HomeMy WebLinkAboutChange Order No. 2 - 2016 Curb & Sidewalk - Premium Concrete1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
November 8, 2016
Jeremy Jankoviak
Premium Concrete
712 Richmond St.
Elkhart, IN 46516
RE: Change Order No. 2 — 2016 Curb and Sidewalk Construction
Project No. 116-029
Dear Mr. Jankoviak:
PHoNE 574/235-9251
FAX 5741235-9171
The Board of Public Works, at its meeting held on November 8, 2016, approved the above
referenced Change Order for an increase of $13,104.50, bringing the current contract amount
to $419,726.70.
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
Enclosure
c: Toy Villa, Engineering
Terri Swift, Streets
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
CITY OF SOUTH BEND, INDIANA
SourHeE�
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
`
1b65
10/4/2016
116-029
2016 Curb and Sidewalk Construction
SUBJECT OF CHANGE ORDER: Sod for Back Side of Walk ,Removal, Tree 24"-36"
The
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
$ 46,872.20
$ 406,622.20
QX Increased
Decreased $ 13,104.50
$ 419,726.70
3.22 %
16.67 %
Original contracted completion date/time 10/13/2016
Extension of date/time by previous change orders 7 days
Date/time extension by this change order 0 days
New completion date/time 10/20/2016
CONTRACTOR
orCtrac or Signature
Printed Name and Title
Premium Concrete
Company Name
712 Richmond St
Address
Elkhart, IN 46516
City, State, Zip
RECOMMEND D FOR APPROVAL
vff
CONST TION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date: ; / jw , %/ L
'L n
Gary Q. Gilot, President
M.
Elizabeth A Maradik, Member
Therese J. Do au, ember
James A. Mueller, Member
City of South Bend Project No. 116-029
OWNER: City of South Bend
ENGINEER: City of South Bend Engineering
Roger T. Nawrot, P.E.
Professional Engineer No. 60016991
CONTRACTOR: Premium Concrete
PROJECT: 2016 Curb & Sidewalk Construction
Project No. 116-029
Change Order No. 2 - 10/24/16
SUBJECT: Clarifications and Revisions to Contract Documents
ISSUE DATE: October 24, 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. Extra removal of curb and sidewalk.
The following sections of the Contract Documents are revised as a result of the above changes:
SPECIFICATIONS
XXIV. Concrete Sidewalk, 4-inch
B. Additions.:
"Additional sidewalk replacement.
XXVIII. Concrete Curb
B. Additions.:
"Additional curb replacement.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/29/16
Name Toy Villa
tip% Department Engineering
BPW Date 11/08/16
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
Professional Services
❑ Contract ❑ l Pro osa
p El Addendum
❑ Resolution
❑
❑
Bid Opening
Quote Opening
❑ Bid Award
❑ Quote Award ❑ Req. to Advertise Title Sheet
®
Change Order No. 2
❑ C/O & PCA No. ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control
❑
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Required Information
Concrete
No If
No ❑ Yes Name of
2016 Curb and Sidewalk
116-029
iwvri
202.0619.431.31.06
Amount $
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 Oniv
Amount of 29
Increase
❑
Decrease
Previous Amount
$ 4C
Current Percent of Change:
3.22
New Amount
$ 41
Total Percent of Change:
16.6
Copy
Original
®
❑
®
❑
Terri Swift
Toy Villa
13.1
uispersal Atter Approval