HomeMy WebLinkAboutIowa Department of Transportation-7/8/2013Form 830240wd
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, lowa Department of Transportation
`vitChange Order
Non -Substantial:
Part
Non -
Part
No. 9 Substantial: ❑ ❑ 12 / 07 /12
Contract
Accounting_ ID No.: 28335 County Black Hawk
Project No: STP -E -8155(721)-8V-07
Kind of Work: P.C.C. Trail Date Prepared: 12-05-12
Contractor: Vieth Construction Corporation
Concurrence Date
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:
7004 — Item 1 - Clearing and Grubbing
7005 — Item 3 - Excavation, Class 10, Waste
7006 — Item 11 - Removal of Concrete
7007 — Item 14 - Structural Concrete (Miscellaneous)
7008 — Item 17 - Recreational Trail, PCC, 6°
7009 — Item 18 - Removal of Sidewalk
7010 — Item 20 - Combined Concrete Sidewalk and Retaining Wall
7011 — Item 21 - P.C. Concrete Retaining wall
— Reason for change or extra work:
7004 — 7011. Contract Quantities adjusted for field changes on plan quantity bid items.
7008 and 7010. A significant change was made during construction to change approximately 280 lineal feet of recreational trail to combined
concrete sidewalk and retaining wall adjacent to the rip rap face of the flood control levee.
CITY OF f Ott 00
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Nta or DatEe
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BY:
(Continued on reverse side)
Approved -4 1
Director, ce ystems Planning Date
Receipt is ackn ged of this change or extra work and terms of settlement are hereby agree
of 77-7(
ATTEST:
7- tl M
CityrClerk mare
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
Date
17113 /17_,.
Date
Contractor
By frc - (11€704
Approved
Date
Assistant Construction Engineer Date
DISTRIBUTION: Project Engineer— Forward original to District.
District— Nortsubstantial — Forward original and one copy to the Office of Construction and two copies back to the Project Engineer.
- Substantial - Forward original and two copies to the Office of Construction.
TOTAL
Accounting ID No. 1 12 18 13 13 15
1 2 3 4 5 6
C-1 —Settlement for cost of work to be made as follows:
Change Order No. 9
7004 — 7011— Contractor will be paid bid prices for all work completed.
C-2 — Justification for cost(s)
7004 — 7011 — Contractor quantity adjustment required to meet field conditions on plan quantity items.
No additional working days will be added to contract for this work.
D — ITEMS INCLUDED IN CONTRACT
If Credit
Add "CR»
Change
No.
Line Item Number
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
7004
Item 1 - Clearing and Grubbing
8,000.00
0.10
800.00
7005
Item 3 - Excavation, Class 10, Waste
19.00
100.00
1900.00
7006
Item 11 - Removal of Concrete
875.00
4.00
3500.00
7007
Item 14 - Structural Concrete (Miscellaneous)
1075.00
3.10
3332.50
7008
Item 17 - Recreational Trail, PCC, 6"
46.00
CR (372.42)
CR (17,131.32)
7009
Item 18 - Removal of Sidewalk
15.00
8.33
124.95
7010
Item 20 - Combined Concrete Sidewalk and Retaining Wall
700.00
97.72
68,404.00
7011
Item 21 - P.C. Concrete Retaining wall
745.00
CR (20.50)
CR (15,272,50)
E — ITEMS NOT INCLUDED IN CONTRACT
45,657.63
If Credit,
Add "CR"
Change
No.
Item Description
Item Number
Function
Code
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
TOTAL