HomeMy WebLinkAboutCHANGE ORDER 1 3c.''40wd
/00 ``8_Iowa Department of Transportation
Non-
Change Order Part Part
Non-Substantial: ❑ ❑
No. 1 Substantial: ❑ ❑
Concurrence Date
Contract
Accounting ID No.: County Black Hawk
Project No: CS-TSF-8155(44)--85-07
Kind of Work: Construction Date Prepared: 5-03-2006
Contractor: KW Electric
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:
1-Change some components of the trusses from that specified on the plans
2-Add five section programmable visibility signal head
3-Temporary signals on north side of 218, pull out wire,fix conduit, install new wire.
4-80 extra tons of granular material and extra asphalt
5-Change drain type to ABT trench drain
B—Reason for change or extra work:
1-Original designs of some components were very old. Manufacturer would only supply based on new standards. Contractor is required to
provide the City with design data and calculations signed by an Iowa licensed professional engineer.
2-This signal head was needed but was not shown on the original plans.
3-This was needed to be performed because of the drainage work's larger than anticipated excavation area, and the presence of an existing
conduit within the expanded area.
4-More rock and asphalt were needed at same location due to the extra excavation as noted in B-3 above.
5-Requested by Contractor and approved by City of Waterloo(and IDOT).
IC ADEPART EN'TOFTRA SPORTAT1.a
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Approved yt>-z S'% a h - %''fr,
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District Construction Engineer Date Project Engineer ate
Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to.
Approved contingent upon funds being available under the existing x Kk {,J e, `,;e X_
project agreement or upon additional Federal-aid funds being Contractor
made available by a modified project agreement. G
By „5—NO&
Date For the Division Administrator
Federal Highway Administration Approved
Assistant Construction Engineer Date
DISTRIBUTION: Project Engineer—Forward original to District.
District—Nonsubstantial—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.
Accounting ID No. I I I I I I
1 2 3 4 5 6
C-1 —Settlement for cost of work to be made as follows:
Change Order No. 1
1) $1,350.00 (Applies to Bid Item#1)
2) $4750.00 (Applies to Bid Item#1)
Total Bid Item#1: $6,100.00
3) $3,250.00 (Applies to Bid Item#2)
4) $2,200.00 (Applies to Bid Item#2)
5) $8,055.00 Credit (Applies to Bid Item#2)
Total Bid Item#2 ($2,605.00) Credit
Net Total This Change Order$3,495.00
C-2—Justification for cost(s) Item 1 was proposed by the contractor and agreed to by the City. Item 2 is based on
breakdown of prices which were submitted by the contractor as part of his bid package. Item 3 is based on the costs for
material and installation of conduit and cables. Item 4 quantities increased substantially compared to what was originally
anticipated, as a result a lower unit price was used. Item 5 is a credit because the ABT drain tile is less costly than what was
specified on the plans.
D - ITEMS INCLUDED IN CONTRACT If Credit
Add"CR"
Change Line Item Number Unit Price Quantity Amount
No. .xxx .xxx .xx
7 001 1
6,100.000 1.000 6,100.00
7 002 2
2,805.000 CR 1.000 CR 2,605.00
7
7
7
7
7
TOTAL 3,495.00
If Credit,
E - ITEMS NOT INCLUDED IN CONTRACT Add"CR"
Change Function Unit Price QuantityAmount
No. Item Description Item Number Code xxx xx xx
8
8
8
8
8
8
8
TOTAL