For Patching): 85 TON @$0.01/TON = $ (0.85) 204 Delete Quantity from Pay Item KK6 Stop Bars,Thermo:24 LF @$14.00/LF = $ (336.00) 205 Delete Quantity from Pay Item LL4 HMA Base,Type B(For Patching): 100 TON @$0.01/TON = $ (1.00) 206 Add Quantity to Pay Item LL6 Stop Bars,Thermo:20 LF @$14.00/LF = $ 280.00 207 Add Quantity to Pay Item LL7 Thermo Painted Lines: 1,360 LF @$1.49/LF = $ 2,026.40 208 Delete Quantity from Pay Item MM4 HMA Base,Type B(For Patching): 70 TON @$0.01/TON = $ (0.70) 209 Delete Quantity from Pay Item NN4 HMA Base,Type B(For Patching):385 TON @$0.01/TON = $ (3.85) 210 Add Quantity to Pay Item NN5 HMA Surface,Type B:45.96 TON @$67.00/TON = $ 3,079.32 211 Delete Quantity from Pay Item NN6 Stop Bars,Thermo: 17 LF @$14.00/LF = $ (238.00) 212 Add Quantity to Pay Item NN7 Thermo Painted Lines:3,671 LF @$1.49/LF = $ 5,469.79 Page 6 of 7 CHANGE ORDER-EXTRA WORK AGREEMENT NO. 3-FINAL JOB NO. 24017 Project Name Jeffersonville CCMG 2024-1 Street Paving Project Contractor MAC Construction&Excavating,Inc. 213 Delete Quantity from Pay Item 004 HMA Base,Type B(For Patching):25 TON @$0.01/TON = $ (0.25) 214 Add Quantity to Pay Item 005 HMA Surface,Type B:31.28 TON @$67.00/TON = $ 2,095.76 215 Delete Quantity from Pay Item 006 Stop Bars,Thermo:6 LF @$14.00/LF = $ (84.00) 216 Delete Quantity from Pay Item PP4 HMA Base,Type B(For Patching): _ $ (0.25) 217 Add Quantity to Pay Item PP5 HMA Surface,Type B:36.86 TON @$67.00/TON = $ 2,469.62 218 Add Quantity to Pay Item PP6 Sidewalk,Concrete,4 Inch:9.3 SYD @$92.00/SYD = $ 855.60 219 Delete Quantity from Pay Item QQ4 HMA Base,Type B(For Patching):400 TON @$0.01 TON = $ (4.00) 220 Delete Quantity from Pay Item QQ5 HMA Surface,Type B:72.18 TON @$67.00/TON = $ (4,836.06) 221 Add Quantity to Pay Item QQ6 Stop Bars,Thermo:5 LF @$14.00/LF = $ 70.00 222 Delete Quantity from Pay Item QQ7 Thermo Painted Lines: 823 LF @$1.49/LF = $ (1,226 27) TOTAL = $ 31,772.47 The method of payment for this change or extra work shall be: An addition amount of Thirty one thousand seven hundred seventy-two dollars and forty seven cents = $31,772.47 Consulting Engineer: JTL / P,' -AE If _ / 6-27-2025 E ngine 's 's. ure Datr Owner's Approval: C" of - fers.nville Signatur of Owner s Date Contractor's A val: k � Construction&Excavating,Inc. `J,I4 Project Manager 6/27/2025 Authorized Representative Title Date • Page 7 of 7