HomeMy WebLinkAboutChange Order No 4 - 2016 Manhole & Sewer Lining Proj No 116-026 - Insituform Technologies USA LLC1316 COUNTY -CITY BuILDING'
227 W. JEFFERSON BOULEVARD
Souni Br.,'ND. INDIANA 46601-1830
CITY OF SOUTti BEND PETE BUTTIGIEG, MAYI BOARD OF PUBLIC WORKS
December 21, 2017
Duane Ginderske
Insituform Technologies USA, LLB;
17988 Edison Avenue
Chesterfield, MO 63005
PI10NF 574/235-9251
FAX 574/ 235-9171
RE: Change Order No. 4 - 2016 Manhole & Sewer Lining — Project No. 116-026
Dear Mr. Ginderske:
The Board of Public Works, at its meeting held on December 21, 2017, approved the above
referenced Change Order for an increase of $3,398.85, bringing the current contract amount
to $2,999,734.90.
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,
Lin a M. Martin, Clerk
Enclosure
c: Toy Villa, Engineering
GARY A. GILOT SUZANNA M. FRITZBERc, Ei,iZABET'ii A. MARADIK JAMf,,,s A. MUELLER TiiL�'Rrst,', J. DORAU
we] kWK*1 96*01119 MW I M :11 02A I I Ig rn of.,
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
12/4/2017
116-026
2016 Manhole & Sewer Lining,
12/22/2016
PCR #4-Additional excavation depth on a pre -bid hurried manhole. _
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 inclluding this change order
This Change Order represents a total change of
Total change for entire project
Original contracted completion date/time
Extension of dateltime by previous change orders
Date/time extension by this change order
New completion date/time
CONTRACTOR
C ntrgcto'r Signature
c jvf�( A V� C-L 9e
Printed Name and Title
Insituform Technologies USA, LLC
Company Name
1798,8 Edison Avenue
Address
Chesterfield, MO 63005
City, State, Zip
$
2,957,900.80
$
38,435.25
$
2,9196,336,05
Increased
Decreased $
3,398.85
$
2,999,734.90
0.11 %
1.41 %
1/1/2017
910 days
0 days
9/29/2017
CONSTRUCTION MANAGER
WFUESTWIG-luffm�. ■�
BOARD OF PUBLIC70RKS
Approved Date:
)i a6A�t A--,
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
Elizabeth A Maradik, Member
Theres'e' J. 15-&au,-Meit4ffer
Jam A. Mueller, Member
BOARD OF PU13LIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/06/17 Department Public Works
Name
Toy Villa
Division/Bureau
Engineering
BPW Date
12/21/17
Phone Extension
- - - -- -- ----
5920
Legal F-1 Attorney Name:
Controller ❑ Controller review is required 'for all Contracts $5,000.00 or imore and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
H Agreement
❑ Professional Services
❑ Bid Opening
❑] Quote Opening
Change Order No. 4
❑ Ease/Encroach.
Other:
Company or Vendor Name
❑ Contract ❑ Proposal Ll Addendum
F1 Resolution
F-1 Bid Award ❑ Req. to Advertise 0 Title Sheet
❑ Quote Award
❑ C/O & PCA No. ❑ PCA
❑ Traffic Control:
New Vendor
MBE/WBE Contractor
MBEA/VBE Contractor Requested
Project Name
Project Number
�Funding Source
Account No,
Amount
Terms of Contract
Purpose/Description
Insituform Technoloaies
❑ Yes M No ❑ If Yes, Approved by
Purchasing
❑ MBE ❑ WBE
❑ No ❑ Yes Name of Company
2016 Manhole and Sewer Lining
116-026
Sewer Contractual Service
641.0621.792.6335
Approval of'Change Order #4
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
Amount of N Increase $3,398.85
❑ Decrease $
Previous Amount $ 2,996,336.05
Current Percent of Change: 0.11%
New Amount $ 2,999,734.90
Total Percent of Change: 1 Al %
Copy
Original
El
❑
Tov Villa