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Home My WebLink AboutChange Order-PCA - 2016 Cold Milling Proj No 116-030 - J.L. Milling Inc1316 COUNTY -CITY BUILDRN 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS January 10, 2017 Linda Schuring J.L. Milling, Inc. 15262 Industrial Drive Schoolcraft, MI 49120 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit - 2016 Cold Milling - Project No. 116-030 Dear Ms. Schuring: The Board of Public Works, at its meeting held on January 10, 2017, approved the Final Change Order for this project, for a decrease of $17,865.94. The new Contract sum is $30,284.06. In addition, the Project Completion Affidavit for this project was approved in the amount of $30,284.06. Copies of the Change Order and Project Completion Affidavit are enclosed for your records. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, Linda M. Martin, Clerk Enclosures c: Toy Villa, Engineering GARY A. GILAT SUZANNA M. FRrFZBERG ELIZABETH A. MARADIK TAMES A. MUELLER THERESE J. DORAU 0 .,ouTn a CITY OF SOUTH BEND o2 DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER ,86$ DATE: November 15, 2016 PROJECT NO: 116-: 30 PROJECT NAME: -- 2016 Cold Milling CONTRACT DATE: _ April 26, 2016 CHANGE ORDER NO. t — SUBJECT OF CHANGE ORDER: Project Comoletion teSee attached Comparison of Estimate for overruns and underruns, e original contract sum $ Net change by previously authorized change orders $ 49,150.00 The contract sum prior to this change order $ 48,150.00 By this Change Order, the project amount is ❑ Increased x0 Decreased The new contract sum including this change order $ 177865.94 This Change Order represents a total change of $ _ 302284.06 284.06 Total change for entire project 3 37.10475 % Original contracted completion date—Anue 12/31/2016 Extension of date/time by previous change orders Date/time extension by this change order NekN completion date/Time CONTRACTOR Contractor Signature .Z, Printed Name and Title J.L. Milling, Inc. Company name 15262Industrial Dr. Address Schoolcraft Mt 49120 City, State, Zip RECOMMENDED\F�OR A�PPpROVAL en tetion Manager CITY OF SOUTH BEND BOARD OF PUBLIC ORKS Ap/pproved,Hate: r 0// '7 Oarv� President Therese Dorau, i�nber Suzanna Fritzyerg, Member James A. ,Mueller, Member —1-- Elizabeth A. Maradik, Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME PROJECT NO. CONTRACTSIGNED 2016 Cold Milling 116-030 FINAL COST 30,284.06 ►1 S PROJECT DESCRIPTION Cold milling of streets - WITNESSETH: the Street 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. Executed this day of Signature /Gi sci�GssLs �.r o Printed Name J.L. Milling, Inc. Company Name 15262 Industrial Dr. Company Address Schoolcraft MI 49087 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared , and acknowledged his/her signature to the above Project Completion Affidavit on the e?� day of W c%/am l¢ e r , 201 M QNotary Signature My Commission Expires Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, 1�k) u , �r kk rlq certify that I am Secretary of the Corporation executing this release; that L,rAVA ffe- A q 2, who signed this release on behalf of the contractor was then /71yl+e3 I d c,,$ 7"" of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority f its governing body, and is within the scope of corporate powers: cretary' Signature Corporate Seal r¢ i �u fe,4) Printed Name 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. —� Date: It- 11. 1 L Construq�JrManager BOARD OF PUBLIC -WORKS APPROVAL Date: / / 7 AAA Gary A. Gilot, President Suzanna FrWerg, Me Elizabeth A. Maradik, Member James A. Mueller, Member Therese J. Dorai M. Martin, FULL UNCONDITIONAL WAIVER OF LIEN Our contract with City of South Bend to furnish Roto Milling materials to City Streets Project No. 116-o-o has been fully paid and satisfied with respect to our rights under the Payment / Lien Bond covering said Project and all of our rights to pursue payment under the Payment/Lien Bond No. issued by as principal and as surety, together with any rights, demands, or causes of action we may have against or are hereby fully waived and released and the "Notice of Lien Claim" (if any) dated Nov 28, 2o16 and any amendment(s) thereto, are hereby rescinded. J.L. MILLING C. by: Linda Schuring / its: President STATE OF MICHIGAN ) )SS COUNTYOF Kalamazoo ) The signator is known to me and acknowledged the foregoing instrument this 28 day of_Nov , zo_ ry Public Michigan My commission expirek--aff"L't (( Acting i County SARAH E. SCHURING-BALLE NOTARY PUBJC — STA?E OF MICHIGAN COUNTY OF KALa"dAZ00 My Commission Expi ne i 1 Acting in the County cf 91747 CITY OF SOUTH BEND DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER oarxa oY -,10 - d 1W DATE: November 15, 2016 PROJECT NO: 116-030 PROJECT NAME: 2016 Cold Milling CONTRACT DATE: April 26, 2016 CHANGE ORDER NO. 1 SUBJECT OF CHANGE ORDER: Proiect Completion See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 48,150.00 Net change by previously authorized change orders $ The contract sum prior to this change order $ 48,150.00 By this Change Order, the project amount is ❑ Increased x❑ Decreased $ 9,715.94 1115�5, The new contract sum including this change order $ 30,284.06 This Change Order represents a total change of 37.10475 % ✓ Total change for entire project 37.10475 % Original contracted completion date/time 12/31/2016 Extension of date/time by previous change orders Date/time extension by this change order New completion date/time RECOMMENDED FOR APPROVAL CONTRACTOR CotoUction Manager CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Contractor Signat re/ Approved Date: Printed Name and Title Gary A. Gilot, President J.L. Milling, Inc. Company name Therese Dorau, Member 15262 Industrial Dr. Address Suzanna Fritzberg, Member Schoolcraft MI 49120 City, State, Zip James A. Mueller, Member Elizabeth A. Maradik, Member Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM 12/15/16 Toy Villa Department Engineering BPW Date 12/22/16 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 ❑ 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 n 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 Information J.L. Milling, Inc. ❑ Yes ®No I-1 MBE I-1 W B ❑ No ❑ Yes Name of Company 2016 Cold Milling 116-030 MVH 202.0607.431.36.01 Project Closeout ❑ 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 $ 17,865.94 Previous Amount $ 48,150.00 Current Percent of Change: 37.1 % New Amount $ 30,284.06 Total Percent of Change: 37.1 % Dispersal After Approval Copy Original ® ❑ Terri Swift ® ❑ Toy Villa ❑ ❑