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Home My WebLink AboutChange Order No. 1-PCA - Demolition of Vacant and Abandoned Houses, Phase VII - Div C - Proj No 115-128C - Torok1316 COLN'FY-C,'ITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS August 23, 2016 Mr. William Torok Torok Excavating 825 Fellows St South Bend, IN 46601 PHONE 574 235-9251 FAX 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit — Demolition of Vacant & Abandoned Houses. Phase VIII — Division C - Project No. 115-128C Dear Mr. Torok: The Board of Public Works, at its meeting held on August 23, 2016, approved the Final Change Order for this project, for a decrease of $8,200.00. The new Contract sum is $128,550,00. In addition, the Project Completion Affidavit for this project was approved in the amount of $128,550.00. Copies of the Change Order and Project Completion Affidavit are enclosed for your records. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Linda M. Martin, Clerk Enclosures c: Toy Villa, Engineering Beth Leonard, Community Investment Judy Love, Community Investment GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJEC CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER "SOU_ Tgg 1865,N 3/25/2016 0:00:00 115-128C Demolition of Vacant and Abandoned Houses, Phase VIII Division C T OF CHANGE ORDER: PCR #1-Quantity adjustment All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. 1 iic uiiymai contract sum $ 136,750.00 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 136,750.00 By this Change Order, the project amount is Increased XZ Decreased $ 8,200.00 The new contract sum including this change order $ 128,550.00 This Change Order represents a total change of -6.00 % Total change for entire project -6.00 % Original contracted completion date/time 5/1/2016 0:00:00 Extension of date/time by previous change orders 0 days Date/time extension by this change order 0 days New completion date/time 5/1/2016 CONTRACTOR U�,L� Conttractor Signature Printed Name and Title Torok Company Name 825 Fellows St Address South Bend, IN 46601 City, State, Zip RECOMMENDED FOR APPROVAL CONST TION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Approved Date: _ gp-rl")"I, Gary A. Gil6r,, President David P. Relos, Member Elffa-6 th A Maradik, Member Therese J. D rau, Member 45 \=ry\ CITY OF SOUTH BEND, INDIANAf BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME PROJECT NO CONTRACT SIGNED PROJECT DESCRIPTION WITNESSETH: The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. xe uted this �2 day of 201 le Torok dL � - Company Name gnature {� k — r 825 Fellows St TCompany Address t.lww W Ie�IF2a�� TVS Printed Name South Bend, IN 46601 City, State, Zip WITNESSES& Before me, the undersigned Notary Public in and for said country and state, personally appeared Vti:\Grn, v\ 10wtk de , and acknowledged his/her signature to the above Project Completion Affidavit on the day of 201 RENEE WIE PUGH I `_ ` NOTARYSEAL ST. JOSEPH COUNTY, STATE OF INDIANA Not ignaturt MytO6gMly§§f@1h 3t wL02 Printed Name County of Residence r If the Contractor is a corporation, the following certificate will be executed. I, Geue r IV R. S,z 1& to certify that I am Secretary of the Corporation executing this release; that Ja1, t1, wnn � . TT ask Z' iti who signed this release on behalf of the contractor was then Pr-k4 i A6 ��— of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: oZ) Secretary's Ina re Corporate Seal � iJg-rlv R. SFW H Printed Nanle DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable r final approval and we recommend to the Board of Public Works that it be ordained so. Date: IT Z a • I, G Constructio wager BOARD OF PUBLIC WORKS APPROVAL Date: ,3 ,: 0 � Gary A. Griot, resident vidl�S P. Relo ' ber EFizabeth A Maradik, Member Therese J. Dbrau, Wember James A. Mueller, Member `tyrig0 M. Martin, Clerk wazvER of LIEN FINAL of Indiana, St, �o L t1 is .County, ss: Whereas, the undersigned —FO t-0K Eicea vW}:A k7t� ' 1 has been heretofore em- eloyed by Ct+y. 0.9 SduiH. ..at;Kt rYrAi . . ..to furnish certain material and labor. r. I to-rci for the building owned by C14y OF Soitch Uet iil Sn, _ and located on .. .. Qew�oi;�i�� ea Va4ewK� � Rloai�doneo l�taiJse'i l�hns�.Vl[l.- Di✓tslarl �. Sa��lh. �3end ,..�w• tis- Ixg Now, Therefore, Know Ye, That the undersigned, for a good and taluable considenra�tion. the receipt of which ., threw .. tlt Urn. + y acknowledged, hereby and nou waives and releases unto the saM A-j� ar the owner of said premises, any and all lien, right of lien, or claim of whatsn'ever kind or character on the above described building and real estate, on acrnuot of any and all labor or material, or both, furnished for or incorporated into said building by the undersigned; and further certify that the consideration moving to the undersigned for executing this Waiver of Lien has been mutually given and accepted as absolute cash payment and not as a conditional or part payment or as security for payment - Signed, Signed, sea!ed and delivered this. oZ9 day of it, ..i9.2U1(a i __ Signed aVtQl1te�Rt !/lQty1 _ Personally appealed before me this.. _.. %-9.. day of Wi �'+kin .L 6,&. IL is DYCS.C4en ..�' _-.. "o--' --- iwho being duly sumrn an oath, sa ys: That he fthe onpw- rc*uc97.Ki and that he hereby acknoudedges the execution of the foregoing instrument for and on behalf of said.... .T41-G (C E.A'CRU14�iHQ ...and at ...... ....� special instance and re est. tl .WY Commission Expires ........ _. .....�./. ...C�t `�...,...... ...... Notary Public. W This instrument prepared by: I _. , il+hH T6lie IL City of South Bend Project No. 115-128C Change Order No. 1 - 08/06/16 OWNER: City of South Bend ENGINEER: City of South Bend Engineering Patrick C. Kerr, Ph.D., P.E. Professional Engineer No. 10707546 CONTRACTOR: Torok Excavating. PROJECT: Demolition of Vacant & Abandoned Houses, Phase VIII Div. C Project No. 115-128C SUBJECT: Clarifications and Revisions to Contract Documents ISSUE DATE: May 14, 2016 This Change Order to the Contract document shall supplement, amend, and shall become a part of, and be incorporated as an Addendum to the Contract. The following is a summary and description of the revisions to the Contract by this Change Order: 1. Reduction in final project cost. The following sections of the Contract Documents are revised as a result of the above changes: SPECIFICATIONS: XIII. Prosecution & Progress B. Additions.: "Removal of one property from original base bid list. Ver. 3/16/2015 Contractor's Quote For Public Works-7 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 08/06/16 Name Toy Villa Department Engineering BPW Date 08/23/16 Phone Extension 5920 Required Prior to Submittal to Board Legal ❑ Attorney Name Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the Appropriate Item Type — Required for All Submissions ❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ® C/O & PCA No. 1 Final ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control 7 Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Torok Ecxavating ❑ Yes ® No ❑ MBE I -I WBE LJ No ❑ Yes Name of Company Demolition of Vacant & Abandoned Houses — Division C 115-1 GOIT 404.1201.4 $ 128,550.0 Project Closeout ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. Required For Chanqe Orders Only Amount of L I Increase $ ® Decrease $ 8,200.00 Previous Amount $ 136,750.00 Current Percent of Change: 6.00% New Amount $ 128,550.00 Total Percent of Change: 6.00% Dispersal After Approval Copy Original ® ❑ Elizabeth Maradik, Beth Leonard, Judy Love ® ❑ Mike Carey ® ❑ Toy Villa