The URL can be used to link to this page

Home My WebLink AboutChange Order No 2 & Project Completion - 2016 Bus Shelters Proj No 116-046 - Gibson Lewis LLC1316 COUNT Y-( ITY BUILDING 227'w. JEr'r'ERSON 11ouui"VARD 5oum BENI). 1NDIAN A 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC LIaC WORK December 12, 2017 Robert Lingenfelter Gibson -Lewis LLC 1001 W 11 "' Street Mishawaka, IN 46544 PHONla 574/235-9251 FAX 574/ 235-9171 RE: Change Order No. 2 (Final)/P'roject Completion Affidavit - 2016 Bus Shelters — Project No. 116-046 Dear Mr. Lingenfelter: The Board of Public Works, at its meeting held on December 12, 2017, approved the Final Change Order for this project, for an increase of $3,293.13. The new Contract sum is $154,534.53. In addition, the Project Completion. Affidavit for this project was approved in the amount of $154,534.53. 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.Gii-o'r SUZANNA M. FRl l/,BERG ELIZABE 1 H A. MsARrA 71K, JAMEs A. MU1.LL1: R THERESE J. DoRAU CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS 7ROJECT CHANGE ORDER DATE: 11/28/2017 PROJECT NO: 116-046 PROJECT NAME: 201',6 Bus Shelters CONTRACT DATE: 1/24/2017 CHANGE ORDER NO: 2 (Finial) SUBJECT OF CHANGE ORDER: PCR #2-Final Quantities All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The 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 is 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 CONTRACTOR Confractor Signature A4e/Ek t4nr4et�-k 4�-f 044v4�— Printed Name and Title Gibson -Lewis, LLC Company Name 1001 West 11 th Street Address Mishawaka, IN 46544 City, State, Zip [X] increased F—] Decreased 5/12/2017 126 days, 0 days 9/15/2017 $ 144,962.40 $ 6,279.00 $ 151,241.40 $ 3,293.13, $ 154,534.53 2.18 % 6.60 % RECOMMENDED FOR APPROVAL CONST�ION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC W Approved Date, o -6y AGIO, President David P Re os kjlE I r Elizabeth A. Ma,radik, Member Therese J. DoratF, Member James A. Mueller, Member CITY OF'SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME 2016, Bus Shelters PROJECT NO 116-046 FINAL COST $1154,534,53 CONTRACT SIGNED 1/24/2017 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Install concrete pads and bus shelters. 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 of South Bend which were a part of the above Contract. Execut this _j�_day of NovCok- Lx- , 201L_. Gibson -Lewis, LLC Company Name Signalure 1001 West 11 th Street Company Address A0 bee Printed Name Mishawaka, IN 46544 City, State, Zip WITNESSESS: Befor me, the undersigned Notary Public in and for said country and state, personally appeared qcn Irafe, r' , and acknowledged his/her signature to the above Project Completion Affidavit on the clay of 201 .NotJy Signature My Commission Expires Printed Name County of Residence "J'Y"Mtn If the Contractor is a corporation, the following certificate will be executed. certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then 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 Printed Name Corporate Sea] DEPARTMENT OF PUBLIC WORKS APPROVAL This protect I. acceptable fir i ,%,accept bl f fl I approval and we recommend to the Board of Public Works that it be ordained so. :�ay ., Date: Construcflor�?r ,,+-ager BOARD OF PUBLIC WORKS APPROVAL Date: 1-,)IK,2 e-')l -7 Gary A. Gillet, President David P. Relos, Member Elizabeth A. Maradik, Member Therese J. Dotau, Member James A. Mueller, Member M. Martin, ISA Farm # 1.402 PREPARE IN DUPLICATE Orlglnal - Contractor Dupilcate - Subcontractor/Supplior AFFIDAVIT AND WAIVER OF LIEN IK Final 0 Partial liil Payment to Follow. State of Indiana. County of St. Joseph SS Randall H. Rice being duly sworn states that he is the Asst. Secretary of iName of dtircerp {True) Gibson -Lewis, LLC having contracted withCto furnish, certain (Subconiractor,•Supphed 1Contractorl materials and/or labor as follows Sus Shelters (t7e&Crlpil for a project known as .. 0611t v of South. Bend Bus Shelters 2016 located at South Bend IN and owned by City of South Rend Bird of Public Works l0wnar► and does hereby further ;state on behalf of the aforementioned subcontractorfsupplier: [ j receipt of which Is hereby acknowledged; or } the payment of which has been promised as the sole consideration of this Affidavit and Partial Walver of Lien which is given solelywith respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; tFINAL'Vil'AIVIER) that the final balance due from the contractor is the sum of Fifteen Thousand Twenty Seven Dollars and 07/100 Dollars is 15,027.017 receipt of which, Is hereby acknowledged; or [X 1 the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above -described property and improvements thereon on account of LABOR or material or both, furnished by the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifies that no other party has any claim or right to a lien on account of any work per ed cir material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Titl P eewis, LLC By + Asst. Secretary Gibson-L6.�,,.. _ i Firmi fAuthorsaed Representative! WITNESS MY HAND AND NOTARIAL SEAL, this My Commission Expires _ July 10, 2024 Residing in — St. J eph�__ ., County 0 1979 iNOIANA SUBCONTRACTOR$ ASSOCIAPON INCORPORATED Unsulhonled Reproduction Prohibited Oth y of (November _ 20 17 rry � v- w�...irr ,INatary. Pubhcl Printed. Elizabeth A. Biddle rurr,,,, ELIZABtTH A, BIDDLF va �R„ °��<F` Niotary Pulalic, Staie of Indiana ;SEAL r St. Joseph County 11y Commission Gxpiros f'+asrti 1'`~ July 10, 2024 Rev 10ill••2 MAINTENANCE, The Continental insurance Company BOND Chicago, IL Bond No.: 30023545 KNOWN ALL BY THESE PRESENTS: That we Gibson -Lewis, LLC as Principal, and The Continental Insura nee Company , a corporation organized and existing under the Laws of the State of Pennsylvania Surety are held and firmly bound unto City of South Bend, Board of Public Works as Obligee, in the total sum of Fourteen Thousand Four Hundred Ninety Six Dollars & 00/100 ---------------------------------------------------------------------- U,S, Dollars ( 14,496.00 --------------------------------- ) for the payment whereof said Principal and Surety bind themselves, jointly and severally, as Iprovlided herein. WHEREAS, the Principal entered into a contract with the Obflgee dated January 24, 2017_ for City of South Bend 2016 Bus Shelter, Project #116-046 ("Work"). NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS, SUCH, that if the Principal shall maintain, and remedy said Work free from defects in materials and workmanship for a period of 3 year(s) following substantial completion of the Work (the "Maintenance Period"), then thiis obligation shall be, void; otherwise it shall remain in full force and effect. PROVIDED, HOWEVER, that any suit under this bond shall be commenced no later than one (1) year from the expiration date of the Maintenance Period; provided, however, that if this limitation is prohibited by any law controlling the construction hereof, such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law, and said period of limitation shall Ibe deemed to have accrued and shall commence to run on the expiration date of the Maintenance Period. Signed this 20th day of November 1 2017 . Gibson -Lewis, LLC (Principal) By: Robert A. Lingenfelter, President The Continintal InsUrance Corin—p"y By: J�A IA Kathy elGrecb Attorney -in -Fact ACKNOWLEDGMENT OF SURETY STATE OF MICHIGAN ) COUNTY OF OAKLAND ) On this 20th day of November 2017, before me personally Came Kathy L. DelGreco who, being by me duly sworn, did depose and say that she is an Attorney -in -Fact of the Continental Insurance and knows the corporate seal thereof, that the seal affixed to said annexed instrument is such corporate seal, and was thereto affixed by authority of the Power of Attorney of said Company, of which a Certified Copy is hereto attached, and that she signed said instrument as an Attorney - in -Fact of said Company by like authority. Acknowledged and Sworn to before me on the date above written My Commission Expires Jamie M Laurencelle Notary Public, Oakland County, Michigan My Commission Expires: February 2, 2024 1 11 POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That The Continental Insurance Company, a Pennsylvania insurance company, is a, duly organized and existing insurance company having its principal office in the City of Chicago, and state or Illinois, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Kathy L Del Greco, Latrecia R Scott, Individually of Southfield, Tull, its true and lawful Attorney(s)-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 - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the insurance company and all the acts of said Attorney, pLu-SUaDt to the authority hereby given is hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Board of Directors of the insurance company. In Witness Whereof, The Continental Insurance Company has caused these presents to be signed by its Vice President and its corporate seat/ to be hereto affixed on this 10th day of April, 2017. The Continental Insurance Company Paul ? Bruwflat Vice President State of South Dakota, County of Minnehatia, ss: On this I Oth day of April, 2017, before me personally came Paul T. Bruflat to me known, who, being by nic duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is a Vice President of The Continental Insurance Company, a Pennsylvania insurance company, described in and which executed the above instrument; that he knows the scat of said insurance company; 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 insurance company and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said insurance company, ...................... J. MOHR (%NOV-'1PU1110(R SOUTHDAKOTA My Commission Expires June 23, 2021 J. Mohr 9f Notary Public CERTIFICATE 1, D. Johnson, Assistant Secretary of The Continental Insurance Company, a Pennsylvania insurance company, do hereby certify that the Power of Attorney herein above set forth is still in force, and further certify that the By -Law and Resolution of the Board of Directors of the insurance company printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance company this e_)) day of The Continental Insurance Company D.Johnson Assistant Secretary Form F6850-4/2012 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW RE, QUEST FORM Date 11/17/1'7 Name To Villa Department Engineering Division BP W Date 11/28/17 Phone Extension 5920 R aired Prior to Submittal to hoard Legal F-1 Attorney Name Controller Controller review is required for all Contracts $,5,000.100 or more and greater than one year in length per the City Purchasing Policy Purchasing F] Agreement Professional Services E] Bid Opening F-1 Quote Opening F-1 Change Order No. F1 Ease/Encroach. F] Other: Company or Vendor Name New Vendor MBENVBE Contractor MBE/VVBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description L] Contract El Resolution El Bid Award F-1 Quote Award Z C/O & PCA No. 1 (final) F-1 Traffic Control Gibson -Lewis. LLC a Me- ❑ Req. to Advertise El Title Sheet EM [:] Yes Z No Ll If Yes, Approved by Purchasing 19 MBE 9 WBE 0 No El Yes Name of Company 2016 Bus Shelters COIT 401.1001.460.42.03 Project Closeout F-1 Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. Amount of Z increase $3,293.13 n Decrease $ Previous Amount $ 151,241 A0 Current Percent of Change: 2.18% New Amount $ 154,534.53 Total Percent of Change: 6.60% Dispersal After Approval Copy Original n F-1 F-1 El