Loading...
HomeMy WebLinkAbout#5196 Motor Fuel Tax Funds Dell Resolution for Maintenance Under the Illinois Highway Code o Resolution Number Resolution TvDe Section Number g Supplemental 13-00000-00-GM BE IT RESOLVED, by the Council of the City of Governing Body Type Local Public Agency Type Canton Illinois that there is hereby appropriated the sum of one hundred Name of Local Public Agency forty four thousand three hundred twenty nine and 51/100 Dollars ($144,329.51 ) of Motor Fuel Tax funds for the purpose of maintaining streets and highways under the applicable provisions of Illinois Highway Code from 01/01/13 to 12/31/13 Beginning Date Ending Date BE IT FURTHER RESOLVED,that only those operations as listed and described on the approved Estimate of Maintenance Costs, including supplemental or revised estimates approved in connection with this resolution,are eligible for maintenance with Motor Fuel Tax funds during the period as specified above. BE IT FURTHER RESOLVED,that City of Canton Local Public Agency Type Name of Local Public Agency shall submit within three months after the end of the maintenance period as stated above,to the Department of Transportation,on forms available from the Department, a certified statement showing expenditures and the balances remaining in the funds authorized for expenditure by the Department under this appropriation, and BE IT FURTHER RESOLVED,that the Clerk is hereby directed to transmit four(4)ceritified originals of this resolution to the district office of the Department of Transportation. I Diana Pavley-Rock City Clerk in and for said City ame of ClerKLocal Public Agency Type Local Public Agency Type of Canton in the State of Illinois, and keeper of the records and files thereof,as Name of Local Public Agency provided by statute,do hereby certify the foregoing to be a true,perfect and complete copy of a resolution adopted by the Council of Canton at a meeting held on Governing Body Type Name of Local Public Agency Date IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this Z. day of („ 0( 2 Day Month,Year Clerk Si ure (SEAL) APPROVED Regional Engineer Department of Transportation Date Printed 06/19/19 BLR 14220(Rev.02/08/19) Illinois Department of Transportation Office of Highways Project Implementation /Region 3/District 4 401 Main Street/Peoria,Illinois 61602-1111 July 11, 2019 Ms. Diana Pavley-Rock, City Clerk City of Canton 2 North Main Street Canton, Illinois 61520 Municipal-Motor Fuel Tax(MFT) City of Canton Section No. 13-00000-00-GM Dear Ms. Pavley-Rock: The supplemental resolution adopted by the City Council of Canton on July 2, 2019, appropriating $144,329.51 of MFT funds for the maintenance of streets and highways in the city from January 1, 2013, to December 31, 2013, was approved on July 9, 2019. With the additional funds appropriated above, a total of$524,329.51 of MFT funds has been appropriated for this improvement. Authorization to expend $131,220.37 of MFT funds for maintenance and $14,523.07 for maintenance engineering for this section has been approved and should appear on the city's next MFT transaction detail. Bids are required for purchases of materials if the expenditures exceed $25,000.00 during any maintenance period either(1)for the same type of materials or(2)from any one vendor if the purchase includes the placement or incorporation of the materials. Please be advised that ALL projects involving pavement alterations and/or replacement/repair of sidewalks shall have curb ramps that comply with the current Americans with Disabilities Act (ADA) Guidelines. For Group IV items, the Contractor's Certificate of Eligibility must be submitted with the fully executed contract when prequalification was a bidding requirement. Ms. Pavley-Rock Page Two July 11, 2019 One copy of the approved maintenance papers has been forwarded to Maurer- Stutz, Inc. If you have any questions, please contact Mr. Mark Often at(309) 671-3688. Sincerely, i"j'e .,dA"&>4?1 Kensil A. Garnett, P.E. Region Three Engineer MJO/jjs s:\gen\winword\blrs\staft\otten\gm.letters\municipalities\resolutions.emc\canton.13gm.suppres.docx Attachment cc: Maurer-Stutz, Inc. Documentation Review File r Illinois Department Resolution for Maintenance of Transportation Under the Illinois Highway Code o r a Resolution Number Resolution Type Section Number C5)9 Supplemental 13-00000-00-GM BE IT RESOLVED, by the Council of the City of Governing Body Type Local Public Agency Type Canton Illinois that there is hereby appropriated the sum of one hundred Name of Local Public Agency forty four thousand three hundred twenty nine and 51/100 Dollars ( $144,329.51 ) of Motor Fuel Tax funds for the purpose of maintaining streets and highways under the applicable provisions of Illinois Highway Code from 01/01/13 to 12/31/13 Beginning Date Ending Date BE IT FURTHER RESOLVED,that only those operations as listed and described on the approved Estimate of Maintenance Costs, including supplemental or revised estimates approved in connection with this resolution, are eligible for maintenance with Motor Fuel Tax funds during the period as specified above. BE IT FURTHER RESOLVED,that City of Canton Local Public Agency Type Name of Local Public Agency shall submit within three months after the end of the maintenance period as stated above,to the Department of Transportation, on forms available from the Department, a certified statement showing expenditures and the balances remaining in the funds authorized for expenditure by the Department under this appropriation, and BE IT FURTHER RESOLVED, that the Clerk is hereby directed to transmit four(4)ceritified originals of this resolution to the district office of the Department of Transportation. 1 Diana Pavley-Rock City Clerk in and for said City Name of ClerkLocal Public Agency Type Local Public Agency Type of Canton in the State of Illinois, and keeper of the records and files thereof, as Name of Local Public Agency provided by statute, do hereby certify the foregoing to be a true,perfect and complete copy of a resolution adopted by the J Council of Canton at a meeting held onin �1a1�g Governing Body Type Name of Local Public Agency Dat IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this day of 0 1 Day yontfi,Year (SEAL) Clerk Si nat r� APPROVED Regional Engineer Department of Transportation Date 44,--y�• "'ioM' r 7/1Iff Printed 06/19/19 BLR 14220(Rev.02/08/19) Illinois Department of Transportation TRANSMITTAL LETTER Office of Highways Project Implementation/Region 3/District 4■401 Main Street■ Peoria, Illinois 61602-1111 ■Telephone 309/671-3333 Date: July 11, 2019 To: City of Canton Route: 2 North Main Street Section: 13-00000-00-GM Canton, Illinois 61520 County: Fulton Job No.: Contract No.: Attention: Ms. Diana Pavley-Rock, City Clerk Agency: City of Canton Approved Request for Approval of Change in Plans (BLR 13210) and Engineer's Final Payment Estimate(BLR 13231)and Local Public Agency General Maintenance/Maintenance Expenditure Subject: Statement(BLR 14222) Transmittal Sent As Marked Below: ❑ For Processing/Approval ❑ Other(See Remarks) ❑ Returned for Corrective Action ❑ For Your Information/Response ❑ Per Our Conversation ❑ Review and Comments ® Note and File ❑ Per Your Request ❑ Take Appropriate Action Description and/or Remarks: Attached are the approved Request for Approval of Change in Plans (BLR 13210)for IRC, Inc., the Engineer's Final Payment Estimate (BLR 13231)for R.A. Cullinan &Son and IRC; and a revised Local Public Agency General Maintenance/Maintenance Expenditure Statement(BLR 14222)for the above-mentioned section. If you have any questions, please contact Mr. Mark Often at(309)671-3688. Kensil A. Garnett, P.E. Region Three Engineer MJO/jjs Attachment(s) cc: Maurer-Stutz, Inc. Documentation Review File s:\gen\winword\blrs\staff\otten\gm.letters\municipalities\mes\canton.13gm.cip.efpe.m es.docx Printed 7/10/2019 D4 AD0101 (Rev.07/06/16) r 1 O Illinois Department Local Public Agency General Maintenance o of Transportation Maintenance Expenditure Statement Submittal Type Revised Maintenance Period Local Public Agency County Section Number Beginning Ending City of Canton Fulton 13-00000-00-GM 01/01/13 12/31/13 Maintenance Items Materials/ Deliver&Install, Maint LPA Materials/ Request for Formal Operation Maintenance Eng Equipment Contracts Quotations(Bid Contract(Bid Total Operation Engineering Operation Category LPA Labor Rental (Non Bid) Items) Items) Cost Inspection Fee Mill&HMA Overlay IV $336,677.76 $336,677.76 $16,754.39 Scarify and Add IV $50,127.06 $50,127.06 $3,007.62 Aggregate Seal Coat III $73,179.56 $73,179.56 $2,927.18 Spray Patch III $19,690.50 $19,690.50 $657.91 Total Cost $479,674.88 Maintenance Engineering Cost Summary Costs Preliminary Engineering Fee $21,307.53 Engineering Inspection Fee $23,347.10 Material Testing Costs Advertising Costs Bridge Inspection Costs Maintenance Engineering Totall $44,654.63 Maintenance Maint. Engineering Total Maintenance Program Costs $479,674.88 $44,654.63 Contributions, Refunds, Paid with Other Funds Total Motor Fuel Tax Portion $479,674.88 $44,654.63 Total Motor Fuel Tax Funds Authorized $348,454.51 $30,131.56 Surplus/Deficit ($131,220.37) ($14,523.07) Remarks To authorize additional MFT funds to cover funds not paid from the City's TIF account ® I hereby certify that the maintenance operations shown above were completed in accordance with Illinois State Statues and Bureau of Local Roads Streets Manual, for the work during the maintenance period stated above, and that receipted bills are on file and available for review. SUBMITTED Local Public Aqencv Official Date IL11 Title 4 O APPROVED Regional Engineer Count En ineer/Su erintendent of Hi ways Date Department of Transportation Date Printed 06/19/19 Page 1 of 1 BLR 14222(Rev.05/03/19) + Route Various Illinois Department County Fulton of Transportation Local Agency City of Canton Section 13 -00000-02-GM Engineer's Final Payment Estimate Estimate No. 1 and Final Date of Completion 9/24/2013 Payable To: Name IRC, Inc. Address P.O. Box 1060;520 N.Webster;Jacksonville, IL 62650 Items Awarded' Added Deducted Completed Quantity Values Quandt Quantity Quantity Unit Price Values Totals from previous page Bit Matls Prime Coat 2,574.00 12,612.60 1,430.00 1,144.00 4.90 5,605.60 Bit Matls Seal HFP 10,864.00 47,801.60 800.00 10 064.00 4.40 44,281.60 Seal Coat Aggr CA 16 Frac Gravel 388.00 24,444.00 18.28 369.72 63.00 23,292.36 Total Awarded Values $84,858.20 Total Completed Values $73,179.56 Page 1 of 2 BLR 13231 (Rev. 1/06) Printed on 6/19/2019 3:19:44 PM Section Number: 13-00000-02-GM Total Brought Forward $73,179.56 Miscellaneous Extras and Credits Values Total Miscellaneous Extras and Credits Total Value of Com feted Work 73,179.56 Miscellaneous Debits Values Total Miscellaneous Debits Net Cost of Section $73,179.56 Previous Payments Net Amount Due $73,179.56 Signed: Ojesident n ineer/Consult Date Signed: Lo D to Approved: ��(/N�.t gencas(i7' 7�l 19 Regional Engineer Date Page 2 of 2 BLR 13231 (Rev. 1/06) Printed on 6/19/2019 3:19:44 PM Route Various Illinois Department County Fulton of Transportation Local Agency City of Canton Section 13-00000-01 -GM Engineer's Final Payment Estimate Estimate No. 1 and Final Date of Completion 9/20/2013 Payable To: Name R.A. Cullinan&Son Address P.O. Box 166; Tremont, IL 61568 Items Awarded' Added Deducted Completed Quantity Values Quantity Quantity Quantity Unit Price Values Totals from previous page HMA Surf Rem-Butt Jt 462.00 13,056.12 462.00 28.26 HMA Surf Rem 1 1/2" 6,193.00 23,843.05 305.00 6,498.00 3.85 25,017.30 MA Surf Rem 2" 1,150.00 8,441.00 61.00 1211.00 7.34 8,888.74 HMA Surf Rem Var Depth 5,807.00 18,640.47 1,546.00 7,353.00 3.21 23,603.13 Bit Matls Prime Coat 1,802.00 13,046.48 1,802.00 7.24 HMA Surf Cse,Mix D,N50 1,893.00 194,146.08 1,893.00 102.56 Th I Pvt Mk Ltr&S m 83.00 1,089.79 27.00 56.00 13.13 735.28 Thpi Pvt Mk 4" 808.00 2,335.12 10.00 818.00 2.89 2,364.02 Th I Pvt Mk 6" 200.00 868.00 200.00 4.34 868.00 Th I Pvt Mk 24" 65.00 771.55 65.00 11.87 771.55 Scarify Exist Pavt Surf 5,774.00 13,049.24 793.00 4,981.00 2.26 11,257.06 Agg Surf Cse A 948.00 49,665.72 948.00 52.39 HMA Surf Rem-Butt Jt 830.00 830.00 22.50 18,675.00 Bit Matls Prime Coat 2,371.00 2,371.00 6.94 16,454.74 HMA Surf Cse,Mix D,N50 2,393.00 2,393.00 100.00 239,300.00 Agg Surf Cse A 845.00 845.00 46.00 38,870.00 Total Awarded Values $338,952.62 Total Completed Values $386,804.82 Page 1 of 2 BLR 13231 (Rev.1/06) Printed on 6/19/2019 3:18:57 PM t r Section Number: 19-00000-01 -GM Total Brought Forward 386804.82 Miscellaneous Extras and Credits Values Total Miscellaneous Extras and Credits Total Value of Com leted Work 386,804.82 Miscellaneous Debits Values Total Miscellaneous Debits Net Cost of Section $386,804.82 Previous Payments Net Amount Due $386,804.82 Signed: &It 900/ sident En eek/consultant Date Signed: Lo ency D t Approved: Regional Engineer Date Page 2 of 2 BLR 13231 (Rev. 1/06) Printed on 6/19/2019 3:18:57 PM 7 Illinois Department Request for Approval of Transportation of Change in Plans Date: 6/19/2019 County: Fulton Request No. 1 X❑ Final Road District or Municipality: City of Canton 02 Contractor: IRC, Inc. Section No. 13-00000-Dal-GM Address: P.O. Box 1060,520 N.Webster Jacksonville, IL 62650 I recommend that this deduction be made from the above contract. . (addition,extension,deduction) (to,from) The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Addition(A)or Total Addition Total Deduction Item Description Unit Quantity Unit Price Deduction(D) Bit Matls(Prime Coat) Gal 1430.00 4.90 D $ - $ 7,007.00 Bit Matis Seal HFP Gal 800.00 4.40 D $ - $ 3,520.00 Seal Coat Aggr(CA 16 Fract Gr) Ton 18.28 63.00 D $ - $ 1,151.64 Total Changes: $ - $ 11,678.64 rt BLR 13210 (Rev.11/07/13) Printed 6/19/2019 1 of 2 Total Net Change: $ (11,678.64) Amount of Original Contract: $ 84,858.20 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 73,179.56 Total net deduction to date $ (11,678.64) which is -13.76 %of the contract price. (addition,deduction) State fully the nature and reason for the change: Adjustment to final field measurements When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or decreased by 30 days or more,one of the following statements must be checked: The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. X❑ The undersigned has determined that the change is germane to the original contract as signed. The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B. Merkle Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects A -ia� Highway Commissioner / u i� Officer Date Ti f cipal Officer Submitted/Approved Date County Engineer/Superintendent of Highways Approved Date // w,i 4. �'mow//Regio al Engineer 9 D to Note: Make out separate form for change in length quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev. 11/07/13) Printed 6/19/2019 2 of 2 Illinois Department Request for Approval of Transportation of Change in Plans Date: 6/19/2019 County: Fulton Request No. 1 X❑ Final Road District or Municipality: City of Canton Contractor: IRC, Inc. Section No. 13-00000-Ge-GM Address: P.O. Box 1060,520 N.Webster Jacksonville, IL 62650 1 recommend that this deduction be made from the above contract. (addition,extension,deduction) (to,from) The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Addition(A)or Total Addition Total Deduction Item Description Unit Quantity Unit Price Deduction(D) Bit Matls(Prime Coat) Gal 1430.00 4.90 D $ - $ 7,007.00 Bit Matls Seal HFP Gal 800.00 4.40 D $ - $ 3,520.00 Seal Coat A r(CA 16 Fract Gr) Ton 18.28 63.00 D 1,151.64 Total Changes: $ - $ 11,678.64 BLR 13210 (Rev.11/07/13) Printed 6/19/2019 1 of 2 Total Net Change: $ (11,678.64) Amount of Original Contract: $ 84,858.20 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 73,179.56 Total net deduction to date $ (11,678.64) which is -13.76 %of the contract price. (addition,deduction) State fully the nature and reason for the change: Adjustment to final field measurements When the net increase or decrease in the cost of the contract is$10,000.00 or more, or the time of completion is increased or decreased by 30 days or more,one of the following statements must be checked: The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. X❑ The undersigned has determined that the change is germane to the original contract as signed. The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B. Merkle Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects �/LJ A MJL),d Highway Commissioner Municipal Officer MAYO Date /� g of p/(yr{j tfficer Submitted/Approved Th FJ `LSD/ate County Engineer/Superintendent of Highways Approved Date Region I E7�ineer '11171"1 Da(e Note: Make out separate form for change in length quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev. 11/07/13) Printed 6/19/2019 2 of 2 Illinois Department Request for Approval of Transportation of Change In Plans Date: 6/19/2019 County: Fulton Request No. 1 X❑ Final Road District or Municipality: City of Canton OZ Contractor: IRC, Inc. Section No. 13-00000- -GM Address: P.O. Box 1060, 520 N.Webster Jacksonville, IL 62650 1 recommend that this deduction be made from the above contract. (addition,extension,deduction) (to,from) The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Item Description Unit Quantity Unit Price Addition(A)or Total Addition Total Deduction Deduction(D) Bit Matls(Prime Coat) Gal 1430.00 4.90 D $ - $ 7,007.00 Bit Matls Seal HFP Gal 800.00 4.40 D $ - $ 3,520.00 Seal Coat Aggr(CA 16 Fract Gr) Ton 18.28 63.00 D $ - $ 1,151.64 $ - $ - $ - $ - $ - $ - $ Total Ehanges:1 $ - $ 11,678.64 BLR 13210 (Rev.11/07/13) Printed 6/19/2019 1 of 2 Total Net Change: $ (11,678.64) Amount of Original Contract: $ 84,858.20 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 73,179.56 Total net deduction to date $ (11,678.64) which is -13.76 %of the contract price. (addition,deduction) State fully the nature and reason for the change: Adjustment to final field measurements When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or decreased by 30 days or more,one of the following statements must be checked: The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. 0 The undersigned has determined that the change is germane to the original contract as signed. The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B. Merkle Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects A , Mk) V--ev Highway Commissioner D;Municipal icer Date �. Munii Titleo (Officer Submitted/Approved Date County Engineer/Superintendent of Highways Approved Date &4j Regional E gineer �l�r I if Date Note: Make out separate form for change in length quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev.11/07/13) Printed 6/19/2019 2 of 2 i 1 Illinois Department of Transportation Office of Highways Project Implementation /Region 3/District 4 401 Main Street/Peoria, Illinois 61602-1111 July 30, 2019 Ms. Diana Pavley-Rock, City Clerk City of-Canton 2-North Main Street' Canton, Illinois 61;520 Municipal-Motor Fuel Tax (MFT.) City of Canton Section No. 19-00000-00-GM Dear Ms. Pavley-Rock: Authorization to expend $30,948.00 of MFT.funds for maintenance for this section has been approved and should appear on the city's next MFT transaction detail. The Request for Approval of Change in Plans(BLR 13210) number 1 has been approved,.. . If you have any questions, please contact Mr. Mark Otten at(309) 671-3688. Sincerely, Kensil A. Garnett, P.E. Region Three Engineer MJO/jjs ` s:\gen\winword\blrs\staff\otten\gm.letters\municipalities\cip\ca nton.19gm.cip.#1.docx Attachments cc: Maurer-Stutz, Inc. File Illinois Department Request for Approval of Transportation of Change in Plans Date: 7/22/2019 County: Fulton Request No. 1 Final Road District or Municipality: City of Canton Contractor: Advanced Asphalt Co. Section No. 19-00000-01-GM Address: P.O.Box 234 Princeton, IL 61356 I recommend that this addition be made to the above contract. (addition,extension,deduction) _ - (lo,from) The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Item Description Unit Quantity Unit Price D ducts Deduction(D) Total Addition Total Deduction Deduction(D) Driveway Reml&Re I Sq Yd 50.00 145.00 A $ 7,250.00 $ - Comb Curb and Gutter Rem Ft 64.00 29.00 A $ 1,856.00 $ - Pavement Removal Sq Yd 140.00 25.00 A $ 3,500.00 $ - Concrete Gutter Special Ft 91.00 83.00 A $ 7,553.00 $ - Combination CCC&G Special Ft 20.00 83.00 A $ 1,660.00 $ - Pavement Patch Special Sq Yd 102.00 89.50 A $ 9,129.00 $ - Total Changes: $ 30,948.00 $ - BLR 13210 (Rev.11/07/13) Printed 7/22/2019 1 of 2 Total Net Change: $ 30,948.00 Amount of Original Contract: $ 146,841.70 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 177,789.70 Total net addition to date $ 30,948.00 which is 21.08 %of the contract price. (addition,deduction) State fully the nature and reason for the change: It was determined that the west side of the intersection of New Salem and Gettysburg was holding water and a proposed gutter across the south end of New Salem would be needed to get the water to flow east on Gettysburg. When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or decreased by 30 days or more,one of the following statements must be checked: X❑ The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. ❑ The undersigned has determined that the change is germane to the original contract as signed. E] The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B.Merkle Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects Highway Commissioner Municip Offi r Ir Date wtl o nicippl Officer Submitted/Approved D to County Engineer/Superintendent of Highways Approved Date Re /1307r DateI Note: Make out separate form for change in length quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev.11/07/13) Printed 7/22/2019 2 of 2 Illinois Department Request for Approval of Transportation of Change in Plans Date: 7/22/2019 County: Fulton Request No. 1 E] Final Road District or Municipality: City of Canton Contractor: Advanced Asphalt Co. Section No. 19-00000-01-GM Address: P.O. Box 234 Princeton, IL 61356 I recommend that this addition be made to the above contract. (addition,extension,deduction) (to,from)- The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Item Description Unit Quantity Unit Price D ducts Deduction(D) Total Addition Total Deduction Deduction(D) Driveway Reml&Rep[ Sq Yd 50.00 145.00 A $ 7,250.00 $ - Comb Curb and Gutter Rem Ft 64.00 29.00 A $ 1,856.00 $ - Pavement Removal Sq Yd 140.00 25.00 A $ 3,500.00 $ - Concrete Gutter Special Ft 1 91.00 83.00 A $ 7,553.00 $ - Combination CCC&G Special Ft 20.00 83.00 A $ 1,660.00 $ - Pavement Patch Special Sq Yd 102.00 89.50 A $ 9,129.00 $ - $ - $ - Total Changes: $ 30,948.00 $ - BLR 13210 (Rev.11/07/13) Printed 7/22/2019 1 of 2 Total Net Change: $ 30,948.00 Amount of Original Contract: $ 146,841.70 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 177,789.70 Total net addition to date $ 30,948.00 which is 21.08 %of the contract price. (addition,deduction) State fully the nature and reason for the change: It was determined that the west side of the intersection of New Salem and Gettysburg was holding water and a proposed gutter across the south end of New Salem would be needed to get the water to flow east on Gettysburg. When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or decreased by 30 days or more,one of the following statements must.be checked: XO The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. ❑ The undersigned has determined that the change is germane to the original contract as signed. ❑ The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B.Merkle Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects vv�"f' a �. JV Highway Commissioner r Municipal r Date f tf unic al C�r Submitted/Approved Date 1, County Engineer/Superintendent of Highways Approved Date 6X44,_, , , J�s� Rengi eer MDR? Date Note: Make out separate form for change in length quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev.11/07/13) Printed 7/22/2019 2 of 2 Illinois Department Request for Approval of Transportation of Change in Plans Date: 7/22/2019 County: Fulton Request No. 1 n Final Road District or Municipality: City of Canton Contractor: Advanced Asphalt Co. Section No. 19-00000-01-GM Address: P.O. Box 234 Princeton, IL 61356 I recommend that this addition be made to the above contract. (addition,extension,deduction) (to,from) The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Item Description Unit QuantityUnit Price ducn(A)or P Deduction(D) Total Addition Total Deduction D Driveway Rem]&Repi Sq Yd 50.00 145.00 A $ 7,250.00 $ - Comb Curb and Gutter Rem Ft 64.00 29.00 A $ 1,856.00 $ - Pavement Removal Sq Yd 140.00 25.00 A $ 3,500.00 $ - Concrete Gutter Special Ft 1 91.00 83.00 A $ 7,553.00 $ - Combination CCC&G Special Ft 20.00 83.00 A $ 1,660.00 $ - Pavement Patch Special Sq Yd 102.00 89.50 A $ 9,129.00 $ - Total Changes:1 $ 30,948.00 $ - BLR 13210 (Rev.11/07/13) Printed 7/22/2019 1 of 2 Total Net Change: $ 30,948.00 Amount of Original Contract: $ 146,841.70 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 177,789.70 Total net addition to date $ 30,948.00 which is 21.08 %of the contract price. (addition,deduction) State fully the nature and reason for the change: It was determined that the west side of the intersection of New Salem and Gettysburg was holding water and a proposed gutter across the south end of New Salem would be needed to get the water to flow east on Gettysburg. When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or decreased by 30 days or more,one of the following statements must be checked: XO The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. F1 The undersigned has determined that the change is germane to the original contract as signed. E] The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B.Merkle Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects A , m%I� Jv — Highway Commissioner Municipal Officer oil r Date T' un% er Submitted/Approved Date County Engineer/Superintendent of Highways Approved Date Regional Enginger 3o t ate Note: Make out separate form for change in length quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev.11/07/13) Printed 7/22/2019 2 of 2 Illinois Department Request for Approval of Transportation of Change in Plans Date: 7/22/2019 County: Fulton Request No. 1 Final Road District or Municipality: City of Canton Contractor: Advanced Asphalt Co. Section No. 19-00000-01-GM Address: P.O.Box 234 Princeton, IL 61356 1 recommend that this addition be made to the above contract. (addition,extension,deduction) (to,from) The estimated quantities are shown below and the contractor agrees to furnish the materials and do the work at the unit prices. Item Description Unit Quantity Unit Price Addition(A)or Total Addition Total Deduction P ty Deduction(D) Driveway Reml&Re I Sq Yd 50.00 145.00 A $ 7,250.00 $ - Comb Curb and Gutter Rem Ft 64.00 29.00 A $ 1,856.00 $ - Pavement Removal Sq Yd 140.00 25.00 A $ 3,500.00 $ - Concrete Gutter Special Ft 1 91.00 83.00 A $ 7,553.00 $ - Combination CCC&G Special Ft 20.00 83.00 A $ 1,660.00 $ - Pavement Patch Special Sq Yd 102.00 89.50 A $ 9,129.00 $ - Total Changes: $ 30,948.00 $ - BLR 13210 (Rev.11/07/13) Printed 7/22/2019 1 of 2 Total Net Change: $ 30,948.00 Amount of Original Contract: $ 146,841.70 Amount of Previous Change Orders: Amount of adjusted/final contract: $ 177,789.70 Total net addition to date $ 30,948.00 which is 21.08 %of the contract price. (addition,deduction) State fully the nature and reason for the change: It was determined that the west side of the intersection of New Salem and Gettysburg was holding water and a proposed gutter across the south end of New Salem would be needed to get the water to flow east on Gettysburg. When the net increase or decrease in the cost of the contract is$10,000.00 or more,or the time of completion is increased or ' decreased by 30 days or more,one of the following statements must be checked: 0 The undersigned has determined that the circumstances which necessitate this change were not reasonably foreseeable at the time the contract was signed. The undersigned hasdetermined that the change is germane to the original contract as signed. E] The undersigned has determined that this change is in the best interest of the Local Agency and is authorized by law. Prepared by: George B. Merkle i Senior Project Engineer-Maurer-Stutz,Inc. Title of Preparer For County and Road District Projects For Municipal Projects Highway Commissioner Municipal fficer NVV4 ©'[\ Date itle of Mknicip Officer Submitted/Approved Dale County Engineer/Superintendent of Highways Approved Date x. Region I Engin er 7 36BS Date Note: Make out separate form for change inlength quantities. Give net quantities Submit 6 Originals If plans are required attached 3 sets. BLR 13210 (Rev.11/07/13) Printed 7/22/2019 2 of 2