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Home My WebLink About2022-04-18 I01D_10 Alice's Rd Corridor Phase 5_Change Order 4AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: April 18, 2022 AGENDA ITEM:Consideration of approval of Change Order No. 4 to Absolute Concrete, Inc. for the Alice’s Road PCC Pavement Widening Project, 400-ft North of SE Olson Drive to NE Horizon Drive, the change order increases the contract price by $3,590.94. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: The change order is for reconciliation of final quantities at project completion. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: The net result of this Change Order increases the contract price by a total of $3,590.94. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Change Order No. 4 ATTACHMENTS: I. Change Order No. 4 II. Letter of Recommendation PREPARED BY:Beth Richardson REVIEWED BY:Rudy Koester RK PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1D10 8191 Birchwood Court, Suite L Johnston, IA 50131 Phone: (515) 254-1393 Fax: (515) 254-1642 April 15, 2022 Rudy Koester Director of Public Works 805 University Avenue Waukee, IA 50263 RE: Change Order #4 Alice’s Rd PCC Pavement Widening 400-ft North of SE Olson Drive to NE Horizon Drive STP-U-8177(621)--70-25, STP-A-8177(623)--86-25, CS-TSF-8177(625)--85-25 Dear Mr. Koester: Attached please find a detailed Change Order for City Council approval on April 18, 2022. Change Description • Adjustment of bid items 0050-8009 to adjust quantities to what was installed in the field. • New bid item 8010 for assessment of liquidated damages. • New bid item 8011 for work associated with potholing signal footings due to proximity to existing utilities. • New bid item 8012 for work associated with installing new lighting circuitry along E. Hickman Rd. • New bid item 8013 for work associated with removal of curb north of the Hy-Vee entrance and shoulder grading to ensure smooth transition from urban section to rural section. • New bid item 8014 for work associated with landscaping repairs in the NE corner of SE Laurel and SE Alice’s Rd. • New bid items 8015-8017 for additional payment for PCC cold weather protection per division. • New bid item 8018 for work associated with additional restoration needs where erosion could not be controlled via hydraulic mulching. We have reviewed the submitted quotes from Absolute Concrete, Inc. and they appear to be in order with current industry pricing for DOT work. If City Staff concurs with this pricing, we recommend the City of Waukee increase the contract price in the amount of $3,590.94 to complete the additional work associated with Change Order #4. Please let me know if you have any questions or need additional information. Sincerely, Foth Infrastructure and Environment, LLC Joshua C. DeBower, P.E. Lead Civil Engineer Encl: Change Order #4 dated 8/25/21 Non-Substantial: No.Substantial: 34975 You are hereby authorized to make the following changes to the contract documents. A - Description of change to be made: B - Reason for change: C - Settlement for cost(s) of change as follows with items addressed in Sections F and/or G: D - Justification for cost(s) (See I.M. 3.805, Attachment D, Chapter 2.36, for acceptable justification): Absolute Concrete Construction, Inc. CHANGE ORDER For Local Public Agency Projects 4 0050-8005 Changes: Reconciliation of quantities at project completion 8010 Change: Add an item for Assessment of Liquidated Damages 8011 Change: Add an item for "Pot hole footings". Work shall be in accordance with Section 2525 of the Standard Specifications. 8012 Change: Add an item for "Street Light Cable". Work shall be in accordance with Section 2523 of the Standard Specifications. 8013 Change: Add an item for "Curb Removal and Shoulder Grading". Work shall be in accordance with Section 2312 and 2514 of the Standard Specifications. 8014 Change: Add an item for "Landscaping Removal and Surface Restoration". Work shall be in accordance with Section 2101 and 2601 of the Standard Specifications. 8015-8017 Changes: Add items for "PCC Cold Weather Protection". Work shall be in accordance with Section 2301 of the Standard Specifications 8018 Change: Add an item for "Slope Protection, Wood Excelsior Mat". Work shall be in accordance with Section 2601 of the Standard Specifications 7006-8005: To account for measured quantities installed at project completion 8010: Assessment of Liquidated Damages due to the contract not being substantially complete until July 19, 2019 8011: Due to close proximaty of utilities and the inability to move signal poles; hydrovac'ing in lieu of augering footings was necessary 8012: After removal of street light footings and prior to reinstallation, grading contractor broke the direct buried circuitry in multiple locations due to subgrade preperation; as existing circuitry was in conflict, contractor installed new wire. 8013: A portion of curb at the far north end needed to be ground off due to setbacks and the shoulder needed to be regraded to ensure drainage was maintained 8014: Existing landscaping was unable to be salvaged and remainig rock and shubs needed to be removed and area reshaped and seeded. 8015-8017: Contractor had several days of paving on each division that required blankets to ensure appropriate cure of the pavement. 8018: Several small areas were prone to erosion which required matting to ensure seed would not be washed away. 0050-8005: Contract unit price 8010:Contract Unit Price 8011: Agreed Lump Sum 8012: Agreed Unit Price 8013: Agreed Lump Sum 8014: Agreed Lump Sum 8015-8017: Pre-Established Unit Price 8018: Agreed Unit Price Administering Office Kind of Work: Contractor: PCC Pavement Widening STP-U-8177(621)--70-25Project No: Local Public Agency Date Prepared: Accounting ID No. (5-digit number): 8011: Summary of Costs (See attached documentation) 8012: Comparable to item 0610 (a similar item that also included conduit) in the contract 8013: Summary of Costs (See attached documentation) 8014: Summary of Costs (See attached documentation) 8018: Similar contracted item on previous project. City of Waukee, Iowa August 25, 2021 Concurrence Date Page 1 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 E - Contract time Adjustment:No Working Days added Working Days Added:Unknown at this time Justification for selection: F - Items included in Contract: Unit Price .xx 0050 $870.00 0080 $33.10 0100 $365.00 0110 $55.00 0120 $125.00 0130 $110.00 0140 $1.00 0150 $55.00 0160 $41.90 0170 $1.00 0330 $1,365.00 0360 $9.60 0370 $800.00 0390 $79.00 0440 $17.00 0470 $76.50 0480 $9.00 0520 $6.90 0530 $55.00 0540 $80.00 0550 $40.00 0560 $60.00 352.690 $21,161.40 2502-8221006 SUBDRAIN RISER, 6 IN., AS PER PLAN 3.000 $2,400.00 2511-7526006 SIDEWALK, PCC, 6 IN. -157.300 -$17,303.00 -22.900 -$1,832.00 17.000 $680.00 X 23158275025 SURFACING, DRIVEWAY, CLASS A CRUSHED STONE 224.410 $9,402.78 X 2316-0000110 PAYMENT ADJUSTMENT INCENTIVE/DISINCENTIVE FOR PCC PAVEMENT SMOOTHNESS (BY SCHEDULE) -22764.000 -$22,764.00 X 2502-8213206 SUBDRAIN, PVC, STANDARD, PERFORATED, 6 IN.-153.000 -$1,468.80 X 27.210 $1,496.55 -$1,525.00 $7,604.46 X 2511-6745900 REMOVAL OF SIDEWALK 13.300 $91.77 X -12.000 -$948.00 21635.250 $21,635.25 X 2304-0101000 TEMPORARY PAVEMENT 201.689 $11,092.90 1.000 $1,365.00 2301-7000110 PAYMENT ADJUSTMENT INCENTIVE/DISINCENTIVE FOR PCC PAVEMENT THICKNESS (BY SCHEDULE) X .xxx .xx -21.100 -$18,357.00 488.070 $16,155.12 AmountQuantityState- aid -$1,460.00 -102.650 -$5,645.75 -12.200 -4.000 33.000 $561.00 49.890 $3,816.59 844.940 X Line Number Item Description 2102-4560000 LOCATING TILE LINES Final Change Order For deductions enter as "-x.xx"Participating Federal- aid X X 2115-0100000 MODIFIED SUBBASE X 2213-7100400 RELOCATION OF MAIL BOXES X 2301-1033100 STANDARD OR SLIP FORM PCC PAVEMENT, CLASS C, CLASS 3 DUR., 10 IN. X X X 2503-0200036 REMOVE STORM SEWER PIPE LESS THAN OR EQUAL TO 36 IN. X 2507-6800061 REVETMENT, CLASS E X 2510-6745850 REMOVAL OF PAVEMENT X 2511-7528101 DETECTABLE WARNINGS 2511-7526004 SIDEWALK, PCC, 4 IN. X 2515-2475008 DRIVEWAY, P.C. CONCRETE, 8 IN. 2435-0600010 MANHOLE ADJUSTMENT, MINOR X 2503-0114224 STORM SEWER GRAVITY MAIN, TRENCHED, RCP, 2000D (CLASS III), 24 IN. 2301-4874106 MEDIAN, DOWELLED P.C. CONCRETE, 6 IN. X 2301-4875006 MEDIAN, P.C. CONCRETE, 6 IN. Page 2 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 0570 $8.20 0580 $175.00 0670 $75.00 0690 $16.00 0730 $45.00 0740 $30.00 0750 $115.00 0770 $400.00 0780 $75.00 0790 $100.00 0800 $55.00 0810 $110.00 0830 $462.00 0840 $85.00 0880 $18.00 0900 $2,400.00 0920 $5,970.00 0940 $410.00 0960 $1,480.00 0970 $6,900.00 1020 $700.00 1030 $2,950.00 1040 $1,300.00 1050 $1,000.00 1060 $1.50 1070 $0.50 1080 $0.50 1090 $3.25X2602-0000312 PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE, 12 IN. DIA.2274.500 $7,392.13 $770.50 X 2602-0000020 SILT FENCE -567.000 -$850.50 X X 2602-0000101 MAINTENANCE OF SILT FENCE OR SILT FENCE FOR DITCH CHECKS -516.000 -$258.00 X X 2601-2636044 SEEDING AND FERTILIZING (URBAN)-1.170 -$1,521.00 2599-9999005 WATER MAIN VERTICAL RELOCATION -7.000 -$48,300.00 -5.000 -$2,050.00 X X 2554-0212030 VALVE BOX REPLACEMENT X 2599-9999005 REMOVAL OF FIRE HYDRANT ASSEMBLY 1.000 $1,480.00 1.000 $5,970.002554-0210201 FIRE HYDRANT ASSEMBLY, WM- 201 $220.00 X 2528-8445113 FLAGGERS -9.000 -$4,158.00 X 2528-9290050 PORTABLE DYNAMIC MESSAGE SIGN (PDMS)-120.000 -$10,200.00 2527-9270120 GROOVES CUT FOR SYMBOLS AND LEGENDS 2.000 X -11.000 -$198.00 X 2554-0207012 VALVE, GATE, DIP, 12 IN.1.000 $2,400.00 2.000 $200.00 X 2527-9270111 GROOVES CUT FOR PAVEMENT MARKINGS 2.665 $146.58 2524-9276021 PERFORATED SQUARE STEEL TUBE POST ANCHOR, BREAK-AWAY SOIL INSTALLATION 2527-9263180 PAVEMENT MARKINGS REMOVED 0.770 $57.75 X 2527-9263190 SYMBOLS AND LEGENDS REMOVED 2554-0203000 FITTINGS BY WEIGHT, DUCTILE IRON X 1.000 $75.00 -60.350 -$965.60 2527-9263109 PAINTED PAVEMENT MARKING, WATERBORNE OR SOLVENT-BASED X 2527-9263117 PAINTED PAVEMENT MARKINGS, DURABLE 2518-6910000 SAFETY CLOSURE X 2524-9325001 TYPE A SIGNS, SHEET ALUMINUM X 2601-2634100 MULCHING -2.590 -$1,813.00 X 2601-2634105 MULCHING, BONDED FIBER MATRIX -1.327 -$3,914.65 X 2601-2642120 STABILIZING CROP - SEEDING AND FERTILIZING (URBAN)-7.800 -$7,800.00 2602-0000071 REMOVAL OF SILT FENCE OR SILT FENCE FOR DITCH CHECKS 1541.000 -15.000 -$2,625.00 111.460 $5,015.70 44.165 $1,324.95 -134.740 -$15,495.10 -2.000 -$800.00 305.160 $2,502.31X2515-6745600 REMOVAL OF PAVED DRIVEWAY X X X 2527-9263131 WET RETROREFLECTIVE REMOVABLE TAPE MARKINGS X 2527-9263152 PRE-CUT SYMBOLS AND LEGENDS, REGULAR MARKING TAPE X X Page 3 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 1100 $13.00 1110 $0.50 1120 $25.00 1130 $25.00 1140 $25.00 1160 $25.00 1180 $500.00 1190 $1,000.00 1240 $1,010.00 1270 $33.10 1290 $55.00 1300 $125.00 1310 $110.00 1330 $65.00 1340 $55.00 1350 $1.00 1490 $16.50 1500 $600.00 1510 $300.00 1530 $104.00 1540 $120.00 1630 $38.00 1660 $75.00 1670 $90.00 1680 $40.00 1690 $60.00 1700 $10.20 2602-0000540 MAINTENANCE OF GRATE INTAKE SEDIMENT FILTER BAG 3.000 $75.00 X 9.000 X 2602-0000350 REMOVAL OF PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE 3102.000 $1,551.00 X 2602-0010020 MOBILIZATION, EMERGENCY EROSION CONTROL -1.000 -$1,000.00 -$900.00 X 2602-0000510 MAINTENANCE OF OPEN- THROAT CURB INTAKE SEDIMENT FILTER -3.000 -$75.00 X 2602-0000500 OPEN-THROAT CURB INTAKE SEDIMENT FILTER -36.000 X 2602-0010010 MOBILIZATION, EROSION CONTROL X 2602-0000320 PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE, 20 IN. DIA.140.000 $1,820.00 $4,500.00 2602-0000520 REMOVAL OF OPEN-THROAT CURB INTAKAE SEDIMENT FILTER -3.000 -$75.00 X X 2102-4560000 LOCATING TILE LINES -3.530 -$3,565.30 X 2115-0100000 MODIFIED SUBBASE 79.880 $2,644.03 X 2301-1033100 STANDARD OR SLIP FORM PCC PAVEMENT, CLASS C, CLASS 3 DUR., 10 IN.334.000 $18,370.00 X 2301-4874106 MEDIAN, DOWELLED P.C. CONCRETE, 6 IN.-0.100 -$12.50 X 2301-4875006 MEDIAN, P.C. CONCRETE, 6 IN.133.400 $14,674.00 X 2302-1200100 PORTLAND CEMENT CONCRETE PAVEMENT WIDENING, 10 IN.112.850 $7,335.25 X 2304-0101000 TEMPORARY PAVEMENT 19.180 $1,054.90 X 2316-0000110 PAYMENT ADJUSTMENT INCENTIVE/DISINCENTIVE FOR PCC PAVEMENT SMOOTHNESS (BY SCHEDULE) -7970.000 -$7,970.00 X 2502-8213206 SUBDRAIN, PVC, STANDARD, PERFORATED, 6 IN.-94.000 -$1,551.00 X 2502-8221006 SUBDRAIN RISER, 6 IN., AS PER PLAN -12.000 -$7,200.00 X 2502-8221303 SUBDRAIN OUTLET, DR-303 9.000 $2,700.00 X 2503-0114230 STORM SEWER GRAVITY MAIN, TRENCHED, RCP, 2000D (CLASS III), 30 IN.210.000 $21,840.00 X 2503-0114236 STORM SEWER GRAVITY MAIN, TRENCHED, RCP, 2000D (CLASS III), 36 IN.-214.000 -$25,680.00 X 2511-0302600 RECREATIONAL TRAIL, PCC, 6 IN.-97.200 -$3,693.60 X 2511-7526004 SIDEWALK, PCC, 4 IN.-1.600 -$120.00 X 2511-7526006 SIDEWALK, PCC, 6 IN.39.100 $3,519.00 X 2511-7528101 DETECTABLE WARNINGS 44.000 $1,760.00 X 2515-2475008 DRIVEWAY, P.C. CONCRETE, 8 IN.-463.700 -$27,822.00 X 2515-6745600 REMOVAL OF PAVED DRIVEWAY 157.720 $1,608.74 Page 4 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 1710 $175.00 1750 $8.50 1760 $75.00 1770 $225.00 1780 $16.00 1820 $30.00 1830 $115.00 1840 $150.00 1850 $400.00 1870 $55.00 1890 $15.55 1910 $462.00 1930 $42.00 1940 $16.00 1970 $7,050.00 2010 $7,445.00 2020 $14.00 2050 $700.00 2060 $2,950.00 2070 $1,300.00 2080 $1,000.00 2090 $1.50 2100 $0.50 2110 $0.50 2120 $3.25 2130 $0.50 2150 $25.002602-0000540 MAINTENANCE OF GRATE INTAKE SEDIMENT FILTER BAG -18.000 -$450.00 X 2602-0000101 MAINTENANCE OF SILT FENCE OR SILT FENCE FOR DITCH CHECKS X 2602-0000312 PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE, 12 IN. DIA.3650.000 $11,862.50 X 2602-0000350 REMOVAL OF PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE 3633.000 $1,816.50 X -66.000 -$33.00 X 2527-9270111 GROOVES CUT FOR PAVEMENT MARKINGS 6.560 $360.80 X 2528-8400048 TERMPORARY BARRIER RAIL, CONCRETE 12.500 $194.37 X 2528-8445113 FLAGGERS -6.000 -$2,772.00 X 2554-0114012 WATER MAIN, TRENCHED, PVC, 12 IN.255.000 $10,710.00 X 2554-0203000 FITTINGS BY WEIGHT, DUCTILE IRON 443.000 $7,088.00 X 2554-0208012 TAPPING VALVE ASSEMBLY, 12 IN -1.000 -$7,050.00 X 2599-9999005 WATER MAIN VERTICAL RELOCATION -3.000 -$22,335.00 X 2599-9999009 WATER MAIN REMOVAL 255.000 $3,570.00 X 2601-2634100 MULCHING 0.072 $50.40 X 2601-2634105 MULCHING, BONDED FIBER MATRIX -0.600 -$1,770.00 X 2601-2636044 SEEDING AND FERTILIZING (URBAN)-0.600 -$780.00 X 2601-2642120 STABILIZING CROP - SEEDING AND FERTILIZING (URBAN)-3.500 -$3,500.00 X 2602-0000020 SILT FENCE 64.000 $96.00 X 2602-0000071 REMOVAL OF SILT FENCE OR SILT FENCE FOR DITCH CHECKS 227.000 $113.50 X 2518-6910000 SAFETY CLOSURE -5.000 -$875.00 X 2524-9276010 PERFORATED SQUARE STEEL TUBE POSTS 39.000 $331.50 X 2524-9276021 PERFORATED SQUARE STEEL TUBE POST ANCHOR, BREAK-AWAY SOIL INSTALLATION 2.000 $150.00 X 2524-9276024 PERFORATED SQUARE STEEL TUBE POST ANCHOR, BREAK-AWAY CONCRETE INSTALL 2.000 $450.00 X 2524-9325001 TYPE A SIGNS, SHEET ALUMINUM -5.250 -$84.00 X 2527-9263117 PAINTED PAVEMENT MARKINGS, DURABLE 6.560 $196.80 X 2527-9263131 WET RETROREFLECTIVE REMOVABLE TAPE MARKINGS -40.990 -$4,713.85 X 2527-9263143 PAINTED SYMBOLS AND LEGENDS, DURABLE 2.000 $300.00 X 2527-9263152 PRE-CUT SYMBOLS AND LEGENDS, REGULAR MARKING TAPE 1.000 $400.00 Page 5 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 2170 $500.00 2180 $1,000.00 2240 $33.10 2260 $125.00 2270 $115.00 2290 $65.00 2295 $105.00 2300 $1.00 2400 $102.00 2410 $121.00 2480 $51.00 2490 $9.00 2540 $95.00 2550 $95.00 2560 $40.00 2570 $65.00 2590 $175.00 2610 $150.00 2630 $8.50 2640 $75.00 2650 $225.00 2660 $16.00 2680 $30.00 2700 $75.00 2720 $55.00 2760 $85.00 2810 $700.00 X 2524-9276021 PERFORATED SQUARE STEEL TUBE POST ANCHOR, BREAK-AWAY SOIL INSTALLATION -4.000 -$300.00 X 2524-9276024 PERFORATED SQUARE STEEL TUBE POST ANCHOR, BREAK-AWAY CONCRETE INSTALL -2.000 -$450.00 X 2524-9325001 TYPE A SIGNS, SHEET ALUMINUM 53.500 $856.00 X 2602-0010010 MOBILIZATION, EROSION CONTROL 10.000 $5,000.00 X 2602-0010020 EMERGENCY EROSION CONTROL -1.000 -$1,000.00 X 2601-2634100 MULCHING -0.581 -$406.70 X 2524-9276010 PERFORATED SQUARE STEEL TUBE POSTS -33.000 -$280.50 X 2527-9263117 PAINTED PAVEMENT MARKINGS, DURABLE 7.466 $223.98 X 2527-9263180 PAVEMENT MARKINGS REMOVED 11.090 $831.75 X 2527-9270111 GROOVES CUT FOR PAVEMENT MARKINGS 2.286 $125.73 X 2528-9290050 PORTABLE DYNAMIC MESSAGE SIGN (PDMS)590.000 $50,150.00 X 2115-0100000 MODIFIED SUBBASE -9.770 -$323.39 X 2301-4874106 MEDIAN, DOWELLED P.C. CONCRETE, 6 IN.-0.300 -$37.50 X 2301-4875006 MEDIAN, P.C. CONCRETE, 6 IN.24.900 $2,863.50 X 2302-1200100 PORTLAND CEMENT CONCRETE PAVEMENT WIDENING, 10 IN.-38.160 -$2,480.40 X 2304-0101000 TEMPORARY PAVEMENT 40.100 $4,210.50 X 2316-0000110 PAYMENT ADJUSTMENT INCENTIVE/DISINCENTIVE FOR PCC PAVEMENT SMOOTHNESS (BY SCHEDULE) -4539.000 -$4,539.00 X 2503-0114230 STORM SEWER GRAVITY MAIN, TRENCHED, RCP, 2000D (CLASS III), 30 IN.63.000 $6,426.00 X 2503-0114236 STORM SEWER GRAVITY MAIN, TRENCHED, RCP, 2000D (CLASS III), 36 IN.-67.000 -$8,107.00 X 2503-0200341 STORM SEWER ABANDONMENT, FILL AND PLUG, LESS THAN OR EQUAL TO 36 IN. DIA. -33.000 -$1,683.00 X 2510-6745850 REMOVAL OF PAVEMENT 303.540 $2,731.86 X 2511-7526004 SIDEWALK, PCC, 4 IN.1.000 $95.00 X 2511-7526006 SIDEWALK, PCC, 6 IN.-3.300 -$313.50 X 2511-7528101 DETECTABLE WARNINGS 4.000 $160.00 X 2515-2475008 DRIVEWAY, P.C. CONCRETE, 8 IN.6.700 $435.50 X 2518-6910000 SAFETY CLOSURE -2.000 -$350.00 X 2524-6765010 REMOVE AND REINSTALL SIGN AS PER PLAN -2.000 -$300.00 Page 6 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 2820 $2,950.00 2830 $1,300.00 2840 $1,000.00 2850 $1.50 2860 $0.50 2870 $0.50 2880 $3.25 2890 $0.50 2900 $25.00 2910 $25.00 2920 $25.00 2930 $500.00 2940 $1,000.00 8005 $45.98 X 2602-0000071 REMOVAL OF SILT FENCE OR SILT FENCE FOR DITCH CHECKS -24.000 -$12.00 X 2602-0000101 MAINTENANCE OF SILT FENCE OR SILT FENCE FOR DITCH CHECKS -5.000 -$2.50 2599-9999020 1" CLEAN BACKFILL 134.470 $6,182.93 X 2602-0000020 SILT FENCE -48.000 -$72.00 X 2602-0000350 REMOVAL OF PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE 2323.000 $1,161.50 X 2601-2642120 STABILIZING CROP - SEEDING AND FERTILIZING (URBAN)-2.400 -$2,400.00 X 2602-0000312 PERIMETER AND SLOPE SEDIMENT CONTROL DEVICE, 12 IN. DIA.2323.000 $7,549.75 X 2601-2636044 SEEDING AND FERTILIZING (URBAN)0.947 $1,231.10 X 2601-2634105 MULCHING, BONDED FIBER MATRIX 0.129 $380.55 $20,288.52TOTAL X 2602-0000500 OPEN-THROAT CURB INTAKE SEDIMENT FILTER -40.000 -$1,000.00 X 2602-0000510 MAINTENANCE OF OPEN- THROAT CURB INTAKE SEDIMENT FILTER -4.000 -$100.00 X 2602-0010020 MOBILIZATION, EMERGENCY EROSION CONTROL -1.000 -$1,000.00 X 2602-0000520 REMOVAL OF OPEN-THROAT CURB INTAKAE SEDIMENT FILTER -2.000 -$50.00 X 2602-0010010 MOBILIZATION, EROSION CONTROL 10.000 $5,000.00 Page 7 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 G - Items not included in Contract: Unit Price .xx 8010 -$2,500.00 8011 $5,201.94 8012 $4.40 8013 $1,500.00 8014 $1,000.00 8015 $1.00 8016 $1.00 8017 $1.00 8018 $33.00 H - Signatures Agreed: Contractor Date Recommended: Project Engineer Date Approved: Person in Responsible Charge Date Contracting Authority (optional)Date Iowa DOT Administering Office Date Federal Highway Division Administration Date (if required) 2599-9999005 STREET LIGHT CABLE 700.000 $3,080.00 2599-9999010 LANDSCAPING REMOVAL AND RESTORATION 1.000 $1,000.00 2599-9999010 CURB REMOVAL AND SHOULDER GRADING 6100-2303011 PORTLAND CEMENT CONCRETE PAVEMENT COLD WEATHER PROTECTION (PRE-ESTABLISHED PRICE) 677.270 $677.27 FHWA Concurrence Approval is contingent upon funds being available under the existing project agreement or upon additional Federal-aid funds being made available by a modified project agreement. 16.000 -$40,000.00 Quantity Amount Participating For deductions enter as "-x.xx" Federal- aid State- aid x 6200-1108010 LIQUIDATED DAMAGES (PRE- ESTABLISHED DAMAGES PER DAY PER AMOUNT SHOWN ON CONTRACT) Change Number Item Description 6133.700 $6,133.70 1.000 $1,500.00 .xxx .xx 4917.510 TOTAL -$16,697.58 2599-9999010 POT HOLE FOOTINGS 2601-2638352 SLOPE PROTECTION, WOOD EXCELSIOR MAT 24.000 $792.00 $4,917.51x 6100-2303011 PORTLAND CEMENT CONCRETE PAVEMENT COLD WEATHER PROTECTION (PRE-ESTABLISHED PRICE) x 6100-2303011 PORTLAND CEMENT CONCRETE PAVEMENT COLD WEATHER PROTECTION (PRE-ESTABLISHED PRICE) 1.000 $5,201.94 x Page 8 of 9 Accounting ID No. (5-digit number): 34975 Change Order No.: 4 Date distributed:Initials: DISTRIBUTION (after fully executed on LPA projects): Original - Finance; Copies - Contractor, Project Engineer, Contracting Authority, Administering Office. 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