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Home My WebLink AboutChange Order No. 1-PCA - 2017 Downspout Disconnect Program Proj No 116-114 - Acorn Landscaping LLC1316 COUNTY-Cay BUILDING' 227 W, JEFFERSON BwLEVARD Souui BENI). INDIANA 46,601-1830 CITY OF SOUTH BEND PETE BurrmilEG, MAYOR BOARD OF PUBLIC WORKS March 27, 2018 Jeff Ritschard Acorn Landscaping, LLC 3680 W. Sample Street South Bend, IN 46619 PHONE 574/235-9251 FAX 574/ 235-'9171 RE: Change Order No, I (Final)/Project Completion Affidavit - 2017 Downspout Disconnect Program —Project No. 116-114 Dear Mr. Ritschard: The Board of Public Works, at its meeting held on March 27, 2018, approved the Final Change Order for this project, for a decrease of $11,026.67. The new Contract sum is $38,968.33. In addition, the Project Completion Affidavit for this project was approved in the amount of $38,96831 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 GAR A. Gii,o'r SUZANNA M. FjuTZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER TiIERESE J. DORAO TJ a 'k, CITY OF SOUTH BEND, INDIANA V, DEPARTMENT' OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 3127/2018 PROJECT NO: 11 6-1 14 PROJECT' NAME: 2017 Downspout Disconnect Proram CONTRACT DATE: 1/24/2017 CHANGE ORDER NO: I (Final) SUBJECT OF CHANGE ORDER: PGR #1 -Final Quantities All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. 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 Ne, Printed Name and Title Acorn Landscaping LLC Company Name 3680 W. Sample St Address South Bend, IN, 46619 City, State, Zip $ 49,995.00 $ 0.00 $ 49,995.00 increased Decreased $ 11,026.67 $ 38,968.33 -22.06 % -22.06 % 2/19/2018 0 days 0 days 2/19/2,018 RECOMMENDED FOR APPROVAL CONSTRU�.MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WO�RKS, Approved Date: Zq---qLn Gary A, ildC, President -i uzann ritr"erg Me er Elizabeth A. Maradik, Member Therese J. D6fau, ftember James A. Muellier, Member UT CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKSNrx PROJECT COMPLETION AFFIDAVIT PROJECT NAME 2017 Downspout Disconnect Program PROJECT NO 116-114 FINAL COST $38,968.33 CONTRACT SIGNED 1/24/2017 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Remove downsvouts connected to the combined! sewer from willing resident dwellings 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 su n t and that the contractor performed the work within the scope of the Specifications and Standards of the City r rN hick were a part of the above Contract. Of ruth Bend e _ute day 'd t i" Ex cuted this A Acorn Landscaping LLC )/&/W ,2010 Company Name Signature e,40F 4V LINDA J GILROY 3680 W. Sample StY "OtM111)" P Notary Public, State of lndia,a Company Address % St.JosephCoUnty 1 Print Name t5LAL; Commission #62062 South Bend, IN, 46619 My commission Expires City, State, Zip Auoust 31, 2019 WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared az� and acknowledged his/her signature to the above Project Completion Affidavit on the day of �UA 201 Notary Signatrre, 717 My Commission Expires op -tP--261211y ZZ �e (I-,, I.XU19y Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was dully signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Printed Name Corporate Sea[ DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for 'fala l pprova I and we recommend to the Board of Public Works that it be ordained so. I o--1 N11, Date: 'S Construction M er BOARD PUB7IC WOR APPROVAL Date: I 710 7/111- Gary A. Gilo(",' President —8uzarffiW, WzYeWyemVer Priakatfi A Maradik, Member Therese J. Dorhu, Member James A. Mueller, Member ""Cin6a M. Martin, Chark Final Waiver of Lien State ofhdiana, County of + i T. �4� G/°� SS: tT ,�� ,Z TJ'•C being duly woruthathelshe is the (Name of Officer) (Title) of having contracted with Gfi7 d U (Contractor) (Owner) to famish certain materials and/or labor as follows; for a pro eat ianawn as �I1 located at &f ,� 0, and ovmed by U T 4.f, tl' 067-� d bl" and does hereby Author state on the behalf ofthe aforementioned subcoatractor/supplier; (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars receipt of which Is hereby solmowledged; or :DA J GII_ROYM1fUbjl�, State of IndianaSEAT "JoaephCountymission ri $29192mmission Ex iresgu3 (j the payment of which line been promised as the sole consideration for this Affidavit and Filial Waiver ofLieznwhich is given solely with respect to said amount, and which waiver aball be etTectiva only upon receipt of payment thereof by the undersigned; (FINAL WAIVM that the final balance due fora the contractor Is the sum of [l receipt of which is hereby aolmowledged; or the payment of which has been promised as the sole consideration forthis Affidavit and Final Waiver of Lien which shall become offective onlynponreceipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of sold on the above -described property and improvements thereon an account of labor orrn thereto, subject to limitations or conditions expressed herein, if any; and Rather ca lion on account of any work perforined or material 11 mished to the undersigned s and Waiver of Lien. BY (gam) Alm% any and all liens or claims whatsoever :al or b4b, hmished b the undersigned that no Cher party has any claim or right to a �rojee and within the scope ofthis Affidavit STATE OF INDIMA ) SS: ST, JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared and acimowledged the execution of the foregoing Affidavit and Waiver of Lion. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the _! � day of C 200 /,P , Y J�", Notary Publi ignature My Commission Expires, Residing, in cl (f County, Notary Publio Name BOARD OF PUBLIC W0RI(,S AGENDA ITEM REVIEW REQUEST FORM Date 03/19/2018 Department Public Works Name Toy Villa Division/Bureau Engineering BPW Date 03/27/2018 Phone Extension 5920 ------- Required, Prior foSubmittal to Board Legal ❑ Attorney Name: Controller ❑ 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 El Lj Agreement H Contract H Proposal LJ Addendum F1 Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening El Quote Award ❑ Change Order No. Z CIO& PCANo.1 (Final) FIPCA ❑ Ease/Encroach. ❑ Traffic Control: F-1 Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBENVBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Acorn Landscaping LLC ❑ Yes, Z No If Yes, Approved by Purchasin ❑ MBE 0 WBE E] No ❑' Yes Name of Company 2017 Downspout Disconnect Program 116-114 WastAwateir 0 & M 641.0630.79163.35 Proiect Closeout E] Required Contractor's Certification Forms Attached (Non - Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. Amount of ❑ increase $ H Decrease $ 11,026.67 Previous Amount $49,995.00 Current Percent of Change: -22.06% New Amount $38,968.33 Total Percent of Change: -22.06% Dispersal After Approval Copy Original n n El El