HomeMy WebLinkAboutCedar Valley Corp, LLC.-10/20/2014Form 830240wd
04-08
com Iowa Department of Transportation
Change Order
rieabe return tills copy to:
Qty Clerk & Finance Dept.
715 Mulberry St.
Waterloo, IA 50703
Non -Substantial:
No. Six (6) Substantial:
Contract
Accounting ID No.: 031521 County BLACK HAWK (07)
Part
. Jon -
Part
❑ ❑ October
Concurrence Date
Project No: STP -U-8155(731)--70-07
Kind of Work: PCC PAVEMENT - GRADE/REPLACE Date Prepared: 10/14/2014
Contractor: CEDAR VALLEY CORP., LLC
You are hereby authorized to make the following changes to the contract documents.
A - Description of change to be made or extra work to be done: S=Substantial; NS=Non-Substantial; P=Participating; NP=Non-Participating
7007 0200 — Add 150 tons on Hot Mix Asphalt Mixture, Commercial Mix (Includes Asphalt Binder), As Per Plan (NS;P)
7008 0060 — Add 125 cubic yards of Modified Subbase (NS;P)
7009 0820 — Add 900 square yards of Removal of Pavement (NS;P)
8011 Add Additional Traffic Control for Winter Shutdown Pavement. (Lump Sum) (NS;P)
B - Reason for change or extra work:
7007-7009, 8011 Because of delays to the construction progress as a result utility conflicts, work will not be complete on the pavement of Stage 2 (adjacent
to Stage 1) and Stage 4 (adjacent to Stage 3A) and a temporary pavement will be constructed to bridge the 3 -foot gap between the pavements. The
temporary pavement will be 3 -inches of HMA pavement on a 5 -inch modified subbase.
Continued on reverse side)
Approved
District Construction Engineer
/0.- a 3-/z/
Date Project Engineer
Receipt is acknowledged of this change or extra work and terms of settlement
Approved contingent upon funds being available under the existing
project agreement or upon additional Federal -aid funds being
made available by a modified project agreement.
Date For the Division Administrator
Federal Highway Administration
are hereby agreed to.
Cedar Va
y Corp., LLC
Date
Contractor
By `p- ---- /0-y/�
/ Ddte
Approved
Approved
Mayor Clark
Assistant Construction Engineer
/6/2 7/64
Date
Date
DISTRIBUTION: Project Engineer— Forward original to District.
District — Nonsubstantial — Forward original and one copy to the Office of Construction and two copies bade to the Project Engineer.
- Substantial - Forward original and two copies to the Office of Construction.
AIP
C-1 —Settlement for cost of work to be made as follows:
7007, 7008, 7009 Contract Price
8011 Agreed Lump Sum Price
Accounting ID No. 10 3 1 1 1 5 12 11
1 2 3 4 5 6
Change Order No. Six (6)
C-2 — Justification for cost(s)
7007, 7008, 7009 Contract Price
8011 The cost is for traffic control during the pavement operation for the 3 -foot gap. The cost is considered appropriate because the gap
will be paved under traffic and the traffic control will need to be maintained for a period of approximately one week.
D - ITEMS INCLUDED IN CONTRACT
If Credit
Add "CR°
Item Number
Change
No.
Line Item Number
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
7007
0200 Hot Mix Asphalt Mixture, Commercial Mix (Includes
Asphalt Binder), As Per Plan
175.000
150.000
26,250.00
7008
0060 Modified Subbase
39.500
125.000
4,937.50
7009
0820 Removal of Pavement
7.700
900.00
6,930.00
7
7
TOTAL
38,117.50
E - ITEMS NOT INCLUDED IN CONTRACT
If Credit,
Add "CR"
Change
No.
Item Description
Item Number
Function
Code
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
8012
Traffic Control for Winter Shutdown Pavement
2599-9999010
3,740.000
1.000
3,740.00
8
8
8
8
8
TOTAL
3,740.00