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HomeMy WebLinkAboutChange Order No 2 & PCA - Potawatomi Zoo Parking Lot Expansion Proj No 115-129A - Ritschard Bros 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 February 14, 2017 Donald Ritschard Ritschard Bros., Inc. 1204 W Sample Street South Bend, IN 46619 RE: Change Order No. 2 (Final)/Project Completion Affidavit Potawatomi Zoo Parking Lot Expansion - Project No. 115-129A Dear Mr. Ritschard: PHONE 574/235-9251 FAx 574/235-9171 The Board of Public Works, at its meeting held on February 14, 2017, approved the Final Change Order for this project, for a decrease of $3,214.40. The new Contract sum is $110,407.60. In addition, the Project Completion Affidavit for this project was approved in the amount of $110,407.60. 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. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU SUUTII/I Bf CITY OF SOUTH BEND, INDIANA°, DEPARTMENT OF PUBLIC WORKS;,_ PROJECT CHANGE ORDER' l_s DATE: 1 /24/2017 PROJECT NO: 115-129A PROJECT NAME: Potawatomi Zoo Parking Lot Expansion CONTRACT DATE: 10/11/2016 CHANGE ORDER NO: 2 (Final) SUBJECT OF CHANGE ORDER: PCR #2-Final Quantities (adj) All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 104,241.00 Net change by previously authorized change orders $ 9,381.00 The contract sum prior to this change order $ 113,622.00 By this Change Order, the project amount is Increased X] Decreased $ 3,214.40 The new contract sum including this change order $ 110,407.60 This Change Order represents a total change of -2.83 % Total change for entire project 5.92 % Original contracted completion date/time 11/15/2016 Extension of date/time by previous change orders 22 days Date/time extension by this change order 0 days NexALcompletion date/time 12/7/2016 C N R TO RECOMMENDED FOR APPROVAL Contractor Signature CONST ION MANAGER �onJ� �p i21 $C�IAUa I V' p CITY OF SOUTH BEND Printed Name and Title BOARD OF PUBLIC WORKS Approved Date:' / <7 Ritschard Bros., Inc. % Company Name (i Gary A. Gilot, resident 1204 West Sample Street Address Suzanna M. Fritzberg, Member South Bend, IN 46619 City, State, Zip izabeth A. Maradik, Member Therese J. Dorau; M6yrnber Jam A. Mueller, Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKSID PROJECT COMPLETION AFFIDAVIT PROJECT NAME Potawatomi Zoo Parking Lot Expansion PROJECT NO 115-129A FINAL COST $110,407.60 CONTRACT SIGNED 10/11/2016 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Parkino Lot Expansion at Potawatomi Zoo WITNESSETH 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 South Bend which were a part of the above Contract. xecut d this 16th d�ji'u January 201 7 Ritschard Bros., Inc. Company Name Signature 1204 West Sample Street Rachelle L. Dolniak, President Printed Name Company Address South Bend, IN 46619 City, State, Zip WITNESSES: Before me, the undersigned Notary Public in and for said county and state, personally appeared Rachelle L. Dolniak and acknowledged his/her signature to the above Pr�gjpgjlqj mpletion Affidavit on the 1 d y of Jan 2017 ; J\\coG .... , NARL) 07• .( � Notar i nature M Commissionx ices '9 18y1i Y 9 Y P : ^�. Robin Fozo N �• A Printed Name County of Residepcl3s' GeLSxG JrSsegTi If the Contractor is a corporation, the following certificate will be executed. '. I, Donald Ritschard, Jr. , certify that I am Secretary rI4 cuting this release; that chellit e L. Dolnia who signed this release on beh/ajt b� the contractor was then test o said Corporation; that said release was duly signed for and on behalf of said and is within the scope of corporate powers: Donald Ritschard, Jr. Printed Name Corporate Seal 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: I. G - l" i Constructio pager BOARD OF PUBLIC WORKS APPROVAL Date: a Imo% Gary A. Gil , President Suzanne M. Fritzberg, Member A. Mueller, Member E iza eth A. Maradik, Member Ida M. Ma&Clerk� AFFIDAVIT AND WAIVER OF LIEN State of Indiana, County of St. Joseph SS: Rachelle L, Dolniak being duly sworn that he/she is the President (Name of Officer) (Title) of Ritschard Bros., Inc. having contracted with City of South Bend, Board of Public (Subcontractor/Supplier) (Contractor) Works to furnish certain materials and/or labor as follows: Clearing, Material, Asphalt Paving (Description) for a project known as Potawatomi Zoo Parking Lot Expansion (Name of Project) located at 500 S. Greenlawn Avenue, South Bend, IN and owned by City of South Bend, Bureau of Public Construction (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars _($ ) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of One Hundred Ten Thousand Four Hundred Seven Dollars & 60/100----------- ($110,.407. O ❑ receipt of which is hereby acknowledged; or © the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, famished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and her certified that no other party has any claim or right to a lien on account of any work performed or material fumished to the under i ed for said project, and within the scope of this Affidavit and Waiver of Lien. Ritschard Bros., Inc. By (Firm) (Authorized Representative) STATE OF INDIANA ) ) SS: ST,JOSEPH COUNTY Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Rachelle L. Dolniak and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subsc�ingq ffV name and affixed my offic; seal on the 16 th day of January A4W' Gl7. O T'q Notary Public Signature ��..� My Commission Expires: 9 / 18 / 17 Robin Fozo Residing in St. Joseph County, hn&tapa &LIG Notary Public Name Op IND1P�a "\ BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01/20/17 Name Toy Villa Department Engineering BPW Date 02/14/17 Phone Extension 5920 Required Prior to Submittal to Board Legal ❑ Attorney Name Controller El greater 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 Z ❑ Change Order No. ® C/O & PCA No.A' 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 Amount of Required Informa Ritschard Bros., Inc. ❑ Yes ® No ❑ If ❑ MBE ❑ WBE Ani L No L Yes Name of Company Potawatomi Zoo Parking Lot Extension 115-0129A Parks Capital $ 110,407.60 Project Closeout ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. Reauired For Chanae Orders Onlv Increase $ Decrease $ 3,214.40 Previous Amount Current Percent of Change New Amount Total Percent of Change: Copy Original ❑ ❑ ❑ ❑ ❑ ❑ $ 113, 2.83% $ 110,407.60 5.92% Dispersal After Approval