HomeMy WebLinkAboutChange Order-PCA - HRP Construction - Ireland Road Emergency Repairs - Proj No 116-083E1316 CouNTY-CrrY BUILDING
227 W. JEFFERsoN BOULEVARD
SOUTH BEND. INDIANA 46601-1 S30
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 22, 2016
Matthew Cain
HRP Construction Co.
5777 Cleveland Road
South Bend, IN 46628
PHONE 574/235-9251
FAx 5741235-9171
RE: Change Order No. 1 (Final)/Project Completion Affidavit - Ireland Road Emergency
Repairs -Project No. 116-083E
Dear Mr. Cain:
The Board of Public Works, at its meeting held on December 22, 2016, approved the Final
Change Order for this project, for a decrease of $7,717.50, and a new Contract sum of
$59,500.55.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$59,500.55.
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
a . Roger Nawrot, Engineering
Toy Villa, Engineering
GARY A. GB.OT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK
JAM Es A. MUELLER THERESE J. DORAU
0�0**4,
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKSPROJECT CHANGE ORDER
DATE: 11/9/2016
PROJECT NO: 116-083E
PROJECT NAME: Ireland Road Emergency Repairs
CONTRACT DATE: 10/11/2016
CHANGE ORDER NO: 1 (Final)
SUBJECT OF CHANGE ORDER: PCR #1-Final Quantity Adjustment
All items completed substantially as planned.
See attached Comparison of Estimate for overruns and underruns.
The original contract sum $ 67,218.05
Net change by previously authorized change orders $ 0.00
The contract sum prior to this change order $ 67,218.05
By this Change Order, the project amount is ❑ Increased
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
e e-
i
Contractor,
Matthew D. Cain, President
Printed Name and Title
HRP Construction Co.
Company Name
5777 Cleveland Rd
Address
South Bend, IN, 46628
City, State, Zip
XJ Decreased $ 7,717.50
$ 59,500.55
-11.48 %
-11.48 %
11/16/2016
0 days
0 days
11 /16/2016
RECOMMENDED FOR APPROVAL
CONST�3?CTION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
ApprovedDate:
)Ozv�-� %
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
Elizabeth A. Maradik, Member
Therese J. Dor u, Member
14 �
Jarfos A. Mueller, Member
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
;o�uxxa e
CITY OF SOUTH BEND, INDIANA =
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
Ireland Road Emergency Repairs
116-083E FINAL COST $59,500.55
Emergency storm damage repair of the
PROJECT DESCRIPTION Ironwood Rd
WITNESSETH:
ditches along Ireland Rd, east c
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 c
by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the Cit
of South Bend which were a part of the ab ve Contract.
Exec d th' 0t ay ❑ ber 201 6 HRP Construction Co.
Company Name
Signature 5777 Cleveland Rd
Matthew D. Cain, President Company Address
Printed Name
South Bend, IN, 46628
City, State, Zip
W ITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Matthew D. Cain , and acknowledged his/her signature to the above Project Completion Affidavit on
the 30th dayof November 2016
Notary Signature _ My Commission Expires 3/06/24
Cindy Vanheste
Printed Name County of Residence St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
Nancy Knapik certify that I am Secretary of the Corporation executing this release; that
Matthew D. Cain who signed this release on behalf of the contractor was then
President 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:
Secretary's Signature
Nancy Knapik
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
Corporate Seal
This project is acceptable for fin +approval and we recommend to the Board of Public Works that it be ordained so.
CI • Date: t ( - 8 t 4
Constructio Hager
BOARD OF PUBLIC WORKS APPROVAL Date:
Gary A. Gilot, President v� Suzann M. Fritzberg, Member Elizabe h A. Maradik, Member
Therese J. Dorgiu, Member Ja s A. Mueller, Member b M. Martin, Clerk
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
Bond NO. MNT9213139
That HRP Construction Inc P.O. Box 266 South Bend IN 46624-0266
as Principal, hereinafter call Contractor, and Fidelity and Deposit Company of Maryland
Baltimore, MD as Surety, hereinafter call Surety, are held and firmly bound unto
City of South Bend Board of Public Works , as Obligee, hereinafter called Owner, in the penal sum of
�5 950 06 , for the payment whereof Contractor and Surety bind themselves, their heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement, dated October 11, 2016
entered into a contract with Owner for Ireland Road Emergency Repairs
in accordance with the General Conditions, the Drawings and Specifications, which contract is by reference incorporated herein,
and made a part hereof, and is referred to as the Contract.
NOW, THEREFORE, the condition of this obligation is such that, if Contractor shall remedy any defects due to faulty materials or
workmanship, and pay for any damage to other work resulting therefrom, which shall appear within a period of Three (3) year(s)
from the date of substantial completion of the work provided for in the Contract, then this obligation to be void; otherwise to
remain in full force and effect.
Bond shall be effective from November 16, 2016 to November 16, 2019.
PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness.
SIGNED and sealed this 30th day of November 2016
n
Principal
By Matthew D. Cain. President (Seal)
Title
Fidelity and Deposit Company of Maryland
13y �} f«� (Seal)
JenniferI ta=ia A t mey Iri Fact
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on thedate hereof, do hereby nominate,
constitute, and appoint Barbara E. PEARSON, Nicole L. BICKNELL, Mark E. WOBBE, Debra K. HULL, Jennifer L. KASZNIA,
William J. CERNEY, III, Theresa M. BURNS and Megan E. RIESENBERG, all of South Bend, Indiana, EACH its true and lawful
agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds
and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,
as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
Tile said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 14th day of April, A.D. 2016.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
,�+.igy,� TypOVOJr G'{I INSU�ii
86AL ` el —•— o'
Secretary Vice President
Michael McKibben Michael Bond
State of Maryland
County of Baltimore
On this 14th day of April, A.D. 2016, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL
BOND, Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to be the individuals and officers described in
and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said
officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year fast above written.
/ ' ..^' ✓ALL nooll
Maria D. Adamski, Notary Public
My Commission Expires: July 8, 2019
POA-F 044-4495
�Finaf Waiver of Lien
STATE OF INDIANA, as:
Whereas, the undersigned HRP CONSTRUCTION INC. has been heretofore em-
ployed by City of South Bend Board of Public Works to fumish certain material and labor,
to -wit: Ireland Road Emergency Repairs, Project No. 116-083E, St. Joseph County, Indiana
for the property owned by City of South Bend and located on
Ireland Road
City of South Bend , County of St. Joseph State of Indiana.
Now THEREFORE, KNOW YE, That the undersigned, for and in consideration of
$ 2, 975.03 Dollars, the receipt of which is hereby acknowledged, hereby and now
waives and releases unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever
kind of character on the above described building and real estate, 70ANDFOR SAIDAMOUNT, on account of any and
all labor material, or both, fumished for or incorporated into said building by the undersigned, up to this date,
and they further certify that the consideration moving to the undersigned for executing this FINAL
WAIVE OF LIEN has been mutually given and accepted as a part payment to or on account of the said
Owner for said budding and real estate.
Signed, sealed and delivered this 13th day of December 20 16
Signed '7\ .....�
Nancy Knapik
Personally appeared before me this 13th day of December 120 16
Nancy Knapik who, being duly sworn on oath, says: That he
is Controller of the HRP CONSTRUCTION INC. and that �he hereby;;,
acknowledges the execution of the foregoing instrument for and on behalf of said
Corporation and at their special instance and request,
My Commission Expires 3/06/24 K1,744h zaldz4&Notary Public
Citrdy Vanheste This instrument prepared by: Nancy Knapik
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/14/16
Name Toy Villa
Department Engineering
BPW Date 12/27/16
Phone Extension 5920
Required Prior to Submittal to Board
Legal ❑
Attorney Name
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 ❑
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. 1 Final ❑ 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.
Amount
Terms of Contract
Purpose/Description
Required Infori
HRP Construction Co.
❑ Yes ® No [
I-1 MBE I-1 WBE
It
❑ No ❑ Yes Name of Company
Ireland Road Emergency Repairs
116-083E
404.0602.431.31.06
Purchas
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of ❑ Increase $
® Decrease $ 7,717.50
Previous Amount $ 67,218.05
Current Percent of Change: 11.48%
New Amount $ 59,500.55
Total Percent of Change: 11.48%
Dispersal After Approval
Copy Original
® ❑ Roger Nawrot
® ❑ Toy Villa
❑ ❑