HomeMy WebLinkAboutChange Order No. 1 - 2017 Curb and Sidewalk Divisions B,C,D,E & F Proj No 117-008 - Ziolkowski Construction1316 COUNTY -CITY BUILDING
227 w. JEFFERSON BOULEVARD
Sourij BEND. INDIANA 46601-1830
December 21, 2017
Jason Wolts
Ziolkowski. Construction, Inc.
4050 Ralph. Janes Drive
South Bend, IN 46628
I'EtoNI3 574/235-9251
➢SAX 5741235-9171
RE: Change Order No. 1 - 2017 Curb and. Sidewalk, Divisions B, C, D, E, & F — Project
No. 117-008
Dear Mr. Wolts:
The Board of Public Works, at its meeting held on December 21, 2017, approved the above
referenced. Change Order for an increase of $8,000, plus an additional one -hundred, fifteen
(115) days, bringing the current contract amount to $268,381 and new project completion date
to January 27, 2018.
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,
Y
.Linda M. Martin, Clerk
Enclosure
c: Toy Villa, Engineering
Josh Ehmer, Engineering
GAIRY A. GILOT SUZANNAM.FRITZBERG Et,IZABETHA.MARADIK, JAMES A. MUELLER TIIERESE; J. DORAU
111:4:hX
� M &,&WZI I &WE MVI E F_, 1110 IL V V
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
12�/19/2017
117-008
2017 Curb and Sidewalk Div. B, C, D, E & F
5/23/2017
PCR #11 -Additional quantities of sidewalk replacement and re -
mobilization charge.
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/firne by previous change orders
Date/time extension by this change order
New completion date/time
CONTRACTOR
,oretractor Signature
DOC',, P"
Printed Name an Title
ZioIkowski Construction, Inc.
Company Name
4050 Ralph Jones Drive
Address
South Bend, IN 46628
City, State, Zip
Increased
Decreased
10/4/2017
0 days
115 days
1/27/2018
$ 8,000.00
$ 268,381.,00
3.07 %
3.07 %
BOARD OF PUBLIC WORKS
Approved D�ate:�N
Cary A. Gilot, President
Suzanna M. Fritzberg, Member
Elizabeth A Maradik, Member
Therese J. Dora'u, M6mber
� 19�_
Ja es A. Mueller, Member
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW RE, QUEST FORM
12/20/2017
Josh Ehmer
Department Public Works
BPW Date 12/21/2017 Phone Extension 9175
Legal Attorney Name
Controller review is required for all Contracts $5,0001.00 or more
Controller El and greater than one year in length per the City Purchasing
Policy
Purchasing F-1
Ll Agreement
H Contract LJ Proposal
H Addendum
F-1 Professional Services
El Amendment
❑ Bid Opening
n Bid Award [J Req. to Advertise,
❑ Title Sheet
❑ Quote Opening
F-1 Quote Award
Z Chg Order No. 1
n C/O & PCA No. E] PCA
El Ease./Encroach.
F-1 Traffic Control n Resolution
El Other:
El Claim
Required, Information
Company or Vendor Name
Ziolkowski Construction, Inc.
New Vendor
El Yes If Yes, Approved by Purchasing
[:] No
MBEANBE Contractor
1:1 WBE
Completed E-Verify Form Attached F-1
❑Nos
Project Name
2017,Curb and Sidewalk (Div B,C,D,E, & F)
Project Number
1117-008
Funding Source
MVH
Account No.
202-0619-431.31-06
Amount
$8,0100.00
Terms of Contract
Purpose/Description Additional quantities of sidewalk replacement and re -mobilization
charge.
For Change, Orders Only
Amount of Increase $$8,000.00
❑ Decrease $
Previous Amount $ 260,381.00,
Current Percent of Change: 3.,07%
New Amount
Total Percent of Change
Time Extension:
Copy
Original
El
El
3,07%
115
Dispersal After Approval