HomeMy WebLinkAboutChange Order No. 1 Jefferson Blvd. Striping Phase 1 Project No. 116-037A AirMarking Co. Inc.1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
October 25, 2016
Mr. Greg Lowe
The AirMarking Co., Inc.
1544 N. SR 25
P.O. Box 526
Rochester, IN 46975
RE: Change Order No. 1 for Jefferson Boulevard Striping Phase I
Project No. 116-037A
Dear Mr. Lowe:
PHONE 5741235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on October 25, 2016, approved the above
referenced Change Order for an increase of three (3) calendar days bringing the new
completion date to October 18, 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,
f -
1
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU
45ou IH'-,
CITY OF SOUTH BEND a�
DEPARTMENT OF PUBLIC WORKS y,
PROJECT CHANGE ORDER y • 1865
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO.
SUBJECT OF CHANGE ORDER:
October 18th. 2016
L. Add three (3) calendar days to contract completion date
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
$
57,084.00
$
0.00
$
57,084.00
❑ Increased
❑ Decreased $
0.00
$
57,084.00
0..00 %
0.00 %
Original contracted completion date/time October 151h, 2016
Extension of date/time by previous change orders 0 days
Date/time extension by this change order October 181h
New completion date/time October 181h. 2016
CONTRACT R
C Contr for Sig
l ®��,t°
Printed Name an Title
The AirMarking Co.
Company name
1544 N. SR 25 P.O. Box 526
Address
Rochester, IN 46975
City, State, Zip
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date: 4X11111
Jame A. Mueller, Member
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
10-18-16
Public Works
Engineering
BPW Date 10-25-16 Phone Extension 5903
Kevin Fink
Department
Division/Bureau
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
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. 1
❑ C/O & PCA No. ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control:
I-1
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
Amount of ❑ Increase
❑ Decrease
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Chanoe:
py
Original
®
❑ Corbitt Kerr
®
❑ Toy Villa
®
❑ Kevin Fink
Required Information
The AirMarking Co., Inc.
❑ Yes ® No ❑ If
❑ MBE ❑ WBE
❑ No ❑ Yes Name of Company
Jefferson Blvd. Striping Phase 1
116-037A
Engineering Professional Services
101-0602-431.31-06
$57,084.00
See Specifications
I. Add three (3) calender days to contract completion date
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
equired For Chanae Orders Only