HomeMy WebLinkAbout18- Change Order 1 - Sime Construction, Inc. - Baxter Lane from North 7th Avenue to North 19th Avenue CHANGE ORDER
No. 1
DATE OF ISSUANCE CXn\nr✓ ISM QA1-_ EFFECTIVE DATE
OWNER City of Bozeman CONTRACTOR Sime
Contract: Baxter Lane from N. 7` Ave.to N. 19 Ave.
Project:Baxter Lane,from N.7 Ave.to N. 19' Ave. OWNER's Contract No.
ENGINEER RPA ENGINEER's Contract No. 14509.002
You are directed to make the following changes in the Contract Documents:
• Add six dead end barricade signs,posts, and foundations per City of Bozeman Standard Drawing No.
09810-2.This work includes three signs at the N. 15`h Ave.stub and three signs at the Embassy Suites
driveway stub.
Reason for Change Order: To add dead end barricade signs at the road/driveway stubs for future connection,at a
later date,to the Embassy Suites site development.
Attachments: (List documents supporting change)
CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES:
Original Contract Price Original Contract Times:
Substantial Completion: 150 calendar days
$1409,992.23 Ready for final payment:
(days or dates
Net Increase(Decrease)from previous Change Net change from previous Change Orders No._to
Orders No. to No._
Substantial Completion: n/a
$n/a Ready for final payment:
(days)
Contract Price prior to this Change Order: Contract Times prior to this Change Order:
Substantial Completion: 150 calendar days
$2,409,992.23 Ready for final payment:
(days or dates
Net increase(decrease)of this Change Order: Net increase(decrease)this Change Order:
Substantial Completion: 0 calendar days
$2,700.00 Ready for final payment:
(days)
Contract Price with all approved Change Orders: Contract Times with all approved Change Orders:
Substantial Completion: 150 calendar days
$2,412,692.23 Ready for final payment:
(days or dates)
CHANGE ORDER FORM
Page 1 of 3
Contractor certifies and agrees that there are no additional costs or claims for extra work,additional time,delays or
omitted items,of any nature whatsoever,associated with the subject change order items,except as identified and set
forth herein and unless expressly stated otherwise in the Change Order. And further,that the price agreed-upon herein
represents the full cost and value for the subject work performed and the materials supplied under the terms of the
contract and that the work quantities and value were properly determined and are correct.
CONTRACTOR(Authorized Signature) Date
RECOMMENDED BY: APPROVED BY:
9/27/18 i 6 I
(ENGINEER-Signature) Date Q_VNR( ut rizedSignature) Date
CHANGE ORDER FORM
Page 2 of 3
CHANGE ORDER
INSTRUCTIONS
A. GENERAL INFORMATION
This document was developed to provide a uniform format for handling contract changes that affect Contract
Price or Contract Times. Changes that have been initiated by a Work Change Directive must be incorporated into
a subsequent Change Order if they affect Price or Times.
Changes that affect Contract Price or Contract Times should be promptly covered by a Change Order. The
practice of accumulating Change Orders to reduce the administrative burden may lead to unnecessary disputes.
If Milestones have been listed in the Agreement,any effect of a Change Order thereon should be addressed.
For supplemental instructions and minor changes not involving a change in the Contract Price or Contract Times,
a Field Order should be used.
B. COMPLETING THE CHANGE ORDER FORM
Engineer normally initiates the form, including a description of the changes involved and attachments based upon
documents and proposals submitted by Contractor,or requests from Owner,or both.
Once Engineer has completed and signed the form,all copies should be sent to Owner or Contractor for approval,
depending on whether the Change Order is a true order to the Contractor or the formalization of a negotiated
agreement for a previously performed change. After approval by one contracting party,all copies should be sent
to the other party for approval. Engineer should make distribution of executed copies after approval by both
parties.
If a change only applies to price or to times,cross out the part of the tabulation that does not apply.
CHANGE ORDER FORM
Page 3 of 3
SIME
CONSTRUCTION WD-4630
WORK DIRECTIVE
This work directive is being initiated due to the change of the scope of services provided by the Contractor.
DATE: / � 7 - 7i1J/"lI
PROJECT &)L/6 L..�-�t� PROJECT# /� J�V
CHANGE INITIATED BY:
OWNER: Z-4 �
ENGINEERINGIARCHITECT D`Jt// �CL �� AS'Sv( :�� s �5,�t/ Vc�.•�-�
FIELD SUPERINTENDENTS—�
NECESSITY AND JUSTIFICATION FOR CHANGE
Explanation of the necessity for the work directive
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CAS S GZSfoL--��i �.►% /� +�� o ��•
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A/^-o 700 .
Work will be completed on the following basis:
Unit Price $ i�
Lump Sum
ED Time and Material Plus 10%
I agree with the work directive and payment for
additional work as outlined above.
ENGINEERIARCHITECT _ �QQG V 9/27/18
By: Title:
i
FIELD SUPERINTENDENT /
g Title:'
Phone:406.582.9841 190 Ramshom Dr. Fax:406.682.9843
Bozeman,MT 59718