HomeMy WebLinkAboutAmendment to PSA - David Bockover1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
September 13, 2016
Mr. David S. Bockover
P. O. Box 420
Michigan City IN 46361
PHONE 574/235-9251
FAx 574/235-9171
RE: Amendment to Professional Services Agreement - One -Way to Two -Way
Conversion Inspection Services
Dear Mr. Bockover:
The Board of Public Works, at its meeting held on September 13, 2016, approved the above
referenced amendment in the amount of $4,000.00 for a new contract amount not to exceed
$29,000.00.
Please sign the enclosed agreement, return the original to us and keep a copy 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
Enclosure
GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK TAMES A. MUELLER THERESE J. DORAU
FIRST AMENDMENT TO
INDEPENDENT CONTRACTOR AGREEMENT
BY AND BETWEEN THE CITY OF SOUTH BEND, INDIANA
AND DAVID SCOTT BOCKOVER
THIS FIRST AMENDMENT TO THE ONE WAY TO TWO WAY STREETS
CONVERSION INSPECTION SERVICES AGREEMENT, is entered into this 131h day
of September, 2016, by the City of South Bend, Indiana a municipal corporation
organized and operating under the laws of the State of Indiana, acting by and through its
Board of Public Works, and having its offices at 1216 County -City Building, 227 West
Jefferson Boulevard, South Bend, IN 46601 ("City") and David Scott Bockover, PO Box
420, Michigan City, IN 46361 ("Independent Contractor").
WHEREAS, City and Independent Contractor are parties to an agreement entitled
"Independent Contractor Agreement" made effective May 10, 2016 ("Agreement'); and
WHEREAS, this agreement is entered into as the First Amendment to Agreement
to modify certain terms and conditions expressed in the Agreement; and
NOW, THEREFORE, in consideration of the mutual promises and obligations set
forth herein, the parties make this First Amendment to Agreement as follows:
SECTION 3. Consideration and Terms of Payment of the Agreement, shall be
and is hereby amended and replaced as follows to include additional funding:
(1) Amend the original contract by $4,000.00 for inspection services due to
inspection contractor working longer hours including Saturdays; Total
consideration under this contract shall not exceed Twenty -Nine Thousand and No
Hundredths dollars ($29,000.00).
(2) Each and every other provision of the original Agreement is hereby
ratified, approved and reaffirmed by the parties and all other matters previously
agreed to and set forth in the original Agreement and not affected by this
Amendment shall remain in full force and effect.
(3) This Amendment may be executed in multiple counterparts, each of which
shall be deemed an original.
(4) The undersigned person(s) executing and delivering this Amendment on
behalf of the Contractor represent and certify that:
a. He/she is the duly authorized agent, representative, member or officer
of the Contractor and has been fully empowered to execute and deliver
this Amendment and that all necessary corporate action has been taken
and done; and
b. To the best of his/her knowledge, he/she has not, nor has any other
member, employee, representative, agent of office of the Contractor,
entered into or offered to enter into any combination, collusion or
agreement to receive or pay, and that he/she has not received or paid,
any sum of money or other consideration for the execution of this
Amendment other than that which appears on the face hereof.
IN WITNESS WHEREOF, the Parties hereto have caused this Amendment to
be executed as of the day and year first above written.
DAVID SCOTT BOCKOVER CITY OF SOUTH BEND, INDIANA
Signature
Signature
Board of Public Works
Contract Amendment No.1
One Way to Two Way Conversion
Project No. 116-001
OWNER: City of South Bend
CONTRACTOR: David Scott Bockover
PROJECT: One Way To Two Way Conversion
SUBJECT: Contract Amendment
ISSUE DATE: September 6, 2016
The following is a summary and description of the revisions to the Contract.
The following section of the Contract Document to be revised as a result of the following change:
Section 3. Consideration and Terms of Payment
Revise the following:
1. Amending the original contract by $4,000.00 for inspection services due to inspection
contractor working longer hours including Saturdays.
2. Total consideration under this contract shall not exceed Twenty -Nine Thousand and No
Hundreths dollars($29,00.00).
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
09/02/16
Toy Villa --IV Department Engineering
BPW Date 09/13/16 Phone Extension 5920
Required Prior to Submittal to Board
Legal ® Attorney Name Michael Schmidt
Controller El greater
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. ❑ PCA
❑ Ease/Encroach. ❑ Traffic Control
Other: Amendment
Required Information
Company or Vendor Name
David Scott Bockover
New Vendor
® Yes El No ❑ If Yes, Approved by Purchasing
MBE/WBE Contractor
❑ MBE ❑ WBE
MBE/WBE Contractor
Requested
❑ No ❑ Yes Name of Company
Project Name
One Way to Two Way Conversion
Project Number
116-001
Funding Source
TIF Bond
Account No.
Amount
$26.50 Per Hour not to exceed $29,000.00
Increase of $4,000.00
Terms of Contract
Purpose/Description
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of ❑ Increase $
❑ Decrease $
Previous Amount
$
Current Percent of Change:
%
New Amount
$
Total Percent of Change:
%
Dispersal After Approval
Copy Original
® ❑ Michael Divita
® ❑ Toy Villa
❑ ❑