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HomeMy WebLinkAboutRESOLUTION NO. 2014-67 RESOLUTION NO. 2014- 7 RE SOLUTION TO APPROV a" PAYA'PPLICAT'ION NO. 4 FROM TAYLOR CON STRUC TION,INC. FOR THE FAIRFAX TRAIL ALONG EAST SIDE OF UNNAMED TRIBUTARY TO PRAIRIE CREEK BETWEEN EAST CEMETERY ROAD AND FRONT STREET PROJECT IN THE CITY OF FAIRFAX, LINN COUNTY,IOWA WHEREAS, the City Council of Fairfax, Iowa has contracted with Taylor Construction, Inc. for the Fairfax Trail Along East Side of Unnamed Tributary to Prairie Creek Between East Cemetery Road and Front Street Project within the corporate limits; and WHEREAS, Hall and Hall Engineers, Inc., has recommended. approval of Pay Application. No. 4 from Taylor Construction, Inc. for a current payment due of $59,527.00; and WHEREAS, this project is IDOT project number: STP-E-2462(601)-8V-57. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Fairfax, Iowa, to approve Pay Application No. 4 from Taylor Construction, Inc. for the Fairfax Trail Along East Side of Unnamed Tributary to Prairie Creek Between East Cemetery Road and Front Street Project and issue a check for $59,527,00. BE IT FIXRTIIER .RESOLVED, by the Fairfax City Council of the City of Fairfax, Iowa, that the Mayor and City Clerk/Treasurer are hereby authorized and directed to execute said resolution. Passed and approved this 10th day of June, 2014. AYES: Beer, Otto, Magers,and Wainwright NAYS: None ABSENT: Friden Jason'Raibe, Mayor ATTEST: C � 'ff ir. ., ®fgi,.ea�/1®i ray R �, �qei e m • Cyn is Stimson, City Clerk/Treasurer ��®�y A�l U. APPLICATION FOR PAYMENT AP'P'LICATION NO. 04 Project: Fairfax Trail Along East Sude of Unnamed Tributary to Prairie Creek Between E,Cemetery Road and Front Street in the City of Fairfax Contractor: Taylor Construction,Inc. Project Number: STP-E-2462(601)--8V-57 7314 Columbus Street P.O.Box 110 Bid Letting Date: December 17,2013 New Vienna,Iowa 52065 Owner: City of Fairfax,Iowa Original Contract Amount: $788,651.00 Revised Contract Amount: $804,712.00 Date: June 10,2014 The Contractor noted above,in accordance with the provisions of the contract documents,hereby requests approval of this application for payment on the following estimates of contract work completed: Original Contract Work Completed $ 160,853.21 Materials Stored On Site Change Orders: i • 4 .... Date Approved Amount C.O,1 March 11 2014 7001 $ 9K00 µ 7002 $ 220,00 7003 $ 70.00 7004 $ 300.00 C.Q.2 March 11,2014 7005 $ 2,708.00 C.O.3 May 13,2014 8001 $ 111.40 8002 $ 146,010 C.O.4 May 13,2014 8003 $ 231.210 C.O.5 May 13,2014 7006 $ 5,878,60 7007 $ 1,820.00 C.O.6 May 13,2014 7008 $ 68400 7000 $ 1,800.00 c;.0.7 Ma 13 2014 M. 7090 $ 2,100.00 Total Change In Contract Amount from Change Orders $ 16,061.00 Total Change Order Work Completed $12,076.14 Total Complete and Stored to Date $ 172,929.35 Retainage 3% $ 5,187.88 Total Complete and Stored to Date Less Retainage $ 167,741.47 (Less Previous Payments $ 108,214.47 Current Payment Due $ 59,527.00 (Distribution: Owner Engineer Contractor Other Page 1 of 1 i CONTRACTOR'S CERTIFICATION: The undersigned Contractor certifies, to the best of the Contractor's knowledge, that the above information and estimated values of completed work covered on this Application for Payment have been completed in accordance with the provisions of the Contract Documents,that all amounts have been paid by the Contractor for work for which previous Applications for Payment have been made and payments received from the Owner, and than the current payment billing requested is now due. Contractor's Authorized Representative: i ENGINEER'SIARCHITECT'S RECOMMENDATION: In accordance with the provisions of the Contract Documents and based on the E=ngineer's/Architect's on- site observations of the work included in this Application for Payment and based on the Engineer's/Architect's review of this Application for Payment including the accompanying supporting data, and to the best of the Fngfneer's knowledge, information and belief, the work included in this Application for Payment is completed substantially in conformance with the Contract(Documents and payment by the Owner is hereby recommended. Engineer's/Architect's Auth9fized Representative: By. � Date: CITY OF FAIRFAX PAYMENT RECOMMENDATION: Payment to the Contractor is hereby recommended based on the Application for Payment submitted by the Contractor and the Engirreer'slArchitcact's recommendation. City of Fairfax Authorized Representative: r By: � Ef z� bate:. '��;�',r' ATTACHMENTS REQUIRED: 1. Line Item Schedule of Contract Values Summary,Amounts Completed This Period, and Amounts Completed To Date. Recommend use of AIA Document G703. 2. Line Item Schedule of Contract Materials Stored and Values (if applicable). ACCOUNTING USE ONLY; Page 1 of 1 i a n 0 co W O V Q V V V V p 7 y �' a O O O O O O o 0 a 4 0 0 0 0 0 0 0 C. 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(nv —i � w _ - . c » a > » moC. - -0rzrr � + gra nn > CD o . < 2k > o CD � [ q % § k � q o ;5 < z q � q m CD CD rV m § 22 : ° CD CD o :E ® 2 Xm 0 ) f - - o � / / / r CD CD w rn m &0 \ \ / m HALL & HALL ENGINEERS, INC. www.halleng.co TRANSMITTAL LETTER TO: Kurt Harvey Office of Systems Planning Iowa Department of Transportation 800 Lincoln Way, Ames IA 50010 ATTN: Kurt Harvey FROM: Shane Wicks DATE: May 16, 2014 Re: PROJECT: Fairfax Trail and Bridge Project (Linn County) IOWA DOT PROD. NO: STP -E -2462(601)-8V-57 HHE PROJECT NO: 6950-13-01A MESSAGE Attached: Signed Change Order No's 3, 4, 5, 6, & 7 - 5 Copies Each. Kurt, Please find attached 5 copies of the signed Change Orders 3, 4, 5, 6, & 7 for the Fairfax Trail and Bridge Project. Thank you, Shane Wicks, P.E. Hall and Hall Engineers, Inc. C D, 1 of 1 5/16/2014 Form 830240wd 7/00 Contract Accounting ID No.: 31155 Kind of Work: Trail and Pedestrian 13t Contractor: Tavlor Construction. Inc. Iowa Department of Transportation Change Order M County Non - Part Part Non -Substantial: ® ❑ Substantial: ❑ ❑ Concurrence Date Linn Project No: STP -E -2462(601)--8V-57 Date Prepared: April 18, 2014 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: The changes listed below will not affect the project working days. 8001 / 8002 — Price adjustment for coarse aggregate gradation test deviation. Coarse aggregate samples do not comply with the specifications for aggregate gradation No. 5. This change order does not affect the contract time. B — Reason for change or extra work: 8001 — 4.6% of a coarse aggregate sample passed the number 200 (75µm) sieve on April 2. Allowable is 0-2.5% passing the number 200 (75µm) sieve. This deviation of 2.1% results in a 4% price adjustment for the structural concrete poured at the south pier nnid mat on April 2, 2014. 8002 — 4.6% of a coarse aggregate sample passed the number 200 (75µm) sieve on April 2. Allowable is 0-2.5% passing the number 200 (75µm) sieve. This deviation of 2.1% results in a 4% price adjustment for the concrete encasement of the steel I4 -piles at the south pier on April 2, 2014 (Continued on reverse side) Approved District Construction Engineer Date Project Engineer Date 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 project agreement or upon additional Federal -aid funds being made available by a modified project agreement. Date For the Division Administrator Federal Highway Administration Tavlor Construction, Inc Contractor By Date J Approved / ` �� M yor, City of Fairfax, Iowa Da e 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. C-1 —Settlement for cost of work to be made as follows: Accounting ID No. [3] 1 1 5 5 1 2 3 4 5 6 Change Order No. 3 8001— Agreed price credit of $111.40 for the Structural Concrete placed at the south pier mud mat, calculated as follows: [$500.00/CY (unit price) x 0.04 (% price adj.)] = $20.00/CY x 5.57CY (placed) = $111.40 8001— Agreed price credit of $146.00 for the Concrete Encasement of the steel H -piles placed at the south pier, calculated as follows: [$100.00/LF (unit price) x 0.04 (% price adj.)] = $4.00/LF x 36.5LF (placed) x = $146.00 C-2 — Justification for cost(s) Table A, Appendix 2-34(A) of the Iowa DOT Construction Manual. D — ITEMS INCLUDED IN CONTRACT If Credit Add "CR" Number Item Numb Change No. Line Item Number Unit Price xxx Quantity xxx Amount Ax 7 2403-0100010 $20.00/CY 5,57 CY 7 8002 Price credit for aggregate test deviation for Concrete Encasement poured April 2, 2014 2501-5478057 7 36.5 LF CR $146.00 8 7 7 7 8 7 8 TOTAL E — ITEMS NOT INCLUDED IN CONTRACT FIf Credit, Add "CR" Change No. Item Description Number Item Numb Function Code Unit Price xxx Quantity xxx Amount xx 8001 Price credit for aggregate test deviation for Structural Concrete poured April 2, 2014 2403-0100010 $20.00/CY 5,57 CY CR $111.40 8002 Price credit for aggregate test deviation for Concrete Encasement poured April 2, 2014 2501-5478057 $4.00/LF 36.5 LF CR $146.00 8 8 8 8 8 TOTAL CR $257.40 Form 8302,40wd 7/00 Contract Accounting ID No.: 31155 Iowa Department of Transportation Change Order No. 4 County Linn Concurrence Date Project No: STI' -L -2462(601}-8V 57 ,___ Kind of Work: Trail and Pedestrian Bridge -- —___ Date Prepared: April 22, 2014 —. Contractor: Taylor Construction, 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: The changes listed below will not affect the project working days. 8003 — Price adjustment for coarse aggregate gradation test deviation. Coarse aggregate samples do not comply with the specifications for aggregate gradation No. 5. This change order does not affect the contract time. B — Reason for change or extra work: 8003 -- 3.4% of a coarse aggregate sample passed the number 200 (75µm) sieve on April 9. Allowable is 0-2.5% passing the number 200 (75µm) sieve. This deviation of 0.9% results in a 2% price adjustment for the structural concrete poured at the south pier bent wall on April 9, 2014. (Continued on reverse side) �,(� '/ Approved _ � �`" - �---------��/Zo /7 pp Date Project Engineer Date District Construction Engineer 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 'raytor Construction, Inc.__, _ _— project agreement or upon additional Federal -aid funds being Contractor made available by a modified project agreement. �x BY ••„'".�'..".-_-_1+"' � Date ------------ ------ Date For the Division Administrator Approved l ii ' b ___ Federal Highway Administration yor, City of Fairfax, Iowa at 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. Non - Part Part Non -Substantial: ® ❑ Substantial: ❑ ❑ County Linn Concurrence Date Project No: STI' -L -2462(601}-8V 57 ,___ Kind of Work: Trail and Pedestrian Bridge -- —___ Date Prepared: April 22, 2014 —. Contractor: Taylor Construction, 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: The changes listed below will not affect the project working days. 8003 — Price adjustment for coarse aggregate gradation test deviation. Coarse aggregate samples do not comply with the specifications for aggregate gradation No. 5. This change order does not affect the contract time. B — Reason for change or extra work: 8003 -- 3.4% of a coarse aggregate sample passed the number 200 (75µm) sieve on April 9. Allowable is 0-2.5% passing the number 200 (75µm) sieve. This deviation of 0.9% results in a 2% price adjustment for the structural concrete poured at the south pier bent wall on April 9, 2014. (Continued on reverse side) �,(� '/ Approved _ � �`" - �---------��/Zo /7 pp Date Project Engineer Date District Construction Engineer 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 'raytor Construction, Inc.__, _ _— project agreement or upon additional Federal -aid funds being Contractor made available by a modified project agreement. �x BY ••„'".�'..".-_-_1+"' � Date ------------ ------ Date For the Division Administrator Approved l ii ' b ___ Federal Highway Administration yor, City of Fairfax, Iowa at 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. C-1 —Settlement for cost of work to be made as follows: Accounting ID No. 13 111 1j 5 5 1 2 3 4 5 6 Change Order No. 4 8003 — Agreed price credit of $231.20 Por the Structural Concrete placed at the south pier bent wall, calculated as follows: [$500.00/CY (unit price) x 0.02 (% price adj.)] = $10.00/CY x 23.12CY (placed) = $231.20 C-2 — Justification for cost(s) Table A, Appendix 2-34(A) of the Iowa DOT Construction Manual. D — ITEMS INCLUDED IN CONTRACT If Credit Add "CR" E — ITEMS NOT INCLUDED IN CONTRACT ----- Change No. Line Item Number Unit Price xxx Quantity xxx Amount xx 7 xxx xx 8003 Price credit for aggregate test deviation for 7 CR 7 Sti_uctural Concrete poured April 9, 2014 2403-0100010 $10.00/CY 7 $231.20 8 7 8 7 7 8 TOTAL If Credit, E — ITEMS NOT INCLUDED IN CONTRACT ----- Add °CR° ----- Change Function Unit Price No. Item Description Item Number Quantity Amount Code xxx xxx xx 8003 Price credit for aggregate test deviation for CR Sti_uctural Concrete poured April 9, 2014 2403-0100010 $10.00/CY 23.12 CY $231.20 8 8 8 8 8 8 --_— 'TOTAL $23120 Fonn 870240wd 7/00 �1 Iowa Department of Transportation Non - Change Order Part Part Non -Substantial: ® ❑ No. 5 Substantial: ❑ ❑ Concurrence Date Contract Accounting ID No.: 31155 County Linn Project No: STP4-2462(601)_8V_57 Kind of Work: Trail and Pedestrian Bridge Date Prepared: April 2, 2014 Contractor: jaIor Construction, 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: On the approved plans, from Sta 13+00 and north, the side slopes on the embankments for the bridge approaches (north and south sides) we're steeper than the 4:1 slopes as specified on the cross section detail on plan sheet B.I. There is no change in working days due to this change order. B - Reason for change or extra work: The Excavation, Class 10, Roadway & Borrow quantity and the Compaction with Moisture & Density Control quantity, which were measured from the plan cross sections, are inaccurate. (Continued on reverse side) Approved _ District Construction Engineer Date Prosect Engineer Date Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to. 4pproved contingent upon funds being available under the existingTailor Construction, Inc. )reject agreement or upon additional Federal -aid funds being �v Contractor made available by a modified project agreement.By l Date Date For the Division Administrator Approved Federal Highway Administration -`[,ja or, City of Fairfax, Iowa ate 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. C-1 —Settlement for cost of work to he made as follows: 7006 Contract Unit Price of $6.46/CY X 910.000 CY = $5,878.60 7007 Contract Unit Price of $2.00/CY X 910.000 CY = $1,820.00 C-2 — Justification for cost(s) Corrected quantity of existing bid items at the same Unit Price as bid. D - ITEMS INCLUDED IN CONTRACT Accounting ID No. [ 3] 1�1 5_1511 -1 2 3 4 5 6 Change Order No. 5 If Credit Add "CR" Change No, Line Item Number Unit Price xxx Quantity xxx Amount xx 7 006 0020: 2102-2710070 Excavation, Class 10, Roadway & Borrow %6.46/CY 910.000 CY $5,878.60 7 007 0070' 2107-0875000 Compaction with Moisture & Density Control $2.00/CY 910.000 CY W $1,820,00 7 7 8 7 8 7 7 E - ITEMS NOT INCLUDED IN CONTRACT TOTAL $7,698,60 If Credit, Add "CR" Change No. Item Description Item Number Function Code Unit Price xxx Quantity xxx Amount xx 8 8 8 8 8 8 8 TOTAL L_ Fonn 830240A 7/00 Contract Accounting ID No,: 31155 Kind of Work: Trail and Pedestrian B Iowa Department of Transportation op Change Order No. 6 -Co`ncurrencel aEe — County Linn Project No: STP -E ?462(601)-8V-57 Date Prepared: May 2, 2014 Contractor: T�ayk>r Construction, 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: Extend the steel piles, HP 10X57, (all 5) for the north pier. The required steel pile, HP 10X57 extensions are as follows: West Pile --- 2' 8-1/2" + 6" cut-off of existing HP pile = 3' 2-1/2" West wiiuuie Pile --- c o + a cut-ou of existing HP pile = SO" Center Pile --- 4' 0" + 6" cut-off of existing HP pile = 4' 6" East Middle Pile --- 4'0" + 6" cut-off of existing HP pile = 4' 6" East Pile --- 3'2-1/2" + 6" cut-off of existing HP pile = 3' 8-1/2" Total HP pile extensions of 18' 11" -- USE 19' 0" And weld the HP 10X57 steel pile extensions to the existing (design) steel piles, HP 10X57 --- 5 each. There is no change in working days due to this change order. B – Reason for change or extra work: The steel piles, HP 10X57, (all 5) for the north pier did not reach the required bearing capacities at the design depth, so each pier was driven additional depth to reach the required bearing capacity, As a result, each steel pile, HP 10X57 for the north pier needs to be extended to meet the design elevation and these extensions welded to the existing (design) steel piles, HP 10X57. There is no change in working days due to this change order. (Continued on reverse side) _ 5 z� Approved District Construction Engineer Date Project Engineer Date Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to. 4pproved contingent upon funds being available under the existing )roject agreement or upon additional Federal -aid funds being nade available by a modified project agreement. Taylor Construction, Ina _ BY Contractor ra_ctor - Date Date For the Division Administrator Federal Highway Administration Approved City of Fairfax, lawa ate 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. Non - Part Part Non -Substantial: ® ❑ Substantial: ❑ ❑ -Co`ncurrencel aEe — County Linn Project No: STP -E ?462(601)-8V-57 Date Prepared: May 2, 2014 Contractor: T�ayk>r Construction, 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: Extend the steel piles, HP 10X57, (all 5) for the north pier. The required steel pile, HP 10X57 extensions are as follows: West Pile --- 2' 8-1/2" + 6" cut-off of existing HP pile = 3' 2-1/2" West wiiuuie Pile --- c o + a cut-ou of existing HP pile = SO" Center Pile --- 4' 0" + 6" cut-off of existing HP pile = 4' 6" East Middle Pile --- 4'0" + 6" cut-off of existing HP pile = 4' 6" East Pile --- 3'2-1/2" + 6" cut-off of existing HP pile = 3' 8-1/2" Total HP pile extensions of 18' 11" -- USE 19' 0" And weld the HP 10X57 steel pile extensions to the existing (design) steel piles, HP 10X57 --- 5 each. There is no change in working days due to this change order. B – Reason for change or extra work: The steel piles, HP 10X57, (all 5) for the north pier did not reach the required bearing capacities at the design depth, so each pier was driven additional depth to reach the required bearing capacity, As a result, each steel pile, HP 10X57 for the north pier needs to be extended to meet the design elevation and these extensions welded to the existing (design) steel piles, HP 10X57. There is no change in working days due to this change order. (Continued on reverse side) _ 5 z� Approved District Construction Engineer Date Project Engineer Date Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to. 4pproved contingent upon funds being available under the existing )roject agreement or upon additional Federal -aid funds being nade available by a modified project agreement. Taylor Construction, Ina _ BY Contractor ra_ctor - Date Date For the Division Administrator Federal Highway Administration Approved City of Fairfax, lawa ate 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.1 12 13 a 16 Lei C-1 —Settlement for cost of work to be made as follows: Change Order No. 6 7008 Steel pile, HP IOX57 Extensions: Contract Unit Price of $36.00/LF X 19' 0" LY -- $684.00 7009 Welded Splice to connect the steel pile, HP 10X57 extension to the existing steel pile, I11? 10X57: (Shall be at 10 times the Contract Unit Price of $36.00/LF for the steel pile, HP 1 OX57 for each extension welded to dic existing HP 10X57 steel pile): $36.00/LF X 10 = $360.00 each X 5 each steel pile, HP 10X57 extensions = $1,800.00 C-2 — Justification for cost(s) Specification No. 2501.05.0.1 and 2 of the Iowa DOT Standard Specifications for Highway and Bridge Construction, Series 2012. D — ITEM_ S INCLUDED IN CONTRACT_ ~Change _ Line Item Number Unit Price No, xxx If Credit Aad °cR° Item Number Quantity xxx Amount xx 7 008 0431: 2501-0201057 Piles, Steel, HP 10 X 57 $36.00/LF 19.000 LF $684.00 7 009 2501.03.P Welded Splice for connecting the SteelP'11cs, ftP 10X57 Extensions to the existing HP Steel Piles $360.00/EA 5.000 EA $1,800.00 7 7 8 8 r77 7 TOTAL $2,484.00 E — ITEMS NOT INCLUDED IN CONTRACT If Credit, Add "CR" Change No. Item Description Item Number Function Code Unit Price xxx Quantity xxx Amount xx 8 8 8 8 8 8 8 TOTAL Form S30240wd 7/00 65Iowa Department of Transportation Change Order No. 7 Non -Substantial Substantial Contract Accounting ID No.: 31155 County Limi Non - Part Part ® ❑ ❑ ❑ oncurrence ate Project No: STP-F.,-2462(601)---SV-57 Kind of Work: 'frail and Pedestrian Bridge Date Prepared: May 2014 Contractor: Taylor Construction, 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: 6 cubic yards of unexpected rock excavation was performed at the south pier to install the concrete mud mat at an acceptable depth. There is no change in working days due to this change order. B — Reason for change or extra work: The contractor had unexpected rock excavation at the south pier. There is no change in working days due to this change order. (Continued on reverse side) Approved District Construction Engineer Date Project Engineer Date Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to. 4pproved contingent upon funds being available under the existing Taylor Con_stru_ction, Inc. Droject agreement or upon additional Federal -aid funds beingContractor nade available by a modified project agreement. Date Date For the Division Administrator Approved i N Federal Highway Administration —Mayo , City of Fairfax, Iowa Da 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 Constriction. Accounting ID No. L1 12 1 5 6 C-1 —Settlement for cost of work to be made as follows: Change Order No. 7 7010 Unexpected rock excavation is to be paid at 3.5 limes the contract unit price For the Class 20 Excavation unit bid price of $100.00/CY: 6 CY of Unexpected Rock Excavation (i,) 3.5 X $100.00 = 6CY X $350.00/CY = $2,100.00 C-2 — Justification for cost(s) Specification No. 2402.05.E.1 of the Iowa DOT Standard Specifications for Highway and Bridge Construction, Series 2012. D - ITEMS INCLUDED IN CONTRACT If Credit Add "CR" Change No, Line Item Number Unit Price xxx � Quantity xxx Amount xx 7 010 � 0 120: 2402-2720000 Excavation, Class 20 $350.00lCY 6.000 CY $2,100.00 7 8 7 7 8 7 8 8 7 7 E - ITEMS NOT INCLUDED IN CONTRACT TOTAL l^ $2,100.00 —11 If Credit, Add "CR, Change No Itern Description Item Number Function Code Unit Price xxx Quantity xxx Amount .xx 8 8 8 8 8 8 8 TOTAL