The URL can be used to link to this page

Home My WebLink AboutChange Order No 1 & PCA - Century Center Skylight Beams Painting Proj No 117-004 - Ziolkowski Construction1316 COUNTY -CITY BUILDING 227 W, JEFFE'RSON BOULEVARD SOUTI-1 BEND. INDIANA 46601-1830 CITY OF SOUTt-j BEND PETS' BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS June 12, 2018 Mike Hamilton Ziolkowski Construction 4050 Ralph Jones Drive South Bend, IN 46628 PHONE, 574/235-9251 FAX 574/ 235-9171 RE: Change Order No., I (Final)/Project Completion Affidavit - Century Center Skylight Beams, Painting —Project No. 117-004 Dear Mr. T--lamilton- The Board of Public Works, at its meeting held on June 12, 2018, approved the Final Change Order for this project, for an increase of $2,990. The new Contract sum is $1.18,759.22. In addition, the Project Completion Affidavit for this project was approved in the amount of $118,759.22. 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 Tara Weigand, Engineering Scott Herczeg, Century Center Leanna Belew, Century Center GARY A. Qt,o-r SUZANNAM.FRITZBF'Ro Et,1ZAt3I,n I A. MARA D] K JAIL ES A. MUELLER T1 IER ESE J. DORAIJ 0T, i , 11; m " CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 6126/2018 PROJECT NO: 117-004 PROJECT NAME: Century Center Skylight Beams Painting CONTRACT DATE: 11/14/2017 CHANGE ORDER NO: 1 (Final) SUBJECT' OFCHANGE ORDER: PCR #1-Paint Heating Vent All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 115,769.22 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 115,769.22 By this Change Order, the project amount is increased Decreased $ 2,990,00 The new contract sum including this change order $ 118,759,.22 This Change Order represents a total change of 2.58 % Total change for entire project 2.58 % Original contracted completion date/time .4/21/2018 Extension of date/time by previous change orders 0 days, Dateltime extenslon by this change order 0 days New completion date/time 4121/2018 CONTRACTOR RECOMMENDED FOR APPROVAL Contractor 8�rg`natu're'— CONSTR��,ON MANAGER MIKE-Z 0 AWij J.Zl— Printed Naffid and Title , Ziolkowski Construction Inc. Company Name 40�50 Ralph Jones Drive Address South Bend, IN, 46628 City, State, Zip CITY OF SOUTH BEND BOARD OF PUBLIC W RKS, Approved Date: Gary A. Gir6t, President Suzanna M. Fri Member Elizabeth A. Maradlk, Member Therese J. D6rau, *fember James A. Mueller, Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME Centug Center Skylight Beams Painting PROJECT NO 117-004 FINAL COST $118,759,22 CONTRACT SIGNED 11/14/2017 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION -Painting of interior and exterior skylight beams. 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 this da of et 2Q1 Ziolkowski Construction, Inc. Company Name Signature 4050 Ralph Jones Drive RMCompany Address Printed Name South Bend, IN, 46628 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared MUIre Harniltorl and acknowledged his/her signature to the above Project Completion Affidavit on the day of _,�YL(AJL,, , 201 DEBRA L JOHNSON Sea] Notary Signature F My Commission Expires Notary Public - State of Indiana arsnall County My Commissars Expires Mar 27, 2024 Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. 1, Charles Lewis certify that I am Secretary of the Corporation executing this release; that Mike Hamilton who signed this release on behalf of the contractor was then Divis—on, Manager of said Corporation; that said release was duly signed for and on behalf of said CorpWrn by A thorityyf Its governing body, and is within the scope of corporate powers: ' A& Z Secretary's Signature Corporate Seal Charles Lewis IN =I- NOR DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable forfin approval and we recommend to the Board of Public Works that it be ordained so. 0 Date: (, - I - I r, Construction &ger 1q, BOARD OF PUBLIC WORKS APPROVAL Date: /9" A - "a -A. Gilot-;'f5resicfe_6t Suzanna M. Fritzborg, Member Eliza *et� A. aradik, Member Therese J. rau, Member James A. Mueller, Member Linda M. Martin, Clerk State of Indiana, County of Bill Favors (Name of Officer) of Ziolkowsk! Construction, Inc. (Subcontractor/Suppli AFFIDAVIT AND WAIVER OF LIEN St Joseph to furnish certain materials and/or labor as follows: for a project known as located at and owned by SS: being duly sworn that fie/she is the President/CFO (Title) having contracted with The City of South Bend Board of Public Works (Contractor) Skylight Beam Painting - Project Number 117-004 (Description) Century Center South Bend, IN (lame of Project) The City of South Bend (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the surn of Dollars F1 receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the stern of Eleven Thousand Six Hundred Ninety Five Dollars and Sixty Five Cents ($11,695,65 receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration for this Affidavit and Final Waivcr of Lien which shall become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit and Waiver of Lien, Ziolkowski Construction, Inc. By (Firm) (Authorized Representative) STATE OF INDIANA Bill Favors, President CFO S. ST, JOSEPH COUNTY Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Bill Favors and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 5th day of June, 2018 Notary Public My Commission Expires; March 6, 2025 Residing in Elkhart County, Indiana Lynn D. Vin!nL, Notary Pub C Name LYNN oViNING Seal Notary Public - State of Indiana Elkhart County My Comrniss,1011 Expires Mar 6,2025 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST' FORM Date 06/04/2018 Department Public Works Name Toy Villa Division/Bureau Engineering BPW Date 06/12/2018 Phone Extension 5920 R )quired Prior to Submittal to Board Legal FJ 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 1:1 H Agreement Amendment [J Professional Services E] Bid Opening F-1 Quote Opening F-1 Change Order No. F-1 Ease/Encroach. F-1 Other: Company or Vendor Name LJ Contract F-1 Resolution ❑ Bid Award ❑ Quote Award Z C/O & PCA No. 1 Finall D Traffic Control: New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description wmENFA 0 -Tgr*M711 o, TqTT 0 Req. to Advertise El Title Sheet mom" Ziolkowski Construction, Inc. El Yes 0 No F1 If Yes, Approved by Purchasing E] MBE [-] WBE [J No 0 Yes Name of Company Century Center _qkyjqht Beams Painting 117-004 Hotel - Motel 7304A2010.000.0099 $118,759.22 Protect Closeout [:] Required Contractor's Certification Forms Attached (Non - Collusion, Non-Discri rn i nation. Nan -Debarment. E-Verifv, Iran, etc. Amount of Z Increase $2,990.00 F-1 Decrease $ Previous Amount $ 115,769.22 Current Percent of Change: 2.58% New Amount $ 118,759.22 Total Percent of Change: 2.58% Copy Original z 0 Tara Weigand z ❑ Scott Herczeg z ❑ Leanna Belew