HomeMy WebLinkAboutAll Star Paving Change Order No. 1 (Increase of 2,456) 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:
Department: INV/e 11411t
Vendor Name: G( S-bi PkAtL
Sign Date: On J 5
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Ending Date: (c (YS
Amount of Original Contract: II ,J((i
Is this an amendment or change order
to original contract? -Yes or No
Amended Contract Amount:
Purpose: OAN
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For Clerk's Office to fill out V /oDate uploaded to Gateway: S
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SECTION 00941
Change Order No.
Date of Issuance: 5/16/2025 Effective Date:5/18/2 0 2 5
Owner: City of Jeffersonville Owner's Contract No.:Ut ica Pike Sidewalk
Contractor:All S tar Paving, Inc. Contractor's Project No.:25-114
Engineer:HWC Engineering Engineer's Project No.:2025-037-S
Project:Utica Pike Sidewalk Project ContractName:Utica Pike Sidewalk
The Contract is modified as follows upon execution of this Change Order:
Description:Relocated Water Me=er - l.arry Smith Property
Watson Water will provide new meter setter and meter per Ken A.
Existing meter :i= and lid to be reused
Attachments: (List documents supporting change] See attached Change Order f orm dated
5/16/2025 from All Star Paving, Inc.
CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIMES
[note changes in Milestones if applicable]
Original Contract Price: Original Contract Times:
Substantial Completion: N/A
$ 1,347,142.95 Ready for Final Payment:
days or dates
[Increase][Decrease] from previously approved Change [Increase] [Decrease]from previously approved Change
Orders No._ to No._ Orders No. to No._
Substantial Completion: N/A
$ u-C i- Ready for Final Payment:
days
Contract Price prior to this Change Order: Contract Times prior to this Change Order:
Substantial Completion: N/A
$ 1,347,142.95 Ready for Final Payment:
days or dates
[Increase][Decrease]of this Change Order: [Increase] [Decrease]of this Change Order:
Substantial Completion: N/A
$ 2,956.00 Ready for Final Payment:
days or dates
Contract Price incorporating this Change Order: Contract Times with all approved Change Orders:
Substantial Completion: N/A
$1,349,598.95 Ready for Final Payment:
days or dates
RECOMMENDED: ACCEPTED: p � ACCEPTED:
By: t "`�`� By: By: /d+'-•-•t
Engineer(if required) Owner(Authorized Signature) Contractor(Authorized Signature)
Title: Project Manager Title Title rk ttlt a.
Date: 5/19/2025 Date Date S �C/2f
Approved b Fundin Agency(if applicable) ttt
By: �G� �+t� — Date: s,70
Title:
EJCDC C-941,Change Order.
Prepared and published 2013 by the Engineers Joint Contract Documents Committee.
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