HomeMy WebLinkAboutChange Order No 1 - FLIR Traffic Cameras Proj No 117-122 - Pemberton Davis Electric1316 COUNTY-Crry BUILDING
227 W. JEFFERSON BouLEVARD
Sowri I BENI). INDIANA 46601-1830
CITY OF SOUTti BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
May 22, 2018
Tanner Leibovitz
Pemberton Davis Electric
916 E McKinley Ave.
Mishawaka, IN 46545
RE: Change Order No. 1 - FLIR Traffic Cameras — Project No. 117-122
Dear Mr. Leibovitz:
fliiom, 574/235-9251
FAX 574/ 235-9171
The Board of Public Works, at its meeting held on May 22, 2018, approved the above
referenced Change Order for an increase of $6,928, bringing the current contract amount to
$111,848.
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. Gii,o'r SUZANNAN1.11"RITZBERG ELIZABETHA.MARADIK JAmr�s A. MUELLER THERF.SE J. DORAU
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE: 4/24/2018
PROJECT NO: 117-122
PROJECT NAME: FUR Traffic Cameras (Div.&B,C)
CONTRACT DATE: 12/2112017
CHANGE ORDER NO: I
SUBJECT OF CHANGE ORDER: PCR #1 -5 Amp Power Supply, Rack, SDLC Cable.
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
INTRACTOR
Contractor Signature
Printed Name and Title
Pemberton Davis Electric, Inc.
Company Name
916 E. McKinley Ave.
Address
Mishawaka, IN 46545
City, State, Zip
Rx increased
R Decreased
6/12/2018
0 days
0 days
6/12/2018
0 " 1 001
$ 6,928.00
$ 111,848.00
6.60 %
6,60 %
RECOMMENDED FOR APPROVAL
CONSTR�C ,YTON MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date:
Z '/ '/
' a 'q—
Giary A. Gilot, President
Suzan,naM Fritzb,r,,Member
2-
11:21 �_kL
Elizabeth A. Maradik, Member
Therese J. Dorab, Member
James A. Mueller, Member
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 05,/02/2018 Department Public Works
Name Toy Villa Division/Bureau Engineering
BPW Date 05/22/2018 Phone Extension 5920
Legal F-1 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 El
H Agreement Amendment
LJ Contract
LEI Proposal LJ Addendum
R Professional Services
F-1 Resolution
F-1 Bid Opening
n Bid Award Req. to Advertise E] Title Sheet
El
Quote Opening
F1 Quote Award
ZI
Change Order No, 1
El
C/O & PCA No. ❑ PCA
F-1 Ease/Encroach.
Traffic Control:
n
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBEANBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Pemberton Davis Electric, LLC.
Yes N No El If Yes, Approved by
Purchasing
F-1 MBE [-] WBE
El No 0 Yes Name of Company
FUR Traffic Cameras
117-122
LRSA - Traffic Signai Maintenance
251 -0�608-431.36-67
Approval of C. O. #1
El Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.
Amount of M Increase $6,928.00
F-1 Decrease $
Previous Amount
Current Percent of Chang(
New Amount
Total Percent of Change:
Copy
Original
El
El
F-1
n
1-1
El
$ 104,920.00
&60%
$ 111,848.00
6.60%
Dupers