K-3 - Change Order 3 - Rathje Construction - Original Town Phase 3

CHANGE ORDER REQUEST DATE: 12/16/2024 CONTRACT # 0 CHANGE ORDER REQUEST NO. 3 PROJECT: Tiffin Phase 3 Reconstruction Project CONTRACTOR: Rathje Construction CONTRACTOR PROJECT MANAGER: Dan Scofield CITY OF TIFFIN CONSTRUCTION PROJECT MANAGER: Ben Carhoff DESCRIPTION OF REQUEST: 1. Plans called for new steps to be installed at 330 Summerhayes off of the back of the sidewalk to get to existing service walk elevation. There is an existing block retaining wall that needed to be removed to install the new steps to line up with the existing service walk. After steps were completed the wall needed to be rebuilt, realigned and tied back into the steps at the new sidewalk location. Work has been completed. SUDAS SPECIFICATION SECTION TO SUPPORT REQUEST, DIVISION 1: JUSTIFICATION FOR THE REQUEST, WORKING DIVISION: <table> <tr> <th>Line No.</th> <th>Item No.</th> <th>Item Description</th> <th>Quantity</th> <th>Unit</th> <th>Unit Price</th> <th>Mark up</th> <th>Unit Price w/ Markup</th> <th>Working Days Requested</th> <th>Proposed Increase (Decrease) in Contract Price</th> </tr> <tr> <td>1</td> <td></td> <td>Remove and Replace Retaining wall</td> <td>1.00</td> <td>LS</td> <td>$1,450.00</td> <td>0.00%</td> <td>$1,450.00</td> <td>0</td> <td>$1,450.00</td> </tr> </table> Net Increase (Decrease): 0 $1,450.00 SUPPORT DOCUMENTS INCLUDED: CONTRACT TIME IMPACT: (N/A) REVISED SCHEDULE PROVIDED? YES or NO STANDARD SUDAS BID ITEMS MUST BE USED IF POSSIBLE, OTHERWISE PROVIDE COST BREAKDOWN. INVOICES (REQUIRED): MATERIAL SUBMITTALS (REQUIRED): ADDITIONAL SUPPORT DOCUMENTS INCLUDED: This document does not change the Contract Price or Contract Time but is evidence that the parties expect that the subject changes will be incorporated into a subsequent Contract Change Order following negotiation by the parties as to effect, if any, upon Contract Price or Contract Time. Work shall not be deemed acknowledged per Division 1, General Provisions and Covenants until all signatures are received. Payment related to this document will only be made after execution of Contract Change Order through City Council.