HomeMy WebLinkAboutChange Order No 3 - 2016 Manhole and Sewer Lining Proj No 116-026 - Insituform Technologies USA LLC1316 COUNTY -CITY BUILDING
227 W. JETFERSON BOULEVARD
Sount BENI). INDIANA 46601-1830
CITYOF SOUTH BEND PETEBUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 12, 2017
Jana Lause
Insituform Technologies USA, LI.0
17988 Edison Avenue
Chesterfield, MO 63005
13 110NE 574/235-,9251
1"'AX 574/ 235-9171
RE: Change Order No. 3 - 2016 Manhole and Sewer Lining — Project No, 116-026
Dear Ms. Lause:
The Board of Public Works, at its meeting held on December 12, 2017, approved the above
referenced Change Order for an increase of $2,698.50, bringing the current contract amount
to $2,996,336.05.
Enclosed is a copy of the Change Order 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
Enclosure
c:Toy Villa, Engineering
GARY A. Gii,or SUZANNA M. FRITZBEW BizABETH A. MARADIK JAMEs A. MUELLUM TnERESE J. DORAU
0 1 : I is A
111quaFAW119116111 : 0.
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
11/17/2017
116-026
20116 Manhole & Sewer Lining
12/22/2016
3
PCR #:3-Remove and Replace Fence between Studebaker Golf
Course and Riley High School.
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
QONTkA0TOR
Contra' cto'r SignatLTr'e'-
Jana Lause, Contracting & Attesting Officer
Printed Name and Title
lnsituform Technologies USA, LLC
Company Name
17988 Edison Avenue
Address
Chesterfield, MO 63005
City, State, Zip
$
2,957,900.80
$
35,736.75
$
2,993,637.55
FX]lncreased
F] Decreased $
2,698.50
$
2,996,336.05
0.09 %
,1,30 %
7/1/2017
90 days
0 days
9/29/2017
:121461 111 ITJ 1:11 1, 101:11 7IM911".9-11 a U.1161y'r-.1 I
CON 5 'TION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC ,7ORKS
b.pproved' Dat
Gary A. Gilot, Vresident
SuzaniM. FiXembe
th A Maradik, Member
Therese J. Dor9u, M6-(nber
James A. Mueller, Member
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
11/2717
Department
Public Works
Name
Toy Villa
Division/Bureau
Engineering
BPW Date
12/12/17
Phone Extension
5920
Required Prior to Submittal to Board
Legal ❑ Attorney Name:
Controller ❑ Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing F-1
Ll Agreement
H Contract n Proposal El Addendum
El Professional Services
n Resolution
n Bid Opening
F] Bid Award E] Req. to Advertise E] Title Sheet
F-1 Quote Opening
0 Quote Award
Z Change Order No. 3
El C/O & PCA No. ❑ PCA
F-1 Ease/Encroach.
❑ Traffic Control:
❑I Other:
Company or Vendor Name Insituform Technologies
El Yes Z No ❑ If Yes, Approved by
New Vendor Purchasing
MBEANBE Contractor H MBE U WBE
MBEANBE Contractor Requested ❑ No L] Yes Name of Compan
Project Name 2016 Manhole and Sewer Lining
Project Number 116-026
Funding Source Sewer Contractual Service
Account No. 641.0621.792.63.35
Amount
Terms of Contract
Purpose/Description Approval of Change Order #3
El Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Ye�rl_ra etc.�
R I quired.ro(C�h"pqge L�roe'$" , y
Increase $2,698.50
Amount of F-1 Decrease $
Previous Amount $ 2,993,637.5,5
Current Percent of Change: 0.09%
New Amount $ 2,996,336.05
Total Percent of Change: 1.30%
Copy Original
M F1 Toy Villa
F1 R
El El