HomeMy WebLinkAboutLibs Paving Company Change Order No.2 City of Jeffersonville
2022-1 Community Crossings Grant Funded street Paving Project
Change Order
Change Order No. 2
Date of Issuance: 4-18-2023 Effective Date:4-18-2023
Owner: City of Jeffersonville Owner's Contract No.: N/A
Contractor. Libs Paving Company Inc. Contractor's Project No.: N/A
Engineer: Jacobi Toombs&Lanz Engineer's Project No.: 22051
Project: 2022-1 Community Crossings Grant Funded street Contract Name: 2022-1 Community
Paving Project Crossings Grant
Funded street Paving
Project
The Contract Is modified as follows upon execution of this Change Order.
Description:This Change order Is for the following:
Headwalls on 10th St.$10,000.00
Pipe on 10th St.$68,000.00
Cap on 10th St.$22,000.00
Island on 10th St$12,500.00
Curbing on Crestview Ct-340.5 LF of curb with 1 Ft fill and patch on back side
of curb and 1811 fill on front
$33,998.00
Trench Drains on East Chestnut$8000
Attachments: (City of Jeff Change Order Summary]
CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIMES
(note changes in Milestones If appllcablej
Current Contract Price: Original Contract Times:
Substantial Completion: MAY 1,2023
$2.126.494.98 Substantial Completion: MAY 1,2023
$Increase of this Change Order: [Increase]of this Change Order:
Substantial Completion: 21 Days
$154,498 Ready for Final Payment: 21 Days
Contract Price incorporating this Change Order • tract Times with all approved Change Orders:
• antial ompletion: MAY 22.2023
$2,280,992.98 • :ady for Fi al Payment: MAY 22,2023
RE NDED: A E D: Cam➢ •
By: l � By: •
By:
/J E ir6er(if required) Owner( thorized Signature) ctor Auth?rized Signature)
Title: Project Engineer Title /1 v67 Title f•rt;p(tr'ff'
Date: 04-17-2023 Date 1 • 0,2 3 Date t1.1 'X3
Approved by Funding Agency(if
applicable)
By: Date:
Title:
APPLICATION AND CERTIFICATE FOR PAYMENT PAGE 1 of 2
TO OWN I It City ofJefersom tile PROJftT. APPLICATION NUMBER:i/ Distribution to: -
4tN)Quartermaster Court 2022 CCMG Jeffersonville PERIOD FROM: 5:3 I/2022 OWNER
Jefferson,.ille,IN 47130 PERIOD TO: 6/I2023 ARCHITECT
VIA ENGINEER: CONTRACTOR
FROM CONTRACTOR: LIES PAVING COMPANY.INC. Jacobi,Toomz,and Lanz CONTRACT DATE: 5431,2022 CONSTRUCTION
6931 ATKINS ROAD 1829 East Spring St.stc.201 MANAGER
FLOYDS KNOBS.IN 47119 NEW ALIBANY,IN 47150 ARCHITECT JOB NO. N022051
CONTRACT FOR:
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment.as slum-it below in accordance with the Contract. information and belief,the Work covered by this Application for Payment has been
Continuation Sheet,Document G703.is attached. completed in accordance with the Contract Documents,that all amounts have been
I. ORIGINAL CONTRACT SUM $ 1,921,809.05 paid by the Contractor for Work for which previous Certificates for Payment were issued
and payments received from the Owner,and that current payment shown herein is now due.
2. Net Change By Change Orders S 204,685.93 CONTRACTOR:
•
3. CONTRACT SUM TO DATE (Line I+2)..._. S 2,126,494.98 (�\
BY: ' \ ___4; ,2 --
DATE 3-Z 7--23
4. TOTAL COMPLETED&STORED TO DATE S 816.767.40 Y•�.�
(Column G on G703) I ?r—
State of: /pii)/4We; County of: .c 6>
5, RETAINAGE:
7 ,r,_ in A
a. S"o of Completed Work S 40.833 37 Subscribed• a 6 ,, t,lqd a,vorn b�fere e this
tColunins D&Eon G703) Notary Public:%) ;,/, l';"/%- ,„r o'"'Y,,�"r MABICETTA.A ELL;OTT
°j'4 ▪+� Notary?ubtic. State of Ind ana
My Commisston,Exptres: ,_ T; -1ays aunty
J.
•$L'C•"_
b. 5'o a of Stored Material $ =r•• r r Comm.sslon Nuroer 683653
(Column F on G703) CERTIFICATE FOR PAYMENT i'HDUN*`,s• • My CamrVSalon Expires
Total Retainage(Line 5a+5b or
'4,rrnr' April 14,2024
Total in Column I of G703) $ 40.838 37 In accordance with the Contract Documents,based on on-site observations
and the data comprising the above application,the Construction Manager
r, TOTAL EARNED LESS RETAINAGE S 775,929.03 certifies that to the best of his knowledge.information and belief the Work
tLine 4 less Line;Total) has progressed as indicated,the quality of the Work is in accordance with
the Contract Documents,and the Contractor is entitled to payment of the
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT AMOUNT CERTIFIED.
(Line ti from prior Certificate) S 580,584.66
AMOUNT CERTIFIED s 195,344.37
8. CURRENT PAYMENT DUE $ 195,344.37 I:Ltach explanation if amount certified differs from the amount applied Jar. Initial all figures on this
.Application and on the Continuation Sheet that changed to conform to the amount certified)
9. BALANCE TO FINISH,INCLUDING RETAINAGE CONSTRUCTION MGR:
(Line 3 less Line 6) $ 1,350,565.95 By: Date:
CHANGE ORDER SUMMARY ADDITIONS DM:CI-IONS ARCHITECT:
Total changes approved in B ,- . .~;. Date: 4-3-2023
previous months by Owner $ - S - This certificaj‘is nut negotiable.The AMOUNT CERTIFIED is payable only
Total Approved this Month to the Contractor named herein. Issuance,payment and acceptance of
TOTALS S - s payment arc without prejudice to any rights of the Owner or Contractor under
NET CI IANGES by Change Order s this Contract.