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HomeMy WebLinkAboutProject Completion Affidavit - WWTP Riverbank Stabilization Phase I Project No 116-053 - EFM Excavating Inc!s a s 4��� � a as s;�, i� a�2 �r ,�•�9 .- boa � s i°t as � � �,3a g ?!5®=ea p s%h q. 98 ¢.3�.r i :a. r, t. :�.a, .air a_i _s` s8r; �� 5 ., ab��➢ •°: �_.:a: mg •s _ .F�saaS. ..d-'s zi. •=��tu „_ s�d�..'.37��8� at_b[;[=,gyp:."€'�_li• INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS 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. 3 — FINAL Project No. 116-053: Calvert Street Lift Station Replacement DATE: October 16, 2017 The Division of Utilities is requesting the Board of Public Works approval of the Project Completion Affidavit for the quotation project Wastewater Treatment Plant Riverbank Stabilization — Phase 1. EFM Excavating, Inc. has completed all work on time and on budget for this project. There is no Maintenance Bond for the subject work. Plantings (trees, shrubs and grasses) installed along the Riverbank are warranted for a survival rate of 80% per the Plans and Specifications. The Final Project Cost is $89,650.00. The funding sources for the construction of this project is Utilities, Wastewater Contractual Services Other (641-0630-793-63-35). If there are questions regarding the subject change order, please contact Al Greek (Ext. 4210) or Jacob M. Klosinski (Ext. 9496) at the Division of Utilities. Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM October 16, 2017 Jacob M. Klosinski Department Utilities Wastewater BPW Date October 24, 2017 Phone Extension (574) 235-9496 Re wired Prior to Submittal 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 U Agreement U Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ❑ CIO & PCA No. ® PCA ❑ Ease/Encroach. ❑ Traffic Control l-1 Other: Company or Vendor Name EFM Excavating, Inc. 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 Riverbank Stabilization - Phase 1 Project Number nIa Funding Source Utilities, Wastewater, Contractual Services Other Account No. 641-0630-793-63-35 Amount $ Terms of Contract -Lump Sum Purpose/Description The Division of Utilities recommends the Board of Public Works approval of the Project Completion Affidavit for the Wastewater Treatment Plant Riverbank Stabilization - Phase 1 project. Final Project Cost $89,650.00. ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Nan -Debarment, E-Verifv, Iran, etc.) Amount of ❑ increase ❑ Decrease Previous Amount 4 Current Percent of Change: % New Amount $ Total Percent of Change: % Dispersal After Approval Copy Original ® ❑ Al Greek, Director of Utilities ® ❑ Jacob M. Klosinski, Assistant City Engineer ® ❑ Carol Kurzhal, Director of Financial Services, Environmental Services