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Home My WebLink AboutChange Order No 1-Project Completion - Fire Station No 9 Demolitions Proj No 117-088 - R&R Excavating Inc1316 COUNTY-Crry BUILDING 227 W. JEFFERSON DOULIWARD Sou-ni BUND, INDIANA 46601 - 1830 0 F I'D 0-1 NEW I owl 1.90A Mt M February 13, 2018 Frank Wtuble R&R Excavating, Inc, 705 S Beiger Street Mishawaka, IN 46544 Puiol 574/235-9251 FAX 574/ 23 5-917 1 RE: Change Order No. I (Final}/Project Completion Affidavit - Fire Station No. 9 Demolitions — Project No. 117-088 Dear Mr. Wruble: The Board of Public Works, at its meeting held on February 13, 2018, approved the Final Change Order for this project, for a decrease of $7,950. The new Contract sum is $96,500. In addition, the Project Completion Affidavit for this project was, approved in the amount of $96,500. 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, Linda M. Martin, Clerk Enclosures c: Toy Villa, Engineering Roger Nawrot, Engineering Kara Boyles, Engineering GARYA.GILOT SUZANNAM.FRITZBERoy Ej..iZABF'.'I'HA.MARADIK JAMEsA.Mui;,LI.,M DiERESEJ.DORAU CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKSera. . . . . . PROJECT CHANGE ORDER DATE: 1/30/2018 PROJECT NO: 117-088 PROJECT NAME: Fire Station #9 Demolitions CONTRACT DATE: 11/28/20'17 CHANGE ORDER NO: I (Final) SUBJECT OF CHANGE ORDER: PCR #1 -Agustment to. Final Quantities. All items completed substantially as planned. See attached Comparison of Estimate for overruns and uniderruns. 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 Originalcontracted completion date/time Extension of date/time by previous change orders Date/time extension by this change order New completion date/time CONTRACTOR ;"I'e, Co tractor Signature Frank Wruble Project Manager Printed Name and Title R&R Excavating, _Inc._ Company Name 705 S. Beiger Street Address Mishawaka, IN 46544 City, State, Zip [:] increased [X-] Decreased 1/26/2018 0 days 0 days 1/26/2018 $ 7,950.00 $ 96,500.00 -7.6 1 % -7.61 % RECOMMENDED FOR APPROVAL CONSTRQ�TN MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WO7,KS Approved Date Gary A. Gilot, Prdsident L4,aw"1-- 5uzanna M. Fritzber ember Elizabeth A. Maradik, Member Therese J. Dom` qermber James A. Mueller, Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT w PROJECT NAME -Fire Station #9 Demolitions PROJECT NO 117-088 FINAL COST $96,500.00 CONTRACT SIGNED 11/28/2017 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Complete the demolition of five houses within the Citv of South Bend. WITNESSETH: 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 Bend which were a part of the above Contract. Executed t 2nd day R&R Excavatino, Inc. y/ February 201 8 Company Name Z Signa e 705 S. Beiger Street Frank Wruble Company Address Printed Name Mishawaka , IN 46544 City, State, Zip WITNESSES& Before me, the undersigned Notary Public in and for said country and state, personally appeared Frank Wruble , and acknowledged his/her signature to the above Project Completion Affidavit on the 2nd day of February 201 8 Notary Signature My Commission Expires 9/28/2024 Rebecca S. Blackston Printed Name County of Residence St. Joseph If the Contractor is a corporation, the following certificate will be executed. William Loudin certify that I am Secretary of the Corporation executing this release; that Frank Wruble who signed this release on behalf of the contractor was then Project Manager of said Corporation; that said release was duly signed for and on behalf of said Corporation byAuthority of' goner . g body, and is within the scope of corporate powers: Secretary's Signature William Loudin Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL Corporate Seal This project is acceptable f fil I approval and we recommend to the Board of Public Works that it be ordained so, Date: Constructlon&ager Vk A BOARD OF PUB,iIC WORKS APPROVAL ky 11 Suza na Gary A. G�ilot, President WPri6bei-g, Member Therese J. Doifau, Member James A. Mueller, Member Date: .4--.- r1zaI5-eth A. Maradik, Member I'L(Ma M. Martin, Clerk Final Waiver of Lien State ofhAana,Countyof St. Joseph SS, Frank Wruble being du]yMom that he/she is the Pro-�ect Manager (Name of Officer) (Title) Of R&R Excavating, Inc. having 00-Uttactedwith (Contractor) City of South Bend, Indiana (Owner) to furnishcertgift.mmterlaisandlorlaborAsfollows. Demolition of 5 houses & site restoration per specs (Description) for aprojeetknownas Fire Station #9 Demolitions; Project No. 117-088 (battle of Project) located at Mishawaka.Avenue & 21st Streets, South Bend, Indiana andowmdby City of South Bend, Indiana (Ovmer) and does hereby fuMor state on the behalf ofthe aforementioned subcontractor/supplier: (PARTJAL WAMR) that there is dlle. from tiro Contractor the sum of Dollars ) ( receipt of which is hereby aokaowledged; or D the payment of which has bean promised as the sole consideration for this Affidavit and Filial Waiver of Lien,wbich is given solely with respect to said Amount; and which waiver shall be effective only upon receipt ofpayment thereof by the undmilgned; (FINAL WAIVER) thatthe final balance due from the eor&aetor is the sum of Ninety—six Thousand Five HundreslDollars 96,500.90 [j receipt of'whieh is hereby aftowledged; or the payment of which. has been promised as the snlc consideration for this Affidavit wid i~inal Walvor of Lien which shall became effective onlylipureceipt of such payment. TMUFORA the unduslgnod walves and roleases unto the OW-uor ofsaid premises, any and all liens or claims whatsoever on the above-describedproputy and improvoments thereon an account of labor' or material or boat, fllrnishud b the undersigned tltaratn, subject to RuWatiow or conditions expressed herelul If any; and further certified thatzio other party has any claim or rfghtto a lien on accauut of any workperformed or material ftished. to file u ndanigued for said reject; and wlthlu the scope of this Affidavit and Waiver ofLlm R&R Excavating, Inca . ' BY Q ✓ (P�) (Autha tedRepresentative) STATiiOFINDMA ) Frank Wruble, Project Manager SS, ST. JOSEP.H COUNIT } Deforeme, the undersigned, a Notary public, in acid for said County and Stata, personally appeared Frank Wruble and aelmowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WURLOF, Ihave, hereunto subscribed my name and affixed my official seal on the 2nd day of February 2018 lt-t�Publle SlgnattlYe My CommissionExpiros- 9 /28/ 2024 i Rebecca S. Blackston i Rosidinght St. Joseph County, Indiana NotaWyPubliaNamme Fo.c gEGCA S. [3LA fKSTQNary Public, State of Indiana St.JosophCountyMy Commission Expires GjJY( fl1t7BF?g 2024 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 02/06/2018 Department Public Works Name Toy Ville Division/Bureau —Engineering BPW Date 02/13/2018 Phone Extension 5920 Required Prior to Submittal to Board Legal E] Attorney Name: Controller El 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 LJ1 Agreement Amendment H Contract L Proposal L] Addendum El Professional Services F1 Resolution F1 Bid Opening F1 Bid Award F1 Req. to Advertise Title Sheet F1 Quote Opening F1 Quote Award F-1 Change Order No. M C/O & PCA No. 1 (Final) F1 PCA EJ Ease/Encroach, F] Traffic Control: El Other: Required Information - Company or Vendor Name R & R Excavating, Inc. El Yes M No If Yes, Approved by New Vendor Purchasing MBE/WBE Contractor F-1 MBE E] WBE MBE/WBE Contractor Requested ❑ No [:] Yes Name of Company Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of L] Increase 171 Decrease Previous Amount Current Percent of Change New Amount Total Percent of Change: Fire Station #9 Demolitions EMS Capital 287.0902A2Z36.01 Project Closeout El Required Contractor's Certification, Forms Attached (Non - Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran. etc. $7,950.00 104.450.00 7.61% Copy Original ❑ Kara Boyles, City Engineer ❑ Roger Nawrot, Assistant City Engineer El n