HomeMy WebLinkAboutChange Order No 1 - 2017 Central Services Remodel Proj No 117-118 - Gibson Lewis LLC1316 COUNTY -CITY BuILDING
227 W, JEFFERSON Bmu-NARD
Souniffi`.ND. INDIANA466W-1830
CITY OF Sourii BEND PETE BUTTIGIEG, MAY
BOARD OF PUBLIC WORKS I
February 13, 2018
Robert Lingenfelter
Gibson -Lewis, LLC
1001 W I 11h Street
Mishawaka, IN 46544
PHOW574/235-9251
FAX 574/ 235-9171
RE: Change Order No. I — 2017 Central Services Remodel — Project No. 117-118
Dear Mr. Lingenfelter:
The Board of Public Works, at its meeting held on February 13, 2018, approved the above
referenced Change Order for an increase of $5,977, bringing the current contract amount to
$52,399.
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) 23,5-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
c: Toy Villa, Engineering
Mary Wisnewski, Central Services
GARY A. Gii,o'r SUZANNA M. FRj,rZBER(, EL1ZAMi'1i A. MARADIK JWF�,'s A. WE-LLER T1 I F�'R F J, D 0 R A I J
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
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2/13/2018
117-118
2017 Central Services Remodel
11/28/2017
PCR #I -Additional Carpet
The original contract sum $ 46,422.00
Net change by previously authorized change orders $ 0.00
The contract sum prior to this, change order $ 46,422.00
By this Change Order, the project amount is FX1 increased
The new contract sum including thiis 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
1J I&A
Contractor Signature-
/4 . L,'
fc-
Printed Name and Title "
Gibson -Lewis LLC
Company Name
1001 W. 11 th Street
Mishawaka, IN 46544
City, State, Zip
Decreased $ 5,977.00
$ 52,399.00
12.88 %
12,88 %
3/2/2018
0 days
0 days
3/2/2018
RECOMMENDED FOR APPROVAL
0� TION MANAUhK
BOARD OF PUBLIC WO
Approved Date:
Gary A. Gilot, President,
........ ..
Therese Ji. Dorab, Kember
James A. Mueller, Member
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 02/06/2018
Name Toy Villa Department Engineering
BPW Date 02/13/2018 Phone Extension 5920
=6
Controller
Purchasing
H Agreement
EJ Professional Services
El Bid Opening
F-1 Quote Opening
Z Change Order No. 1
F-1 Ease/Encroach.
F-1 Other:
El Attorney Name
Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
fie Appropriate Item, Type - Regaired forAll, Submissions
F-1 Contract E] Proposal D Addendum
F-1 Resolution
El Bid Award El Req. to Advertise El Title Sheet
El Quote Award
n C/O & PCA No. PCA
F-1 Traffic Control
Company or Vendor Name
New Vendor
MBEANBE Contractor
MBE/VVBE Contractor
Requested
Project Name
Gibsoin-Lewis, LLC
�E] Yes E! No [:1 If Yes, Approved by Purchasing
KI 11BE N UIBE
El No El Yes Name of Company
2017 Central Services Remodel
Project Number
...........
117-118
Funding Source
Capital Budget__
Account No.
224,0605A19.43.1 0
Amount
$
Terms of Contract
Purpose/Description,
Approval of C.O. #1.
R Required Contractor's Certification Form Attached (None
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.Required
For Change girders Onl
Amount of
Increase $ 5,97T00
EJ
Decrease $
Previous Amount
$46,422.00
Current Percent of Change: 12.88%
New Amount
$ 52,399.00
Total Percent of Change: 12.88%
Dispersal After Approval
Copy Original
H ❑
Mary Wisnewski
F-1
El n