HomeMy WebLinkAboutChange Order No 3 - Fire Station #4 Project No 116-066 - Gibson Lewis LLC1316 Cmjwry-Crry BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY tie SOUTH BEND PE,rEBUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
April 24,2018
Robert Lingenfelter
Gibson -Lewis, LLC
1001 West 1 It" Street
Mishawaka, IN 46544
RE: Change Order No. 3 — Fire Station No. 4 — Project No. 116-066
Dear Mr. Lingenfelter:
PHONE 574/235-9251
FAX 574/ 235-91,71
The Board of Public Works, at its meeting held on April 24, 2018, approved the above
referenced Change Order for an increase of $40,065 and an additional thirty (30) days,
bringing the current contract amount to $3,351,062 and new project completion date to
September 1, 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. Mai -tin, Clerk
Enclosure
c: Toy Villa, Engineering
GARY A. Git,oi, SUZANNA M. FRITZBERG ELIZABETi-i A. MARADIK JAMf.,,,s A. MUELLE'R TliFTESE I DORAU
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
M
U riell I ZEN &W : FA 0 10
3/24/2018
116-066
Fire Station #4
12/22/2016
3
PCR #210-Pocket Door Hardware PCR #21 -Low Voltage Cabling
PCR #22-Metronet Conduit PCR #24-Locution Install
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
li
11 011111;uft
Contractor Signature
NMI N'To's oval-INET
Gibson -Lewis, LLC
Company Name
1001 West 11 th Street
Address
Mishawaka, IN 46544
City, State, Zip
$ 40,065.00
$ 3,351,106Z00
1.21
6/22/2018
I days
30 days
9/1/2018
RECQM MENQQ FOR AEPROVAL
44
CON'ST ON MANAGER
BOARD OF PUBLIC ORKS
Approved Dlate�
Gary A, Ght, President
Suzanna M. Fritzberg, Member
jr[., U11- -
Elizabeth A. Maradik, Member
Therese J. Dora ulM emI56'r
James A. Mueller, Member
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST' FORM
Date
04/17/2018
Department
Public Works
Name
Toy Villa ---vv
Division/Bureau
Engineering
BP W Date
04/24/2018
Phone Extension
5920
Legal Attorney Name:
Controller ❑ Controller review is required for all Contracts $5,0010.00 or more and
greater than, one year in length per the City Purchasing Policy
.Purchasing ❑
LAgreement
L
Contract LJ Proposal L Addendum
F-1 Professional Services
F-1
Resolution
❑ Bid Opening
F-1 Bid Award F-1 Req. to Advertise El Title Sheet
F-1 Quote Opening
F1 Quote Award
E
Change Order No. 3
F-1 C/O & PCA No. ❑ P CA
El
Ease/Encroach.
El Traffic Control:
F-1
Other:
Company or Vendor Name
New Vendor
MBE/BE 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 If Yes, Approved by
Purchasing
[:] MBE [:] WBE
El No F1 Yes Name of Company
Fire Station #4
116-066
River West TIC Area
324,1050.460,36.01
roval of C.O. #3
F-1 Required Contractor's Certification Forms Attached (Non -
Collusion. Mon -Discrimination. Non -Debarment. E-Verifv. Iran, etc.
Amount of M Increase $40,065.00
0 Decrease $
Previous Amount $ 3,310,997.,010
Current Percent of Change: 1.21%
New Amount $ 3,351,062,00
Total Percent of Chance: 9,59%
Copy
Original
F
F
F-1
11
El
0