HomeMy WebLinkAboutChange Order No. 1 - Premium Concrete - 2016 Curb and Sidewalk Construction1316 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
Ms. Becky YeakeyPremium Concrete
712 Richmond Street
Elkhart, IN 46516
RE: Change Order No. 1 - 2016 Curb and Sidewalk Construction
Project No. 116-029
Dear Ms. Yeakey:
PHONE 574/235-9251
FAX 574/ 235-9171
The Board of Public Works, at its meeting held on September 13, 2016, approved the above
referenced Change Order for an increase in the amount of $46,872.20 for a new contract total
of $406,622.20 and an extension of seven (7) days for a new completion date of October 20,
2016.
Enclosed is a copy of the Change Order for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk t
Enclosure
c: Toy Villa, Engineering
GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
i rip onginar contract sum
/13/2016
16-029
2016 Curb and Sidewalk Construction
Remove sidewalk, Remove concrete curb
Net change by previously authorized change orders
The contract sum prior to this change order
By this Change Order, the project amount is
The new contract sum including this change order
This Change Order represents a total change of
Total change for entire project
Original contracted completion date/time
Extension of date/time by previous change orders
Date/time extension by this change order
New completion date/time
CONTRACTOR
' ontrac r 1$ionare
Printed Name and Title
Premium Concrete
Company Name
712 Richmond St
Address
Elkhart, IN 46516
City, State, Zip
$ 359 750.00
$ 0.00
$ 359,750.00
X Increased
Decreased
$ 46,872.20
$ 406,622.20
13.03 %
13.03 %
10/13/2016
0 days
7 days
10/20/2016
RECOMMENDED
FOR APPROVAL
o
CONSTR C
-ION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date:
(5ary A. Gilot, President
-'-Z:1-.i/'
®avid P. Relos, a ber
Elizabeth A Maradik, Member
Therese J. Dora urBriber
James A. Mueller, Member
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
9/6/2016
Public Works
Engineering
BPW Date 9/13/2016 Phone Extension 5796
Required Prior to Submittal to Board
Legal ® Attorney Name: Michael Schmidt
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
Nadia Correa
Department
Division/Bureau
Purchasing ®
George King
Check the Appropriate Item Type — Required for All Submissions
❑
Agreement
Professional Services
❑Contract ❑ Proposal ❑ Addendum
❑ Resolution
❑
❑
Bid Opening
Quote Opening
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Award
®
Change Order No. 1
❑ C/O & PCA No. ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control:
I —I
Other:
Required Information
Company or Vendor Name Premium Concrete
New Vendor n Yes 6ZI No n if y.� Annrnvo l by o, , h��: o
MBE/WBE Contractor ❑ ME
MBE/WBE Contractor Requested ❑ No
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
2016 Curb a
116-029
MVH
202-0619-431
Extra sidewa
of
LJ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
I Required For Change Orders Only
Amount of ® Increase $ 46872.20
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Cha
Copy
Origin
❑
❑
❑
❑
❑
❑
359750.00