HomeMy WebLinkAboutChange Order-PCA - WWTP Primary Clarifier Rehab & Equip Upgrades - L.D.Docsa1316 CouNTY-CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND- INDIANA46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
September 13, 2016
Mr. Scott DeVoll
L. D. Docsa Associates, Inc.
300 South 81h Street
Kalamazoo, MI 49009
PHONE 574/235-9251
FAx 574/235-9171
RE: Change Order No. 7 (Final)/Project Completion Affidavit — Wastewater Treatment
Plant Primary Clarifier Rehabilitation and Equipment Upgrades- Project No. 111-071
Dear Mr. DeVoll:
The Board of Public Works, at its meeting held on September 13, 2016, approved the Final
Change Order for this project, for a decrease of $40,000.00. The new Contract sum is
$5,110,540.51.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$5,110,540.51.
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
GARY A. GILOT DAVID P. RELOs ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
CITY OF SOUTH BEND
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO.
SUBJECT OF CHANGE ORDER:
Al items completed substantially as
See attached Comparison of Estima
9/02/2016
VWVTP Primary Clarifier Rehabilitation and Equipment Upgrades
10/24/2015
and
The original contract sum
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
Extension of date/time by previous change orders
Date/time extension by this change order
New completion date/time
CONTRACTOR
q 'ractor Signature
Scott DeVoll, Vice President
Printed Name and Title
L.D. Docsa Associates, Inc.
Company name
300 South 8th Street
Address
Kalamazoo Michigan 49009
City, State, Zip
❑ Increased
® Decreased
$ 5,043,270.00
$ 107,270.51
$ 5,150,540.51
$ 40,000.00
$ 5,110,540.51
-0.79 %
1.33 %
'9"'e61N•=Poaw�o�� ' a9•/Z Zo�G
!/Construction Manager
CITY OF SOUTH BEND
BOARD OF PUBLIC W RK$
Approved Date: �( a/•i�
Iti - ) L , ~
Gary A. Gilot�deYlt
David PRelos, Member
James A. Mueller, MeInber
Elizabeth A. Maradik, Member
V l��
Therese J. Dorau, a er
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME
PROJECT NO.
CONTRACT
SIGNED
PROJECT
DESCRIPTION
Wastewater Treatment Plant
111-071 FINAL $5,110,540.51
COST
12/20/2012 MAINTENANCE AGREEMENT
ENDS
Rehabilitate eight Primary Clarifier Tanks, chain and flight mechanisms,
process piping, SCADA automation, Hydrogritter, fire alarm, handrail.
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.
Exec ted this day of Sept 20 16
—� L.D. Docsa Associates, Inc.
Sig ure Company Name
Scott neVoll, Vice President 300 South 8th Street
Printed Name Company Address
Kalamazoo, Michigan 49009
City/State/Zip
WITNESS
Before me, the undersigned Notary Public in and for said country and state, personally appeared
S Go fi be V011 and acknowledged his/her signature to the above Project Completion Affidavit
on the GG / day off Se.201.
(,,
Wtary Signature My Commission Expires a2 ' q/ "ao
t--In V) .yl/l.ac.Co rd
Printed Name County of Residence Ka I a ma zo o
If the Contractor is a corporation, the following certificate will be executed.
I, ,e •I. e , certify that I am Secretary of the Corporation executing this release; that
S r rlPt 'ke.un /I who signed this release on behalf of the contractor was then
U : r <. P � e�' 'I-& ( 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:
Secr tary's Signature
Les Lc_ G C 4—
Printed Name
Corporate Seal
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for final approval and we recommend to the Board of Public Works that it be
ordained so.
iJ 44G ^ 44 Date:
Construction Manager
BOARD OF PUBLIC ORKS APPROVAL Date: 1( R-2 0 � (
1= k ✓`Ltd -
Gary A. Gilot, President David P. Relos, Wember James A. Mueller, Member
Elizabeth A. Maradik, Member Therese J. Dunaj Member a M. Martin, Clerk
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENVIRONMENTAL SERVICES
TO: Members of the Board of Public Works
Eric Horvath, Director of Public Works
Michael Schmidt or current Board of Public Works Attorney
FROM: Al Greek
Jacob M. Klosinski
SUBJECT: Agenda Request Form — Change Order No. 7 Final; Project Completion
Affidavit
Project No. 111-071 Wastewater Treatment Plant Primary Clarifier
Rehabilitation and Equipment Upgrades
DATE: September 2, 2016
The Division of Utilities is submitting Change Order No. 7 and the Project Completion Affidavit
for Project No. 111-071 Primary Clarifier Rehabilitation and Equipment Upgrades for review and
approval.
Change Order No. 7 includes the following items:
• Deductive Backcharge for Primary Clarifier Tank 5 ($40,000)
Total Net Change
($40,000)
This change order captures the adjustments to the contract price for delays associated with
Primary Clarifier Tank 5 construction dating back to 2013-2014. The Contractor has completed
all construction. The Division of Utilities recommends that the Board accepts the deductive
backcharge amount (resulting in a deduction to the final project cost).
The Project Completion Affidavit is also submitted for the Board of Public Works approval.
This project is Division of Environmental Services account number 642-0630-415-43-66
(Wastewater Capital Fund, Project Code 13T001).
If there are any questions regarding the Agenda Request, please contact Al Greek (Ext. 4210)
or Jacob M. Klosinski (Ext. 9496) at the Division of Utilities.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 09/02/2016
Name Jacob M. Klosinski Department Utilities - Wastewater
BPW Date 09/13/2016 Phone Extension (574) 235-9496
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
Purchasing
® Carol Kurzhal
1`" [\ L"C ^NNIV Iicuc nci 11 I ypv — rxyqu1ruu /u/ H❑ ouomissions
❑ 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. 007 ❑ PCA
❑ Ease/Encroach. ❑ Traffic Control
n Other:
Company or Vendor Name L.D. Docsa Associates Inc.
New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing
MBE/WBE Contractor ❑ MBE ❑ WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company
Project Name WWTP - Primary Clarifier Rehabilitation & Equipment Upgrades
Project Number 111-071
Funding Source Wastewater Capital and 2012 Sewer Bond
Account No. 642-0630-415-43-66 (Canitan 661-nF10-d1 s_d*:)_na rco,.,o� R r�
Amount $ 5,110,540.51
Terms of Contract
Purpose/Description
Amount of
Proiect Closeout Documents
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc
Increase $
Decrease $
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
❑
®
❑
®
❑
-0.79%
$ 5,110,540.51
1.33%
Dispersal After Approval
Al Greek, Director of Utilities
Jacob M. Klosinski- Assistant Citv Fnninper
Carol Kurzhal, Director of Financial Services, Environmental Services