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Home My WebLink AboutChange Order No 2 - Fire Station No 4 Proj No 116-066 - Gibson Lewis1316 COUNTY-Crry BUILDING 227 W. JEFFEMN BOULEVARD Souni BEND. INDIANA 46601-1830 CITY OF SOUTH BENI) PETE BU'I-I'IGIEC,, MAYOR BOARD OF PUBLIC WORKS, March 13, 2018 Robert Lingenfelter Gibson -Lewis, LLC 1001 West I I"' Street Mishawaka, IN 46544 RE: Change Order No. 2 — Fire Station No. 4 — Project No. 116-066 Dear Mr. Lingenfelter: I'I10Nr,,' 5741/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting held on March 13, 2018, approved the above referenced Change Order for an increase of $103,055, plus an additional :rourteen (14) days, bringing the current contract amount to $,3,3 10,9 97 and the new project completion date to August 2, 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, Linda M. Martin, Clerk Enclosure C: Toy Villa, Engineering GARY A. Gn.oT SUZANNA M. FRITZBER(i E1,1ZABETii A. MARADIK JAMr,,s A. MUELLER Tl IE RESE J. DoRAu CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJECT OF CHANGE ORDER: 3/13/2018 116-066 Fire Station #4 12/22/2016 PCR #5-Locution Rough -In PCR #6-Dryer PCR #7-Adld Smoke Detectors PCR #8-Add Fans PCR #1 0-Mop Basin PCR #11- Concrete Polish PCR #1 3-Stones and Sills PCR #14-Countertops PCR #1 5-Flooring PCR #1 6-Security Equipment PCR #117-Truck Fill Line PCR #1 8-Locution Equipment 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/time by previous change orders Date/time extension by this change order New completion date/time CONTRACTO Contractor Signature Gibson -Lewis, LLC Company Name 1001 West 11 th Street Address Mishawaka, IN 46544 City, State, Zip $ 3,057,800.00 $ 150,142.00, $ 3,207,942.00 r-v-llncreased Decreased $ 103,055.00 $ 3,310,997.00 3.21 % 8.28 % 6/22/2018 27 days 14 days 8/2/2018 RECOMMENDED FOR APPROVAL N J�UQ, CONST!,!!rION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Approved Date: / N11<1qA__dA_ 1� Gary A. Gilof,"President , A. Maradik, Member Therese-J. Dorau, Member Jame A. Mueller, Member South Bend Fire Station #4 POO Date: 12151201 i RE: South Bend Fire Station #4 PCO 005 - Locution Rough -In Please accept this proposal as a result of additional costs associated with adding rough -in for Locution. Cat?##ng, devices & equipment are by others. Lewis s . a• , cost Add I D•d 5 NIA NIA Locution Rough -In Subcontractors Brite Eiectnc 1 Is $ 4,409.45 $ 4,409 Subtotal $ 4,409 Profit & OH 5.0% $ 220 Total $ 4,630 Labor Self Perform Carpenter - Foreman Supervision 6 his $ 60-05 $ 360 Painter his $ 52.91 $ - Cement Finisher his S 56.98 $ Laborer hts S 41.95 $ Material Is $ Subtotal $ - Profit & OH 15,0% 5 Total $ Subtotal $ 4,990 Bond 1.0% S 50 Insurance 0.5% $ 25 Total ADD $ 5,065 Please be advised that: 1, This Quotation Is In response to your request dated _U1A and Instructions and drawings pertinent thereto. 2. This Quotation has been priced in accordance with the current job progress position and therefore Is subject to adjustment if authorization to incorporate subject change into the work is not received by 3. 5 Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Fstimate Dated: 2, Subcontractor Quotations: none NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toprooeed immediately with the above described change for the amount quoted (if any) andlor the extension of time requested (if any), to Issue Subcontract supplements and to incorporate such amount, time and change into bi#I#ngs and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner; GL PM: Date: Date: Sig. Sig. Authorized Representative Authorized Representative South Bend Fire Station #4 PCQ Date: 12/512017 RE: South Bend Fire Station #4 PCO 006 - Equipment Dryer Please accept this proposal as a result of additional costs associated with changing the drying cabinet to the RAM Air TA MU. This unit is not heated. • 6 NIA N/A ■• Locution Rough -In • Cost per �•, Subcontractors Stafford Smith 1 Is $ 2,292.52 $ 2,293 Subtotal $ 2,293 Profit & OH 5.0% $ 115 Total $ 2,407 Labor Self Perform Carpenter - Foreman Supervision hrs $ 60,05 Painter hrs $ 52.91 $ - Cement Finisher his $ 56.98 $ Laborer hrs $ 41.95 $ Material Is $ Subtotal $ Profit & OH 15,0% $ Total $ Subtotal $ 2,407 Bond 1.0% $ 24 Insurance 0.6% $ 12 Total ADD $ 2,443 Please be advised that: 1. This Quotation is in response to your request dated N/A and instructions and drawings pertinent thereto. 2. This Quotation has been priced in accordance with the current job progress posWon and therefore Is subject to adjustment if authorization to incorporate subject change into the work is not received by 3. Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: none 2. Subcontractor Quotations: NOTE: Owner's acceptance (Wow) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed Immediately with the above described change for the amount quoted (if any) and/or the extension of time requested (it any), to issue Subcontract supplements and to incorporate such amount, time and change Into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig, Sig. Authorized Representative Aufrized Representative a1G RE: South Bend Fire Station #4 PCO 007 - Smoke Detectors South Bend Fire Station #4 PCO Date: 12111=17 Please accept this proposal as a result of additional costs associated with adding smoke detectors to the sleeping quarters as requested. dd 7 NIA NIA Subcontractors Brite Electric 1 Is $ 5,194.86 $ 5,195 Subtotal $ 51196 Profit & OH 5.0% $ 260 Total $ 5,455 Labor Self Perform Carpenter - Foreman Supervision 4 him $ 60.05 $ 240 Painter his $ 52.91 $ Cement Finisher his $ 56.98 $ Laborer his $ 41.95 $ Material Is $ Subtotal $ - Profit & OH 15.0% $ Total $ Subtotal $ 5,695 Bond 1.0% $ 57 Insurance 0.5% $ 29 Total ADD $ 5,781 Please be advised that: 1. This Quotation is in response to your request dated NIA and instructions and drawings pertinent thereto. 2. This Quotation has been priced #n accordance with the current job progress position and therefore Is subject to adjustment if authorization to incorporate subject change Into the work Is not received by 3. 7 Calendar days extension or Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: none 2. SuboontractorQuotations; NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed immediately with the above described change for the amount quoted (if any) andlor the extension of time requested (if any), to issue Subcontract supplements and to incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig. Sig. Authorized Representative Authorized Representative South Send Fire Station 94 PCO Date: 1211112017 RE: South Send Fire Station 04 PCO 008 - Ceiling Fans Please accept this proposal as a result of additional costs assaclated with adding ceiling fans to the porch as requested. • +. . r• e r r• , 8 NIA NIA Subcontractors Brite Electric 1 Is $ 1,046.49 $ 1,046 Subtotal $ 1,046 Profit & OH 5.0% $ 52 Total $ 1,099 Labor Self Perform Carpenter - Foreman Supervlslon 2 his $ 60.05 $ 120 Painter his $ 52.01 $ - Cement Finisher his $ 66.98 $ Laborer his $ 41.95 $ Material Is $ Subtotal $ Profit & OH 15.0% $ - Total $ - Subtotal $ 1,219 Bond 1.0% $ 12 Insurance 0.5% $ 6 Total ADD $ 1,237 Please be advised that: 1. This Quotation Is In response to your request dated W,A and instructions and drawings pertinent thereto. 2. This quotation has been priced in accordance with the current job progress position and therefore is subject to adjustment if authorization to Incorporate subject change into the work is not received by 3. 7 Calendar days extension of Contract Time Is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: 2. Subcontractor Quotations: none NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed Immediately wish the above described change for the amount quoted (if any) andlor the extension of time requested (if any), to issue Subcontract supplements and to incorporate such amount, time and change Into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Corner: GL PM: Date: Sig. Authorized Representative Date: Sig, Authorized Representative South Bend Fire Station #4 PCO Date: 1712712017 RE: South Bend Fire Station #4 POO 010 -Added Mop Sink Please accept this proposal as a result of additional costs associated Mh adding a mop sink in the utility closet ., . 1 . ! �•. 10 NIA N/A Subcontractors BC Mechanical 1 Is $ 2,897.00 $ 2,897 Subtotal $ 2,897 Profit & OH 5.0% $ 145 Total $ 3,042 Labor Self Perform Carpenter - Foreman Supervision 0 his $ 60.05 $ - Painter hrs $ 52.91 $ Cement Finisher hrs $ 56.98 $ Laborer his $ 41.95 $ Material Is $ Subtotal $ - Profit & OH 0.0% $ Total $ - Subtotal $ 3,042 $arid 1.0% $ 30 insurance 0.6% $ 15 Total ADD $ 3,088 Please be advised that: 1. This Quotation Is in response to your request dated _ N/A and Instructions and drawings pertinent thereto. 2. This Quotation has been priced in accordance with the current job progress position and therefore is subject to adjustment If authorization to incorporate subject change into the work is not received by 3. 3 Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: none 2. Subcontractor Quotations: NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed immediately with the above described change for the amount quoted (if any) andlor the extension of time requested (if any), to issue Subcontract supplements and 10 incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig. Sig. Authorized Representative Authorized Representative South Bend Fire Station #4 PCO Date: 1112/2018 RE: South Bend Fire Station 04 PCO 011 - Upgraded Concrete Polish P#ease accept this proposal as a result or additional costs associated with upgrading the concrete polish level on the first floor. ec,rilo.sescription 7s • • •• 11 NIA NIA Subcontractors DanoerConcrete & Design 1 Is $ 3,512.00 $ 3,512 Subtotal $ 3,512 Prora & OH 5.0% $ 176 Total $ 3,680 Labor Self Perform Carpenter - Foreman Supervision 0 hrs $ 60.05 $ Painter hrs $ 52.91 $ Cement Finisher hrs $ 56.98 $ Laborer hrs $ 41.95 $ Material Is $ Subtotal $ Profit & OH 0.0% $ Total $ Subtotal $ 3,688 Bond 1.0% $ 37 Insurance 0.5% $ 19 Total ADD $ 3,743 Please be advised that: 1. This Quotation is In response to your request dated NIA and instructions and drawings pertinent thereto, 2. This Quotation has been priced in accordance with the current job progress position and therefore is subject to adjustment if authorization to incorporate subject change Into the work is not received by 3. 2 Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: none 2. Subcontractor Quotations: NQTE: Owners acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed Immediately with the above described change for the amount quoted (if any) and/or the extension of time requested (if any), to Issue Subcontract supplements and to incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document, OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig. $ig. Authorized Representativa Authorized Representative South Bend Fire Station #4 PCO Date: 2/812018 RE: South Bend Fire Station 94 PCO 013 - Masonry at Front Porch Please accept Gibson Lew s this proposal as a result of additional costs associated with the revised masonry design at the front porch. Post per 7 Addl • 13 NIA NIA .• • .• , Subcontractors McLaughlin Masonry 1 Is $ 600.00 $ 8,090 Subtotal $ 8,090 Profit & OH 5.0% $ 405 Total $ 8,495 Labor Self Perform Carpenter - Foreman Supervision 0 hrs $ 60.05 $ - Painter hm $ 52,91 $ Cement Finisher hrs $ 56,98 $ Laborer h€s $ 41,95 $ Material is $ Subtotal $ - Prora & OH 15.0% $ Total $ - Subtotal $ 8,495 Bond 1.0% $ B5 Insurance 0.5% $ 43 Total ADD $ 8,622 Please be advised that: 1. This Quotation is in response to your request dated NIA and instructions and drawings pertinent thereto, 2. This Quotation has been priced in accordance with the current job progress position and therefore is subject to adjustment if authorization to incorporate subject change into the work is not received by 3. 5 Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: 2. Subcontractor Quotations: NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed immediately with the above described change for the amount quoted (if any) andlor the extens€on of time requested (if any), to issue Subcontract supplements and to Incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER 10 the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig. Sig. Authorized Representative Authorized Represontative South Bend Fire Station 94 PCO Date: 2/13/201 a RE: South Bend Fire Station #4 PCO 014 -Added Corian Please accept this proposal as a result of additional costs associated with the added corian tops In rooms 105 & 214 per the reviewed shop drawings. 14 NIA NIA Subcontractors 1 Is $ Subtotal $ - Profit & OH 5.0% $ - Totat $ - Labor Self Perform Carpenter - Foreman Supervision 0 hrs $ 60.05 $ Painter hrs $ 52,91 $ Cement Finisher hrs $ 56.98 $ Laborer hrs $ 41,96 $ Material - Precision 1 Is $ 1,660,00 $ 1,660 Subtotal $ 1,660 Profit & OH 15.0% $ 249 Total $ 1,909 Subtotal $ 1,909 Bond 1.0% $ 74 Insurance 0.5% $ 37 Total ADD $ 2,020 Please be advised that: 1. This Quotation Is in response to your request dated NIA and instructions and drawings pertinent thereto. 2. This Quotation has been priced in accordance with the current jab progress position and therefore is subject to adjustment if authorization to incorporate subject change into the work Is not received by 3. 5 Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Est€mate Dated: none 2. Subcontractor Quotations: NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toprooeed immediately with the above described change for the amount quoted (it any) and/or the extension of time requested (if any), to issue Subcontract supplements and to incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PW Date: Date: Sig. Sig, Authorized Representative Aulhaalzed Representative South Bend Fire Station #4 PCO Date: 211312018 RE: South Bend Fire Station #4 PCO 015 - Landing Rubber Tile Please accept this proposal as a result of additional costs associated with adding rubber tile at the stair landing 201. • . r• s r• 15 WA WA Subcontractors Interior Finishes 1 Is $ 689,49 $ 689 Subtotal $ 689 Prorit & OH 5.0% $ 34 Total $ 724 Labor Self Perform Carpenter - Foreman Supervision 3 hrs $ 60.05 $ 180 Painter hrs $ 52.91 $ - Cement Finisher hm $ 56.98 $ - Laborer hrs $ 41.95 $ Material Is $ Subtotal $ Profit & OH 15.0% $ Total $ - Subtotal $ 904 Bond 1.0% $ 9 Insurance 0.5% $ 5 Total ADD $ 918 Please be advised that: 1. This Quotation {s in response to your request dated N!A and instructions and drawings pertinent thereto. 2. This Quotation has been priced in accordance with the current job progress position and therefore is subject to adjustment If authorization to Incorporate subject change into the work Is not received by 3. Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: none 2. Subcontractor Quotations: NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE OROER authorizing us toprooeed immediately with the above described change for the amount quoted (if any) andlor the extension of time requested (if any), to Issue Subcontract supplements and to Incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig, Sig, Authorized Representative Authorized Representative South Bend Fire Station #4 PCO Date: 2/13/2018 RE: South Bend Fire Station #4 PCO 016 - VST Security Please accept this proposal as a result of additional costs associated with adding the VST Security Install to GL contract. • , I , i �' i i• 16 NIA NfA Subcontractors VST Security Solutions, LLC 1 Is $ 6,813.00 $ 6,813 Subtotal $ 6,013 Prord & OH 5.0% $ 341 Total $ 7,154 Labor Self Perform Carpenter -Foreman Supervision hrs $ 60.05 $ - Painter hrs $ 52.91 $ Cement Finisher hrs $ 56.98 $ Laborer hrs $ 41,05 $ Materlal Is $ Subtotal $ - Profit & OH 15.0% $ Total $ - Subtotal $ 7,154 Bond 1.0% $ 72 Insurance 0.5% $ 36 Total ADD $ 7,261 Please be advised that: 1. This Quotation is in response to your request dated N!A and instructions and drawings pertinent thereto. 2. This Quotation has been priced In accordance with the current job progress position and therefore is subject to adjustment if authorization to incorporate subject change into the work is not received by 3. 3 Calendar days extension of Contract Time is requested by this Quotation. Enclosures are: 1. Cost of Work Estimate Dated: 2. Subcontractor Quotations: none NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed Immediately vAth the above described change for the amount quoted (if any) andlor the extension of time requested (if any), to issue Subcontract supplements and to incorporate such amount, time and change Into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Data: Date: Sig. Sig, Authorized Representative Authorized Representative South Bend Fire Station #4 PCO Date: 2/1312018 RE: South Bend FireStation #4 PCO 017 • Truck Fill Please accept this proposal as a result of additional costs associated with adding the domestic water truck filling station. • 17 NIA N/A oty unit unit Deduct Subcontractors BC Mechanical 1 Is $ 3,339.00 $ 3,339 Subtotal $ 3,330 Profit & OH 5.0% $ 167 Total $ 3,506 Labor Self Perform Carpenter - Foreman Supervision his $ 60.05 $ - Painter hrs $ 52,91 $ Cement Finisher hrs $ 56.913 $ Laborer hrs $ 41.95 $ Material Is $ Subtotal $ - Profit & OH 15.0% $ Total $ Subtotal $ 3,506 Band 1.0% $ 35 Insurance 0.5% $ 18 Total ADD $ 3,558 Please be advised that: 1. This Quotation is in response to your request dated _NIA and Instructions and drawings pertinent thereto. 2. This Quotation has been priced In accordance with the current job progress position and therefore is subject to adjustment if authorization to incorporate subject change Into the work is not received by 3. Calendar days extension of Contract Time is requested by this Quotation, Enclosures are: 1. Cost of Work Estimate Dated; none 2. Subcontractor Quotations: NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed immediately with the above described change for the amount quoted (if any) and/or the extension of time requested (if any), to Issue Subcontract supplements and to incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GIBSON LEWIS LLC Owner: GL PM: Date: Date: Sig. Sig, Authorized Representative Authorized Representative M"MM ORM --l-M-�' RE: South Bend Fire Station #4 PCO 018 - Locution South Bend Fire Station #4 PCO Date: 2114/2018 REVISED 212612018 Please accept this proposal as a result of additional costs associated with adding the Locution material 10 the project. Schedule may need to be adjusted depending on material lead times. • No.: ��P;R,#. :11em No.:;Description 777-7-77777 • D• 18 NIA NIA Supplier Locution Systems Inc. 1 Is $ 50,616.00 $ 50,816 Subtotal $ 50,816 Profit & OH 15.0% $ 7,622 Total $ 58,438 Labor Seff Perform Carpenter - Foreman Supervision hm $ 60.05 $ - Painter hrs $ 52,91 $ Cement NnMer hrs $ 56.98 $ Laborer hrs $ 41.95 $ Material Is $ Subtotal $ Profit & OH 15.0% $ Total $ - Subtotal $ 58,438 Bond 1.0% $ 584 Insurance 0.5% $ 295 Total ADD $ 59,318 Please be advised that: 1. This Quotation is in response to your request dated NIA and instructlons and drawings pertinent thereto. 2. This Quotation has been priced in accordance with the current job progress position and therefore is subject to adjustment if authorization to incorporate subject change into the work Is not received by 3. 3 Calendar days extension of Contract Time Is requested by this Quotation. Enclosures are: 1. Cost of Work Estiinate Dated: none 2. Subcontractor Quotations: NOTE: Owner's acceptance (below) of this Quotation on Change of Work constitutes a CHANGE ORDER authorizing us toproceed immediately with the above described change for the amount quoted (if any) andfor the extens[on of time requested (if any), to issue Subcontract supplements and to incorporate such amount, time and change into billings and contract documents as a CHANGE ORDER to the Contract Document. OWNER'S ACCEPTANCE GISSON LEWIS LLC Owner: GL PM: Date: Dale: Sig. Sig, Authorized Representative Authorized Representative BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 03/06/2018 Department Public Works Name Toy Villa Division/Bureau - Engineering BPW Date 03/13/2018 Phone Extension 5920 Legal Controller Purchasing F Attorney Name: 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 El LJ Agreement L] Contract LJ Proposal LJ Addendum F-1 Professional Services El Resolution �R Bid Opening 0 Bid Award E] Req. to Advertise ❑ Title Sheet ❑ Quote Opening F-1 Quote Award Change Order No. 2 ❑ C/O & PCA No. E] PCA El Ease/Encroach. ❑ Traffic Control. F-1 Other: Company or Vendor Name New Vendor MBEANBE Contractor MBEANBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Gibson -Lewis, LLC El Yes El No E] If Yes, Approved by Purchasing E] MBE [J WBE R No El Yes Name of Company Fire Station #4 116-066 River West TIF Area 324.1050.460.36.01 Approval of C.O. #2 F-1 Required Contractor's Certification Forms Attached (Non - Collusion. N on-Discrim i nation, Non -Debarment. E-Verifv, Iran, etc. Amount of H Increase $ 103,055.00 F1 Decrease $ Previous Amount $ 3,207,942.00 Current Percent of Change: 3.21% New Amount $ 3,310,997.00 Total Percent of Change: 8,28% Copy Original F-1 E] El F-1 El F]