HomeMy WebLinkAboutChange Order No 2 & PCA - 2017 Demolitions Phase I, Div. A & C - Ritschard Bros1316 Cotim'Y-Crry BUILDING
227 W. JI.-,T'FI.','RsoN Bou[J.-WARD
Souu I BEND. INDIANA 46601-1830
CITY OF SOUTI-i BEND PETE BuTTiGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 21, 2017
Rachelle DoIniak
Ritschard Bros,, Inc.
1204 W. Sample Street
South Bend, IN 46619
PHONE 574/235-9251
FAX 574/ 235-9171
RE: Change Order No. 2 (Final)/Project Completion Affidavit - 2017 Demolitions, Phase
1, Division A & C — Project No. 117-065
Dear Ms. Dolniak:
The Board of Public Works, at its meeting held on December 21, 2017, approved the Final
Change Order for this project, for a decrease of $1,680. The new Contract sum is $75,089.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$75,089.
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,
Jf
Linda M. Martin, Clerk
Enclosures
c: Toy Villa, Engineering
GAizy A. GILOT SUZANNA M. FRrrZBERG ELIZABETH A. MAJUDIK JAMEs A. MUELLM THERESE J. DORAU
I "W4,M",
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
4111 -.-1
PROJECT CHANGE ORDER
DATE: 11/20/2017
PROJECT NO: 117-065
PROJECT NAME: 2017 Demolitions, Phase 1, Division A & C
CONTRACT DATE: 6/27/2017
CHANGE ORDER NO: 2 . _(Final)
SUBJECT OF CHANGE ORDER: PCR #2-Adjustment to final quantities.
Alt 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 d:ate/time
Extension of date/time by previous change orders
Date/time extension by this change order
New completion date/time
CONTRACTOR
Cbntractor Signature
Rachelle L. Dolniak, President
Printed Name and Title
RITSCHARD BROS., INC.
Company Name
1204 West Sample Street
Address
South Bend, Indiana 46619
City, State, Zip
$ 102,059.00
$ -25,290,00
$ 76,769.00
increased
P Decreased $ 1,680.00
$ 75,089.00
-2.19 %
26.43 %
9/1112017
40 days
0 days
10/21/2017
RECOMMENDED FOR APPROVAL
CONSTRVUON MANAGER
CITY OF SOUTH BEND
BOARD OF' PUBLIC WORKS
Approved Date: A I
Gary A. Gilof, President
Suzan,ina M. Fritzberg, Member
Elizabeth A Maradik, Member
Therese J. Dora6, Member
Jagles A. Mueller, Member
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME 2017 Demolitions, Phase 1, Division A & C
PROJECT NO 117-065 FINAL COST $75,089,00
CONTRACT SIGNED 6/27/2017 MAINTENANCE AGREEMENT ENDS
Provide demolition services associated with the Vacant and Abandoned Properties Initiative
PROJECT DESCRIPTION within the Citv of South Bend.
LTAICNIMMA4112.
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 Bendwhich, were apart of the above Contract.
ecuted this 30th \\d'ayof November 1201 7 RITSCH�ARD BROS., INC.
Idt 1 0 Q Company Name
Signature 1204 West Sample Street
Rachelle L. Dolniak
Printed Name
Company Address
South Bend, Indiana 46619
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Rachelle L. Do c, and acknowledged his/her signature to the above Project Qpfflp)4jqQ Affidavit on
the. 3,O)th, day of Q ember 2017
IJ
NWaFy Signature My Commission
Robin Fozo
Printed Name
County of Residence
If the Contractor is a corporation, the following certificate will be executed. �0 ";^, I I ., ,
,0 ;1 � , I., .. - -
I, Donald Ritschard, Jr. certify that I am Secretary of the Corvoq 41'�j Oil release; that
Rachelle L. Dodniak oe::) who signed this release on behalf or was then
-TrWjA:Vnt,Q 4 14 _,:n7 / / of said Corporation-, that said release was duly signed for and on behalf of said
Cr)(oyfdo byJAUt_[JbVtj/Af its erq(ng body, and is within the scope of corporate powers:
Secretary's Signature
Donald Ritsc
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
Corporate Seal
This project is acceptable for n approval and we recommend to the Board of Public Works that it be ordained so.,
Date:
Construction 4,,�a�ber
Gary A. Gilot, President
BOARD OF PUBLIC WORKS APPROVAL Date',
Suzanna M. Fritzb,erg, Member
Therese J. Doi a6, [Tember Jam A. Mueller, Member
Elizabeth A Maradik, Member
M. Martin, Clerk
F o_ 1111"I -z "
- -, - &-
MAINTENANCE BOND
Bond No. 30014627
KNOW ALL PERSONS BY THESE PRESENTS, That we Ritschard Bros., Inc.
1204 W. Sample Street, South Bend, IN 46619
referred to as the Principal, and Western Surety Company
as Surety, are held and firmly bound unto City of South Bend, Indiana, Board of Public Works,
of County -City Building Roam 1316, 227 W. Jefferson Blvd., South Bend, IN 46601
of
, hereinafter
, hereinafter
referred to as the Obligee, in the sum of Six Thousand Nine Hundred Thirty-two and XX/1 00 -------------------------------------
Dollars ($ 6,932.00 } for the payment of which we bind ourselves, our legal representatives, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a contract with the City of South Bend, Indiana, Board of Public Works
fp
June 27
2017
w__
No. 117-065, 3602 W. Western Ave.
for 2017 Demolitions,^ Phase I, Division C,
dated
WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee for the period of
Three ( 3 ) year(s) after approval of the final estimate on said job, by the owner, against all defects in
workmanship and materials which may become apparent during said period, and
WHEREAS, the said contract has been completed, and was approved on November 27 2017
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that, if the Principal shall indemnify the
Obligee for all loss that the Obligee may sustain by reason of any defective materials or workmanship which
become apparent during the period of Three (_3 ) year(s) from and after November 27, 2017
then this obligation shall be void, otherwise to remain in full force and effect.
SIGNED, SEALED AND DATED this
29th day of November 2017
Rits and Bros., Inc.
P 'ncipal)
By _. (Seal)
chelle L. Doiniak, President
Western Surety Company
(Surety)
r
By � (Seal)
Kev' Hughes, k Forney -in -Fact
Form F4591
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
Thomas J Me Govern, Harold E Everett, Elaine K Miller, J Kevin Hughes, Thomas
J Van Dyck, Melody S Hoerl, Jada M Karst, Melinda S Jagger, Tracie M Me Bride, Connie
J Messer, Individually
of Fort Wayne, IN, its true and lawful Attorney(s)-in--Fact with full power and authority hereby conferred to sign, sea] and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
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 12th day of October, 2016.
JR"ry""y WESTERN SURETY COMPANY
`N��Qp�gQF1y
aul T. Brutlat, Vice President
State of South Dakota
SS
County of Minnehaha
On this 12€h day of October, 2016, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
tie 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 (lie 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
J. MOHR
§�" NOTARY MUC
June 23, 2021 80UTHD OT^
(al
J. Mohr, Notary Public
CERTIFICATE
1, 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 -Lary of the corporation printed on the reverse hereof is still in Forcc. In testimony whereof 1 have hereunto subscribed
my narne and affixed the seal of the said corporation this 2 9 t h day of NOV
�ra>�y�..P..R..O..g...g,..r�y�o'lo
.S URETY COMPANY0?o.s .
W ° r"1zz
;* Sf Ay I*` ` O1
4yy'P '., f6Pi
"y1,IltfllitllH�
1 . Nelson, Assistant Secretary
Form F4280-7-2012
Final Waiver of Lien
State of7ndiana, County of St. Joseph SS,
Rachelle L. Dolniak being duly Sworn ihathelsheisthe President
(Name ofOffioer) (Title)
of Ritschard Bros., Inc. haft contracted with City of South Bend
(Contractor) (Owner)
tofurnish cettaitzrrmterislsandlorlaborasfollows, Demolition
(Description)
for aprojeetlsnDmuas 2017 Demolitions, Phase 1, Division A & C
(Name of)'rojeat)
located at 3602 W. Western Avenue, South Bend, IN
and owned by City of South Bend
(Owner)
and does hereby further state on the behal£ofthe aforementioned subcontractor/supplier,
(PARTIAL WAIVER) Cat there is due, from tIle Contractor the sum of
Dollars _{� }
Q receipt of which is hereby acktzowiedged, or
D the payment of which has been promised ns the sole consideration for this Affidavit arid. Final Waiver ofMeawhich is given
solely with respect to said amount; and which waiver shall be effective oatly upon receipt ofp" meet thereofby the
undwsigned;
(FINAL WAIVER) drat the final balance due from the contractor is the Bum of
Twelve Thousand Forty—five Dollars and 10/100
[ receipt ofwbleh is hereby acknowledged, or
XL� thePAYMent of whlohhas boonpromisedus the sole Affidavit andFinal Waiver of Liellwhi0h shall
income effective only upon.xeceipt of such payment.
TBEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever
on the above-doscribed property and improvements thereon a' nomimt of labor or material or bout, flan#shed b the undersigned
thereto, subject to limitations or conditions expressed herein, if any, and furthcr cortlfied thatno outer party has any claim orright to a
lien on acccuat of any wank perf4ormed or material furnished to the undai ed for saldp roject, and within the scope of this Affidavit
and WaiverofLien.
Ritschard Bros., Inc. BY
irma"k -
(Authorized Representative)
STATE OF INDMNA )
) SS:
ST. IOSEPH COUNTY )
Deforo me, the undersigned, a Notary public, in and for said County and State, personally appeared Ra the I le L . Do In i ak
and admowlcdged the execution of the foregoing Affidavit and Waiver of Lion. IN WITNESS WIUMOF, Ihays hereunto subscribed my name and affixed my offic`a cal the 3 h day of
November 20I7 , �rl2
G�p.RD @ROSi,�� . otary Public Signature
5
My Commission Expires; 9 / 1 S / 25• : , ' T
' Robin Fozo
Residingin St. Joseph _ County, r Indiana — — blataryPnbiioNaz❑e
•,/'�� OF i N��P`��``
BOARD OF PUBLIC WOIU-C.S
AGENDA ITEM REVIEW REQUEST FORM
12/06/17 Department
Toy Villa Division/Bureau
12/tO/17
Phone Extension
Public Works
IMO
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
H Agreement
F1 Professional Services
F-1 Bid Opening
E] Quote Opening
F] Change Order No.
n Ease,/Encroach.
F-1 Other:
LJ Contract
F] Resolution
El Bid Award
El Quote Award
C/O & PCA No.2 (Final)
Traffic Control:
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
Ritschard Bros_ Inc.
Proposal
El Req. to Advertise
0
lim
2017 Demolitions, Phase 1, Divisions A & C
117-065 (17J018)
RWDA TIF
324.1050.460.39,82
Project Closeout
F Title Sheet
LJ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
RequjrDd For Change Orders Only
Amount of ❑ increase $
M Decrease $ 1,680.00
Previous Amount $76,769.00
Current Percent of Change: 2.19%
New Amount $75,089.00
Total Percent of Change: 26.43%
Copy
Original
F]
F-1
n
El