Public Works, Sewer and Water
Regular MeetingVerona, WI · December 16, 2019
Minutes
CITY OF VERONA
MINUTES
PUBLIC WORKS/SEWER & WATER COMMITTEE
MONDAY, DECEMBER 16, 2019
1. The meeting was called to order by Mr. Touchett at 5:15pm.
2. Roll Call: Present: Sarah Gaskell, Evan Touchett. Not present, unexcused: Chad Kemp. Also present: Theran
Jacobson, Public Works Director; Carla Fischer, City Engineer / AECOM.
3. MOVED by Gaskell, seconded by Touchett, to approve the minutes of the October 28, 2019 meeting of the
Public Works/ Sewer and Water Committee. Motion carried 2-0.
4. Mr. Jacobson provided an update in regards to the 2019 Wisconsin Information System for Local Roads (WISLR)
submittal to WISDOT. The City added 0.69 miles of roads in 2019. Information update with no financial impacts.
No action taken.
5. MOVED by Touchett, seconded by Gaskell, to recommend approval of project closeout and change order no. 1
for Project ID 2019-101, 2019 Asphaltic Rehabilitation. Motion carried 2-0.
6. MOVED by Touchett, seconded by Gaskell, to recommend approval of project closeout and change order no. 1
for Project ID 2019-102, 2019 Bituminous Seal Coat Project. Motion carried 2-0.
7. MOVED by Touchett, seconded by Gaskell, to recommend approval of project closeout and change order no. 2
for Project ID 2018-107, CTH M / Thousand Oaks / Liberty Drive traffic signals. Motion carried 2-0.
8. MOVED by Touchett, seconded by Gaskell, to recommend approval of change order no. 1 for Project 2016-123,
CTH PD. Motion carried 2-0.
9. MOVED by Touchett, seconded by Gaskell, to recommend approval of change order no. 1 for Project 2017-115,
Well 6. Motion carried 2-0.
10. MOVED by Touchett, seconded by Gaskell, to recommend approval of change order no. 2 for Project 2017-115,
Well 6. Motion carried 2-0.
11. Mr. Jacobson provided no updates outside of the Engineer’s Report that was to be presented at the Common
Council that evening.
12. MOVED by Touchett, seconded by Gaskell, to adjourn at 5:48pm. Motion carried 2-0.
Note: These minutes were prepared by Theran Jacobson, Director of Public Works. These minutes are based
on the notes of the recorder and are subject to change at a subsequent meeting.
Agenda
CITY OF VERONA
PUBLIC WORKS/SEWER & WATER COMMITTEE
MONDAY, DECEMBER 16, 2019 – 5:15 P.M.
VERONA CITY CENTER
111 LINCOLN STREET
VERONA, WI 53593
AGENDA
1. Call to order.
2. Roll call.
3. Approval of the minutes of the October 28, 2019 meeting of the Public Works/Sewer and Water
Committee.
4. Discussion and action regarding 2019 Wisconsin Information System for Local Roads (WISLR) submittal
to Wisconsin Department of Transportation.
5. Discussion and action regarding project closeout and change order no. 1 for Project ID 2019-101, 2019
Asphaltic Rehabilitation.
6. Discussion and action regarding project closeout and change order no. 1 for Project ID 2019-102, 2019
Bituminous Seal Coat Project.
7. Discussion and action regarding project closeout and change order no. 2 for Project ID 2018-107, CTH
M / Thousand Oaks / Liberty Drive traffic signals.
8. Discussion and action regarding change order no. 1 for Project 2016-123, CTH PD.
9. Discussion and action regarding change order no. 1 for Project 2017-115, Well 6.
10. Discussion and action regarding change order no. 2 for Project 2017-115, Well 6.
11. Discussion regarding on-going public works and utility projects.
12. Adjourn.
Evan Touchett
Chairperson
POSTED: Verona City Hall, Verona Public Library, Miller’s Market
ALL AGENDAS ARE POSTED ON THE CITY’S WEBSITE AT www.ci.verona.wi.us
IF YOU NEED AN INTERPRETER, MATERIALS IN ALTERNATIVE FORMATS, OR OTHER ACCOMMODATION TO
ACCESS THE MEETINGS, PLEASE CONTACT THE CITY CLERK AT 845-6495 AT LEAST 48 HOURS PRECEDING THE
MEETING. EVERY REASONABLE EFFORT WILL BE MADE TO ACCOMMODATE YOUR REQUEST.
CITY OF VERONA
MINUTES
PUBLIC WORKS/SEWER & WATER COMMITTEE
MONDAY, OCTOBER 28, 2019
1. The meeting was called to order by Mr. Kemp at 5:18pm.
2. Roll Call: Present: Chad Kemp, Sarah Gaskell. Excused: Evan Touchett. Also present: Theran Jacobson, Public
Works Director; Katherine Holt, Community Development Specialist; Carla Fischer, City Engineer / AECOM;
Chris Elhers, Veridian Homes; Dan Day, D’Onofrio Kottke and Associates; Renee Hickman, Verona Press.
3. MOVED by Kemp, seconded by Gaskell, to approve the minutes of the September 30, 2019 meeting of the Public
Works/ Sewer and Water Committee. Motion carried 2-0.
4. Discussion and action regarding Developers Agreement with Liberty Business Park for Liberty Drive Extension.
Jacobson presented information regarding Liberty Drive Extension, which is a privately funded project. The
improvements to Liberty Drive will commence on October 29, 2019 and complete on or before July 31, 2020.
The wording in this Developers Agreement is typical of a subdivision Developers Agreement. Zoning will remain
the same for this area. This Developers Agreement is purely for ACS to begin construction on their facilities.
MOVED by Kemp, seconded by Gaskell, to approve the Developers Agreement with Liberty Business Park for
Liberty Drive Extension. Motion carried 2-0.
5. Discussion and action regarding The Woods at Cathedral Point subdivision.
Jacobson explained that this is a continuation from the previous meeting where the Committee had two items
left to be addressed, which are private/public alleys and side yard setbacks. Jacobson explained that the City has
developed a checks and balance for administering site drainage during design process. This is not a code change,
but what, how, and the process. The baseline is similar to what was discussed previously with Veridian. Jacobson
and Fischer worked on preparing the pre-final document as shown tonight. Jacobson is viewing this process as
the norm moving forward instead of project specific as the proposed language and process would more than
likely occur with other projects.
Dan Day stated that the side yard language per the handout in the meeting is supported by them. This is very
similar to what his company does in other municipalities. Veridian is in support of the drainage aspect of the
language in the handout with regards to setbacks.
Chris Ehlers stated that Veridian is 51% in favor of public alleyways and 49% in favor of private alleyways. Final
plat will be provided in January of 2020. He explained that alleyways were straightened per discussions with
Public Works. Veridian can take photos of their equipment and of the streets to give Verona a better
understanding of how alleyways work in Madison. There is enough space in the right-of-way to have snow
storage. If the City maintains the alleyways, it is less of a burden for the Homeowner Association (HOA). The cost
for HOA dues is $120- $140 per year. All the driveways are cleared of snow per the individual homeowners.
Gaskell asked how many units are on the alleyways. Ehlers stated that 75% of the HOA dues are paid by each
residential unit. The multi-family is a different percentage. Veridian funds the HOA to help with turnover and a
reserve fund to maintain common areas. This would be similar to The Woods at Cathedral Point.
Kemp asked what the width of the alleyway is. Day replied the alleys have twenty-six (26) feet for right-of-way
with fifteen (15) feet of asphalt.
Jacobson passed out a handout with the pros and cons of alleyways. The equipment needs are on the last page
with snow removal, hauling, brush collection, and leaf collection. The City only has one spreader with a center
salt agitator. Public Works would need a second one for the alley. Ideally, another truck with a spreader would
be of great help. Snow hauling is different using a bobcat as the loaders cannot turn in the area of the alley. The
operations require smaller equipment and a truck to haul snow out of the area.
Gaskell asked what the linear foot for alleyways is. Jacobson replied 600 and 800 linear foot for alleyways total.
55 property owners for the alleyways would benefit from this or the City would have to pay for this to be done
for 55 homes.
Gaskell stated that she believes the Mayor’s preference for public streets is due to some private roads going bad
and not being maintained with the complaints coming to the City and not to the owner of the road.
Ehlers asked if Veridian makes private alleys, what Veridian can see to support this decision for private alleys.
Jacobson explained the two main roads that were previously discussed are Prairie Way Boulevard and Prairie
Way Circle. These roads are not going to be the same as the alleyways that are proposed. These private roads
are a thoroughfare versus an alleyway. Kemp and Jacobson are supportive for the private alleyway. Ehlers
acknowledges that Public Works supports private alleyways.
MOVED by Kemp, seconded by Gaskell, that the Public Works Committee recommends to the Common Council
alleyways to be private for The Woods at Cathedral Point subdivision. Motion carried 2-0.
Jacobson stated that the setback discussion for drainage and elevations that are attached to the lot lines. There
is a process, standard and goal for what Public Works Committee is looking to have happen and this can be used
in other projects. This situation is specific to design build process of a subdivision by the same group. The design
build aspect of the Woods also allows facilitation for this project based on the lay of the land. Jacobson noted
this would not work well for the Westridge area.
Gaskell asked how utility companies would access the back of properties that are located near the southern
portion of the subdivision. Where are the utility easements on the rear lots? Will there be something in the side
yards to prevent people from planting items in these areas such as shrubs? Day stated that these properties
have utility easements, which permit utility companies ways to access the properties. Jacobson stated the only
people who would have access to these properties would be Alliant and other utilities. These agencies would
access the site by foot. The easements are noted on the plat, but not physically on the property.
Jacobson stated that number 1 of notes per the handout to be amended in the code. The City should have
language as to public access to rear lot lines. The physical access to the properties is by foot. There was a
discussion about the concerns from Gateway Subdivision and property owners adding retaining walls in the side
yard setback creating a one (1) foot clear setback.
Ehlers stated that Veridian has a landscape package for their property. Additional landscaping would have to be
approved by Veridian to comment on them with a focus on drainage and other impediments. The HOA will take
over the Architectural Review for landscaping and have made people remove landscaping if it is not done
correctly. Veridian is well aware of these concerns in other subdivisions and enforces the setback requirements.
No action is requested on the handout regarding language changes to setback requirements and drainage as
Legal needs to review the information. The City will use this document or something similar for reviews.
6. Discussion regarding on-going public works and utility projects.
Jacobson stated that CTH M has all paving done for the northern section. It will be opened for full traffic by
November 15. There is some median work, signals, testing, and lighting that still need to be addressed prior to
opening all lanes for traffic.
Kemp asked about Verona Road and CTH PD. Jacobson stated it will be opened up to full capacity by the end of
November with the side roads still underway.
Jacobson will discuss with Touchett what was determined for Veridian.
7. MOVED by Kemp, seconded by Gaskell, to adjourn at 6:01pm. Motion carried 2-0.
Note: These minutes were prepared by Theran Jacobson, Director of Public Works. These minutes are based
on the notes of the recorder and are subject to change at a subsequent meeting.
Meeting Date: December 16, 2019
PW/S&W Committee Memo
Public Works/Sewer & Water Committee
Listed below is an explanation of the items on the Public Works Committee agenda.
Item (4) 2019 Wisconsin Information System for Local Roads (WISLR) submittal to Wisconsin
Department of Transportation.
Public works staff has prepared the WISLR submittal to WisDOT for the updates in regards to
the City of Verona street inventory. Updates include:
• Identifying streets where maintenance was performed
o Rehabilitation projects
o Reconstruction projects
• Identifying streets that were added to the City of Verona
o Streets dedicated to City
o Streets jurisdictionally transferred to the City.
An additional 0.30 centerline miles of road were dedicated and 0.39 miles of road were
jurisdictionally transferred in 2019. Therefore a new total of 67.37 centerline miles of roads the
City of Verona maintains.
Item (5) Project closeout and change order no. 1 for Project ID 2019-101, 2019 Asphaltic
Rehabilitation.
Raymond P. Cattell has successfully completed the 2019 Asphaltic Rehabilitation project at the
following streets:
• 300 block of William Street
• 200 block of S. Jefferson Street
• 300 block Schweitzer Drive
• William Court
Change order No. 1 is to rectify as-built quantities for the work required to complete the
project:
• Deduction in undercut excavation for unsuitable soils.
• Deduction in crushed stone for subgrade stabilization.
This will close the contract with Raymond P. Cattell and final payment will be issued.
The contract notes are as follows:
• Contract award value = $430,840.00
• Change order No. 1 = $46,314.80 (deduct)
• Contract value after incorporating this change order = $384,525.20
Page 1 / 4
Meeting Date: December 16, 2019
PW/S&W Committee Memo
Item (6) Project closeout and change order no. 1 for Project ID 2019-102, 2019 Bituminous
Seal Coat Project.
Fahrner Asphalt Sealers has successfully completed the 2019 Seal Coat project in the following
areas:
• Old CTH PB
• Gateway Estates
• Kettle Creek
• Kettle Woods
• Prairie Oaks
• Prairie Oaks – 1st Addition
Change order No. 1 is to rectify as-built quantities for the work required to complete the
project:
• Deduction in work area
This will close the contract with Fahrner Asphalt Sealers and final payment will be issued.
The contract notes are as follows:
• Contract award value = $237,870.00
• Change order No. 1 = $5,997.53 (deduct)
• Contract value after incorporating this change order = $231,872.47
Item (7) Project closeout and change order no. 2 for Project ID 2018-107, CTH M / Thousand
Oaks / Liberty Drive traffic signals.
Integrity Grading and Excavating (IGE) has successfully completed the CTH M / Thousand Oaks /
Liberty Drive traffic signals.
Change order No. 2 is to rectify as-built quantities for the work required to complete the
project:
• Final contact value is less than 1% of an add vs award value.
• No significant changes is quantities during the project were recorded.
This will close the contract with IGE and final payment will be issued.
The contract notes are as follows:
• Contract value prior to this change order = $579,708.96
• Change order No. 2 = $1,964.50 (add)
• Contract value after incorporating this change order = $581,673.46
Page 2 / 4
Meeting Date: December 16, 2019
PW/S&W Committee Memo
Item (8) Change order no. 1 for Project ID 2016-123, CTH PD.
Payne and Dolan is continuing the construction of the expansion of CTH PD. The project is in
stage 3 of construction and is in winter shut down.
Change order No. 1 is to rectify quantities of additional work required from changes in project
staging and weather conditions during paving operations:
• Temporary paving.
• Asphalt wedge paving (to protect curb and gutter).
• Cold weather paving additive.
• Cold weather protection for curb and gutter during concrete curing process.
• Temporary pavement epoxy painting.
The contract notes are as follows:
• Contract award value = $1,479,552.75
• Contract value prior to this change order = $1,479,552.75
• Change order No. 1 = $9,696.10 (add)
• Contract value after incorporating this change order = $1,489,248.85
Item (9) Change order no. 1 for Project ID 2017-115, Well 6
Maddrell Excavating is continuing the construction of Well 6 project.
Change order No. 1 is to rectify change in sanitary sewer construction as noted below:
• Substitute sanitary sewer pipe material from SDR 26 to C900 pressure pipe adjacent to
well per permit requirements.
• Substitute 8” with 12” along the Whalen Road to add capacity to the system for future
users.
The contract notes are as follows:
• Contract award value = $2,604,102.50
• Contract value prior to this change order = $2,604,102.50
• Change order No. 1 = $22,575.48 (add)
• Contract value after incorporating this change order = $2,626,677.98
Item (10) Change order no. 2 for Project ID 2017-115, Well 6
Maddrell Excavating is continuing the construction of Well 6 project.
Change order No. 2 is to account for rock excavation and add a sand filter as noted below:
• Rock excavation encountered during installation of the sanitary sewer along Whalen
Road.
Page 3 / 4
Meeting Date: December 16, 2019
PW/S&W Committee Memo
• During test pumping operations sand was found to be present in the pumped water.
o Four of the other five wells in Verona have also been known to pump sand
during construction.
o Lamnaflo (aka Aqua stream) suction control devise has been installed to act as a
filter at the other locations. The devise is a screen that is installed at the end of
the pump.
The AquaStream to be installed is approximately 700 feet in length.
The contract notes are as follows:
• Contract value prior to this change order = $2,604,102.50
• Change order No. 2 = $111,462.00 (add)
• Contract value after incorporating this change order = $2,738,139.98
Item (11) On-going public works and utility projects
Discussion and updates for ongoing public works and utility projects.
Page 4 / 4
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.
EJCDC C-941 Change Order
Prepared by the Engineers Joint Contract Documents Committee and endorsed by the Construction Specifications Institute.
00 63 00-2 of 00 63 00-2
Well 6 Pump Station Change Order No. 1
Maddrell
Excavating
Well #6 Price Change Quote
1. Upsize from 8” to 12” 612 LF @ $14.83 per FT $9,075.96
2. Core Manhole and bench with boot 2 EA @ $1,150 $2,300.00
3. Core Manhole and boot 1 EA @ $550 $550.00
Total $11,925.96
Existing 8” Replacement
1. Upsize from 8” to 12” 60 LF @ $110 per FT $6,600.00
2. Core Manhole and bench with boot 1 EA @ $1,150 $1,150.00
3. Core Manhole and boot 1 EA @ $550 $550.00
Total $8,300.00
Maddrell Excavating LLC
Josh Ula Project Manager
Cell # (608) 214-0370
Office # (608) 897-9396
Email josh@maddrellexcavating.com
Maddrell
Excavating
Well #6 Price Change Quote
1. Price increase 8” SDR 26 to C900 366 LF @ $15.35 per FT $5,618.10
2. Price increase 6” SDR 26 to C900 130 LF @ $13.85 per FT $1,800.50
3. Price for external joint seal for Sanitary Manhole 5 $ 375.00
Total $7,793.60
Maddrell Excavating LLC
Josh Ula Project Manager
Cell # (608) 214-0370
Office # (608) 897-9396
Email josh@maddrellexcavating.com
X
October 16, 2019
Well 6 Pump Station
City of Verona, Wisconsin
Request for Information
Specification Section:
RFI No.: CCJ-3
RFI Response RFI Title: Foundation Wall Rebar Detail
Contract Drawing No.: 10-AS-06, Sheet 28 of 50
Contract Name: Verona Well 6 Pump Station
____________________________________________________________________________________
Request: In this detail vs 10-as-06 wall section 2. Our vertical rebar is 48” OC staggered, will this
be sufficient? Your print doesn’t really state how far verticals should be, it looks to me it
only shows how far apart to put horizontals that being said I would like to use our shop
drawing on both.
-Craig Johnson, CCJ Construction
CCJ Proposed Wall Section
AECOM Response: I find the 48” spacing of vertical L bars, each face, to be acceptable. The vertical L
bars should be staggered at 24” on center, not 18” on center.
NOTE—otherwise, Detail 2 on Sheet 10-AS-06 should be followed. All other
deviations shown on the contractor’s sketch are not acceptable.
Responder’s Signature: David Atkins
Printed Name: David Atkins
Signature Date: 10/03/2019
Page 1 of 1
X
October 16, 2019
Well 6 Pump Station
City of Verona, Wisconsin
Request for Information
Specification Section:
RFI No.: CCJ-3
RFI Response RFI Title: Foundation Wall Rebar Detail
Contract Drawing No.: 10-AS-06, Sheet 28 of 50
Contract Name: Verona Well 6 Pump Station
____________________________________________________________________________________
Request: In this detail vs 10-as-06 wall section 2. Our vertical rebar is 48” OC staggered, will this
be sufficient? Your print doesn’t really state how far verticals should be, it looks to me it
only shows how far apart to put horizontals that being said I would like to use our shop
drawing on both.
-Craig Johnson, CCJ Construction
CCJ Proposed Wall Section
AECOM Response: I find the 48” spacing of vertical L bars, each face, to be acceptable. The vertical L
bars should be staggered at 24” on center, not 18” on center.
NOTE—otherwise, Detail 2 on Sheet 10-AS-06 should be followed. All other
deviations shown on the contractor’s sketch are not acceptable.
Responder’s Signature: David Atkins
Printed Name: David Atkins
Signature Date: 10/03/2019
Page 1 of 1
Change Order No. 1 Price Modifications Summary
Item Description Qty Units Unit Total
Price Price
Sanitary Sewer, Unit Price Increase from 8-
$ 9,431.88
4004 Inch to 12-Inch Dia. PVC 636 LF $ 14.83
Sanitary Sewer, Replace Existing 8-Inch
$ 6,600.00
4005 with 12-Inch Dia. PVC 60 LF $ 110.00
4006 Core Manhole and bench with boot 3 EA $ 1,150.00 $ 3,450.00
$ 1,100.00
4007 Core Manhole and boot 2 EA $ 550.00
Sanitary Sewer, Unit Price Increase from 8- $ 5,618.10
4008 Inch Dia. SDR 26 to C900, DR 18 366 LF $ 15.35
Sanitary Lateral, Unit Price Increase from
$ 1,800.50
4009 6-Inch Dia. SDR 26 to C900, DR18 130 LF $ 13.85
4010 Sanitary Manhole 5 External Joint Seal 1 EA $ 375.00 $ 375.00
CCJ-1 Substitution - Install thickened
stabs at interior walls rather than $ (5,000.00)
5002 foundation walls 1 LSUM $ (5,000.00)
CCJ-2 Substitution - Reduce vertical L
bars in foundation walls from 12" O.C. to $ (800.00)
5003 48" O.C. 1 LSUM $ (800.00)
Change Order No. 1 Total $ 22,575.48
AECOM 608 836 9800 tel
1350 Deming Way, Suite 100 608 836 8767 fax
Middleton, WI 53562
December 6, 2019
Theran Jacobson, Director of Public Works
City of Verona
410 Investment Court
Verona, WI 53593
Subject: Payment Request 6 and Change Order 2
Well 6 Pump Station – City ID 2017-115
Verona, Wisconsin
Dear Mr. Jacobson:
Attached is Pay Request #6 for the project 2017-115 Well 6 Pumping Station. I have
reviewed the pay request and recommend payment to Maddrell Excavating LLC in the
amount of $172,078.59.
I have also prepared and attached Change Order 2 to include the Lamnaflo Suction Control
Device and rock excavation pricing for the sanitary sewer along Whalen Road that we’ve
coordinated with the contractor during the past month. Please coordinate obtaining city
approval of the change order and return the signed change order for distribution to the
contractor at your earliest convenience.
Please feel free to contact me at rick.eilertson@aecom.com or 608-828-8137 if you have
any questions.
Sincerely,
AECOM
Rick Eilertson, PE
Project Engineer
Attachment: Pay Request 6
Change Order 2
Cc: Josh Ula, Steve Sage – Maddrell Excavating
Marty Cieslik – City of Verona
Angel Gebeau, Jeff Montpas, Carla Fischer, AECOM
P:\60579932 - Verona Well 6 CRS\600_Construction_Support\Pay requests\Pay Request #6\60579932 Letter Pay Request 6 2017-115 Well 6 Jacobson 2019-12-06.docx
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.
EJCDC C-941 Change Order
Prepared by the Engineers Joint Contract Documents Committee and endorsed by the Construction Specifications Institute.
00 63 00-2 of 00 63 00-2
Well 6 Pump Station Change Order No. 2
Well #6
Verona, City of
Shop Drawing
Section: 33 21 01
Pump Suction Device
MWP: MT19-192
Corporate Office
1212 Storbeck Drive
PO Box 311
Waupun, WI 53963 GC: Maddrell ExcavatingLLC
Phone: 920-324-3400
Fax: 920-324-3431
www.municipalwellandpump.com ENGR: AECOM
Approved: Tracy Greenfield 10-30-19
SAND CONTROL TECHNOLOGIES, INC.
Lamnaflo Engineered Installation
Submittal Information
City of , WI
(Page 1 of 2)
Materials of Construction:
uction Adapter – (1) 10” x 10” Threaded
stainless steel adapter to transition from
female threaded pump suction to Certi-lock.
Aquastream Control Elements – (20) 10” x
5’ Control Elements constructed of Schedule
40 PVC Pipe with engineered slots enveloped
in an inert silica/epoxy compound matrix.
Element Spacers – (30) 10” x 20’ Spacers
constructed of Schedule 40 PVC Pipe
connected with Certi-lock groove and spline
couplings.
(1) 10” PVC End Cap.
326 N. Lake Rd, 3B Oconomowoc, WI 53066 Phone: (262) 269-6196 Kathleen@lamnaflo.com
SAND CONTROL TECHNOLOGIES, INC.
Lamnaflo Engineered Installation
Submittal Information
City of , State
(Page 2 of 2)
Specification:
The well shall be equipped with a Lamnaflo Suction Control Device, designed and manufactured
according to US Patent Number 4624319 and or other patents and patents pending, by Lamnaflo,
326 N. Lake Rd 3B, Oconomowoc, WI 53066 (262) 269-6196. The device shall consist of an
engineered assembly of reinforced permeable bodies constructed of an inert silica/epoxy
compound matrix and high impact high tensile PVC pipe. The unit will be designed,
manufactured and assembled in a manner sufficient to precisely distribute pump suction energy
over the screen so as to eliminate areas of high water velocity and sand production. Each section
of the system will be connected to the next with a non-threaded flex coupling to allow for
deviation in the well, to prevent cross threading and over-tightening during assembly.
Installation Record:
The Aquastream Suction Flow Control Elements will be numbered as follows:
1,2,6,7,11,12,16,17,21,22,26,27,31,32,36,37,41,42,46,47.
The Elements shall be placed into the well in the order as numbered beginning with number 1.
The Elements shall be interspaced with Spacers in the following segments:
● Segment #1: Install Elements numbered 1 (with End Cap) & 2.
● Segment #2: Install (3) 10” x 20’ Spacers.
● Segment #3: Install Elements numbered 6,7.
● Segment #4: Install (3) 10” x 20’ Spacers.
● Segment #5: Install Elements numbered 11,12.
● Segment #6: Install (3) 10” x 20’ Spacers.
● Segment #7: Install Elements numbered 16,17.
● Segment #8: Install (3) 10” x 20’ Spacers.
● Segment #9: Install Elements numbered 21,22.
● Segment #10: Install (3) 10” x 20’ Spacers.
● Segment #11: Install Elements numbered 26,27.
● Segment #12: Install (3) 10” x 20’ Spacers.
● Segment #13: Install Elements numbered 31,32.
● Segment #14: Install (3) 10” x 20’ Spacers.
● Segment #15: Install Elements numbered 36,37.
● Segment #16: Install (3) 10” x 20’ Spacers.
● Segment #17: Install Elements numbered 41,42.
● Segment #18: Install (3) 10” x 20’ Spacers.
● Segment #19: Install Elements numbered 46,47.
● Segment #20: Install (3) 10” x 20’ Spacers.
● Segment #21: Install 10” x 12” Suction Adapter.
326 N. Lake Rd, 3B Oconomowoc, WI 53066 Phone: (262) 269-6196 Kathleen@lamnaflo.com
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