HomeMy WebLinkAboutIowa Department of Transportation-6/28/2010Form 830440wd
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Iowa Department of Transportation Non -
Change Order Part Part
Non -Substantial: 0 El
No. 1 Substantial: 0 0 06/ 14 /10
Contract
Accounting ID No.: 27581 County Black Hawk
Concurrence Date
Project No: ESL -8155(709)-7S-07
Kind of Work: P.C.C. Trail Date Prepared: 06-11-10
Contractor: Peterson Contractors Inc.
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:
8001 – Additional Tree Clearing
B – Reason for change or extra work:
8001 – The City of Waterloo is being required by the Corps of Engineers to complete Targe quantities of tree clearing along the toes of the
Cedar River flood protection levees. Because some of these trees are in the area adjacent to this IDOT project, the contractor was asked to
give a price for the removal and disposal of these trees.
(Continued on reverse side)
Approved
Director, Office of Systems Planning Date
Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to.
ate
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
Approved
Assistant Construction Engineer
/S .1
Date
Date
DISTRIBUTION: Project Engineer — Forward original to District.
District — Nonsubstantial — Forward original and one copyto the Office of Construction and two copies back to the Project Engineer.
- Substantial - Forward original and two copies to the Office of Construction.
Accounting ID No. I 12 17 15 18 I 1 1
1 2 3 4 5 6
C-1 —Settlement for cost of work to be made as follows:
Change Order No. 1
8001 — Contractor will be paid the $1,100 for each tree cleared.
C-2 — Justification for cost(s)
8001 — Price was negotiated between City and Contractor. These trees are located in an inaccessible area located between
the Cedar River flood protection levee and the proposed trail, and consist mostly of large cottonwood trees and silver maples
between 24" and 60" in diameter.
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
7
E - ITEMS NOT INCLUDED IN CON
TOTAL
If Credit,
Add "CR"
Change
No.
Item Description
Item Number
Function
Code
Unit Price
.xxx
Quantity
.xxx
Amount
.xx
8001
Additional Tree Clearing
52
410
1,100.00
48.0
52,800.00
8
8
8
8
8
TOTAL
52,800.00