HomeMy WebLinkAboutAmendment to PSA - DLZ Indiana, LLC1316 COUNTY-CDY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. 1NDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 22, 2016
Gary Fisk
DLZ Indiana, LLC
2211 East Jefferson Blvd.
South Bend, IN 46615
RE: Amendment to Professional Services Agreement
Dear Mr. Fisk:
PHONE 574/235-9251
FAx 574/235-9171
The Board of Public Works, at its meeting held on December 22, 2016, approved the above
referenced agreement for Bid Document Plan and Specification Changes for Emergency
Repair of Ireland Road at High St. in the amount of $2,805, for a new total of $20,235.
Enclosed please find a copy of the agreement 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: Roger Nawrot, Engineering
Cecil Eastman, Admin and Finance
GARY A. GILOT SUZANNA M. FRTTZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU
SUPPLEMENTAL AGREEMENT NO. 1
This Supplemental Agreement No. 1 is made and entered into this A) --day of wxW0JL,
by and between the City of South Bend, Indiana, acting by and through the Board of Public Works,
hereinafter referred to as the "LPA", and DLZ Indiana, LLC, 2211 East Jefferson Blvd., South Bend, IN
46615, hereinafter referred to as the "CONSULTANT'.
WITNESSETH
WHEREAS, the LPA and CONSULTANT did, on September 13, 2016 enter into an agreement for
the preparation of construction documents for the construction of the Emergency Repair of Ireland
Road at High Street.
WHEREAS, during the course of design, certain additional services not included in the original
contract dated September 13, 2016, have become necessary, specifically; changes to the contract
documents and technical special provisions resulting from quotes received by the City of South Bend
during the design development for this project.
NOW THEREFORE, the LPA and the CONSULTANT desire to amend the above referenced Design
Contract as follows:
I. Revise Line 2 of Section 7.01., A c of the LPA-Consulting Contract as follows:
exceed $20,235.00, see Item a. of Exhibit E, unless additional compensation is authorized in
II. Add Section Part I Al 02 A 2 g of Exhibit A of the LPA-Consulting Contract as follows:
Revise the contract documents and technical specifications to incorporate changes resulting
from quotes received during the design development of the project, as directed by the LPA.
III. Revise Section A of Exhibit E of the LPA-Consulting Contract as follows:
A. The CONSULTANT will be paid for the work performed under Exhibit A of this Agreement on a
hourly rate/not to exceed basis in accordance with the following schedule, except as noted in the
items below:
IV. Amendment:
Supplement Agreement No. 1 increases the current contract fee of $17,430.00 by $2,805.00 to
$20,235.00 and incorporates all other terms and conditions as set forth in the original Agreement dated
September 13, 2016. The original Agreement, dated September 13, 2016, shall remain in full force and
effect, except as herein modified.
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Supplemental Agreement No. 1
The undersigned attests, subject to the penalties for perjury, that he is the contract party, or that he is
the representative, agent, member or officer of the CONSULTANT that he has not, nor has any other
member, employee, representative, agent or officer of the firm, company; corporation or partnership
represented by him, directly or indirectly, to the best of his knowledge, entered into or offered to enter
into any combination, collusion of agreement to receive or pay, and that he has not received or paid,
any sum of money or other consideration for the execution of this Contract other than that which
appears upon the face of the Contract.
IN TESTIMONY WHEREOF, the parties hereto have executed this Supplemental Agreement No. 1.
DLZ INDIANA, LLC
B .
Gary K. Fisk, P.E.
Vice President
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
By:/
Gary A. Gilot, P.E., Board President
Suzanna M. Fritzberg, Member,
B L n-_
James . Mueller, Member,
Elizabeth A. Maradik, Member,
Therese J. Dorau, Member
ATTEST:
Linda M. Martin, Clerk
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Supplemental Agreement No. 1
ACKNOWLEDG M ENT
STATE OF INDIANA COUNTY OF ST. JOSEPH SS:
Before me, the undersigned Notary Public in and for said County personally appeared Gary K. Fisk, Vice
President of DLZ Indiana, LLC, 2211 E. Jefferson Blvd., South Bend, IN 46615, and each acknowledged the
execution of the foregoing agreement on this day of 20_ and each
acknowledged and stated that he is the party authorized by the said firm to execute the foregoing
agreement.
Witness my hand and seal the said last named date.
My Commission Expires:
December 18 2024
County of Residence: St. Joseph
STATE OF INDIANA
Mary Ann Myers, Notary Public
A C K N O W L E D G M E N T
COUNTY OF
SS:
Before me, the undersigned Notary Public in and for said County personally appeared Gary A. Gilot,
Suzanna M. Fritzberg, James A. Mueller, Elizabeth A. Maradik and Therese J. Dorau of the City of South
Bend Board of Public Works and acknowledged the execution of the foregoing agreement on this
day of 20
Witness my hand and seal the said last named date.
My Commission Expires:
Notary Public
County of Residence:
K\PR01\1661\2407 - Ireland Road\Agrennent\Sa 1\SA1- 2016-12-13.docx
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Supplemental Agreement No. 1
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date December 16, 2016
Name
Roger Nawrot
Department
Engineering
BPW Date
December21, 2016
Phone Extension
5932
Required Prior to Submittal to Board
Legal ®
Attorney Name Michael Schmidt
Controller El
review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
greater
Purchasing ❑
George King
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: PSA Amendment No.
1
Reauired Information
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 Change:
Copy
Origin
®
❑
El
DLZ Indiana, LLC
❑ Yes ® No
❑ No ❑ Yes Name of Company
Emeraencv Repair of Ireland Road at High Street
COIT
404-0608-431.36-10
$2,805.00 Total Amount of the Agreement $20,235.00
Not to Exceed
There were plan and specification changes made to bid
documents after they were completed by the City.
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Nawrot