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Home My WebLink AboutChange Order No. 1 - Project Completion Affidavit - WWTP Belt Filter Press No. 4 Rehabilitation Project No 117-025 - Alfa Laval Inc.OIL ,4 �mw , i,,i I, �. � -4W , , IF iff �4'- 7 1 711"T !i , . tH , 1,4, .................... .............. ................ ...... !For - oi. *ol 4 a I I iALulMJ' Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Jessica J. Winfree , Individually of Richmond, VA its true and lawful Attorney -in -Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety Bond No: M929632139 Principal: Alfa Laval Inc. obtigee: City of South Bend -Board of Public Works and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation, In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 1st day of December, 2015. "'w WESTERN SURETY COMPANY r 4 0 ' o. r APautT. BruElaE, Vice President State of South Dakota SB County o€Minnehaha On this Ist day of December, 2015, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires �, Mt3HR Fil7UlRYPU3LIC,,�aa,, June 23, 20218D0° J. Mohr, Notary Public CERTIFICATE 11 L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force, In testimony whereof[ have hereunto subscribed my name and affixed the seal of the said corporation this 18th day of October, 2017. a5upfr WESTERN SURETY COMPANY Q �90ior15-N eau Iii• N�xxWw* / L. Nelson, Assistant Secretary Form F4280-7-20 t 2 Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Pact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF UTILITIES TO: Members of the Board of Public Works Eric Horvath, Director of Public Works Catherine Fanello, Board of Public Works Attorney FROM: Al Greek, Director of Utilities Jacob M. Klosinski, Assistant City Engineer SUBJECT: Agenda Request Form — Change Order No. 1 and Project Completion Affidavit Project No. 117-025: Wastewater Treatment Plant Belt Filter Press #4 Rehabilitation DATE: October 13, 2017 The Division of Utilities is requesting the Board of Public Works approval of Change Order No. 1 and the Project Completion Affidavit for Project No. 117-025 Wastewater Treatment Plant Belt Filter Press #4 Rehabilitation. Change Order No. 1 addresses the following changes: COP 1 — Allowance, Credit (unused) NET DECREASE FOR CHANGE ORDER NO. 11 ITEMS Original Contract Sum Net change by previously authorized change orders The contract sum prior to this change order By this change order, the project amount decreases by The new contract sum including this change order is This Change Order represents a total change of Total change for the entire project Time Extensions resulting from Change Order No. 1: Substantial Completion: Final Completion: ($ 5,000.00) ($ 5,000.00) $197,360.00 $ 0.00 $197,360.00 ($ 5,000.00) $192,360.00 -2.53% -2.53% 0 days 0 days Project Completion Affidavit is being submitted for approval. Substantial Completion and Final Completion were simultaneously established on September 15, 2017. The funding sources for Change Order No. 1 shall be directed from the 2017 Utilities, Wastewater Other Equipment (641-0630-793-36-05). If there are questions regarding the subject change order, please contact Al Greek (Ext. 4210) or Jacob M. Klosinski (Ext. 9496) at the ❑ivision of Utilities. Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM October 13, 2017 Jacob M. Klosinski Department Utilities Wastewater BPW Date October 24, 2017 Phone Extension (574) 235-9496 Required Prior to Submitfial to Board Legal ® Attorney Name Catherine Fanello 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 ® Carol Kurzhal H Agreement U Contract L_J Proposal U Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ® CIO & PCA No. 1, Final ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control F- Other: Company or Vendor Name Alfa Laval (Houston, Texas) New Vendor ❑ Yes ® No ❑ if Yes, Approved by Purchasing MBEIWBE Contractor ❑ MBE ❑ WBE MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Wastewater Treatment Plant Belt Filter Press #4 Rehabilitation Project Number 117-025 Funding Source 2017 Wastewater, Other Equipment Account No. 641-0630-793-36-05 Amount $ Terms of Contract Lump Sum Purpose/Description Utilities recommends the approval of Change Order No. 1 deduct of $5,000 for unused allowance) and the Project Completion Affidavit. All work is complete. ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination. Non -Debarment. E-Verifv. Iran. etc.) Amount of ❑ Increase $ ® Decrease $ 5,000.00 Previous Amount $ 197,360.00 Current Percent of Change: New Amount Total Percent of Change: Copy Original -2.53% $ 192,360.00 -2.53% Dispersal After Approval Al Greek, Director of Utilities Jacob M. Klosinski, Assistant City Engineer Carol Kurzhal, Director of Financial Services, Environmental Services