STE OF CALIFORNIA· DEPARTMENT OF TRANSPORTATION CHANGE ORDER Sheet 1 of CPD 19-6, "Hot Mix Asphalt Pavement Smoothness" CEM-4900 (REV 2/2014) Change Requested by: D Engineer Contractor FEDERAL No(s). CHANGE ORDER No. SUPPLEMENT No. CONTRACT No. Co-Rte-PM TO , contractor u a cted to make the owing changes fm the plans and specificaons or do the ong descbed wo not included in e plans and specificaons r this contct. NO: change oer not effective un appved by e gineer. Description of work t o be done, estimate of quantities and prices to be paid. (Segregate beeen additional work at contract price, agreed price and force account.) Unless otheise stated, rates for rental of equipment cover only such time as equipment i s actually used and no allowance will be made r idle time. The last percentage shown is the net accumulated increase or decrease from the original quantity in the Bid Item List. At the contractor's option, accept payment deductions r HMA pavement smoothness that is noncompliant with the pavement smoothness mean roughness index (MRI) requirement in Section 39-2.02A(4)(i)(iii) Pavement Smoothness, of the 2015 Stanrd Speccations, or Section 39-l.01D(9)(c) Pavement Smoothness of the 2010 Standard Speccations, the contractor agrees to accept payment deductions as shown in the tables below r each HMA noncompliant 0.1-mile section within the MRI acceptable range listed in the table. Mandatory pavement smoothness corrections are required to meet the MRI acceptable ranges listed in the tables below bere payment deductions may be applied. For pavement smoothness 0.1-mile segments that do not meet the specified 75 I requirement, payment deductions will be taken as shown in the table: HMA Pay Deduction r MRI Requirement 75 in/mi HMA thickness MRhx1sT MRI Acceptable Range (in/mi) Payment Deduction per 0.1 mi segment < 0.30 ot < 135 imi 75.1 to 90.0 (hAL - 75.0) x $90.00) < 0.30 ot 135 imi MRhARGET to (MTGET + 15.0) (FAL - MRITGET) x $90.00) Where: lrARGET = (0.3 X IEST) + 35 imi EST is defined as better of (1) the existing paveme M or (2) the ten aſter prepaving grinding or structural repairs, such as remove and replace asphalt pavement or A leveling course, was perrmed. FAL is defined as the aſter paving is completed or aſter pꜹement smoothness corrections have been made. ExrsT cannot be determined use 75.1 to 90.0 range r payment deduction calculation For pavement smoothness 0.1-mile segments that do not meet the specified 60 I requirement, payment deductions will be taken as shown in the table: HMA Pay Deduction r M Requirement 60 in/mi HMA thickness MRhx1sT MRI Acceptable Range (in/mi) Payment Deduction per 0.1 mi sement 0.30 ot < 165 imi 60.1 to 80.0 (IFAL - 60.0) X $142.50 0.30 ot 165 imi TGET to ITGET + 20.0) (FAL - MTGET) x $142.50 Where: TGET = (0.09 X EXJST) + 45.5 imi I8xrsT is defined as beer of (1) the existing pꜹement or (2) the taken aſter prepaving grinding or structural repairs, such as remove and replace asphalt pavement or A leveling course, was perrmed. IFAL is defined as the I aſter paving is completed or aſter pꜹement smoothness corrections hꜹe been made. IExrsT cannot be determined use 60.1 to 80.0 rge r payment deduction calcul@ion CPD 19-6, "Hot Mix Asphalt Pavement Smoothness" Attachment 2