HomeMy WebLinkAboutChange Order No 2 - 2017 Central Services Remodel Proj No 117-118 - Gibson Lewis LLC1316 COUNTY -CITY BUILDING
227 W J1.11TERSON BouLF"VARD
SU ITH BEND. INDIANA 46601-183 0
June 12, 2018
Robert Lingenfelter
Gibson -Lewis, LLC
1001 W. 111h Street
Mishawaka, IN 46544
PHONE 574/235-9251
FAX 574/ 2�35-9171
RE: Change Order No. 2 - 2017 Central Services Remodel — Project No. 117-118
Dear Mr. Lingenfelter:
The Board of Public Works, at its meeting held on June 12, 2018, approved the above
referenced Change Order for an increase of $2,859, bringing the current contract amount to
$55,2%
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 A Martin, Clerk
Enclosure
C: Toy Villa, Engineering
Mary Wisnewski, Central Services
GARY A. Gij,o'r SLJZANNA M. FRITZBER(i EjAZABF.,,rjf A. MARADIK JAMS A, Mut_,'u,E,R TnERESIA. DORAU
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
". 0 5 A
211 MWINIMa"6116 0
N N" I :t" Itel ; F111 L"
5/9/2018
117-118
2017 Central Services Remodel
11128/2017
CHANGE ORDER NO: 2 (Final)
SUBJECT OF CHANGE ORDER: PCR #2-Change Outlets PCR #3-Add Air Scoop PCR #4-Replace
Canopy
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
New completion date/time
K*JJ',llI0,ML*0
Contractor Signattir-e
90 64+ 4 L, - - f. e " 1. r `' left I
Printed Name a Title
Gibson -Lewis LLC
Company Name
1001 W. 11 th Street
Address
Mishawaka, IN 46544
City, State, Zip
$
46,422.00
$
5,977,00
$
52,399.00
[X-] Increased
Decreased $
2,859.00
$
55,258.00
5.46 %
19-03 %
3/2/2018,
0 days,
-0 days
3/2/2018
Q-�
CONSTIR�U 'TON MANAGER
Gary A. GildP-resident
Suzanna M. Fritzberg, Member
—A " L
G
Elizabeth A. Maradik, Member
Therese J. D64Y, Member
James A. Mueller, Member
BOARD OF PUBLIC WOIUKS
AGENDA ITEM REVIEW REQUEST FORM
Date 05/29/2018
Name Toy Villa '<? Department —Engiineering
BPW Date 06/12/2018 Phone Extension 5920
Required Prior to Submittal 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
F1 Agreement H Contract LJ Proposal LJ Addendum
[:] Professional Services F] Resolution
E:1 Bid Opening 0 Bid Award 0 Reg. to Advertise El Title Sheet
F-1 Quote Opening El Quote Award
E Change Order No. 2 ❑ C/O & PCA No. E] PCA
F-1 Ease/Encroach. Traffic Control
F Other:
Company or Vendor Name
New Vendor
MBENVBE Contractor
MBENVBE Contractor
Reg nested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Gibson -Lewis, LLC
F-1 Yes R1 No F-1 If Yes, AoDroved by Purchasinci!,
MA FZT: IN
El No El Yes Name of Company
2017 Central Services Remodel
117-118
Capital Bud�get____
224.0605.419A3.10
Approval of C.Q. #2.
F-1 Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
Amount of H Increase $2,859.00
E] Decrease $
Previous Amount $52,399.00
Current Percent of Change: 5.4610
New Amount $55,258,00
Total Percent of Change: 19,03%
Dispersal After Approval
Copy Original
M [J Mary Wisnewski
El F-1
El El