HomeMy WebLinkAboutChange Order No 1 - PCA - Mishawaka Avenue Roto Rooter Jetter Removal and North Shore Drive Improvements Proj No 118-069R - HRP Construction13 t 6 COUNTY-01-Y 13 U1 LDING
22�7 WAE'FTEASON BOULEVARD
S01IT11 13F.ND. INDIANA46601-1830
CITY OF SOUTii BEND PETS BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
October 23, 2018
Matthew Cain
HRP Construction Co., Inc.
5777 Cleveland Road, PO Box 266
South Bend, IN 46624
PHOW 574/235-9251
FAX 574/ 235-9171
RE: Change Order No. I (Final)/Project Completion Affidavit - Mishawaka Avenue Roto
Rooter Jetter Removal and North Shore Drive Improvements — Project No. 11 8-069R
Dear Mr. Cain:
The Board of Public Works, at its meeting held on October 23, 2018, approved the Final
Change Order for this project, for a decrease of $21,4 3 8,5 0 and an additional sixty (60) days.
The new contract sum is $24,012,50 and the new project completion date is October 14, 2018.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$24,012.50.
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
GARY A. Git-o'r SUZANNA M. FRITZBERG EiAZA13FAI i A. MARADIK JAW,.'s, A. Mu;Li,ciz TiWUI'�A3, D()RAU
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE: 10/23'/2018
PROJECT NO: 118,-069R (Division 1,)
PROJECT NAME: Mishawaka Avenue - Roto-Rooter Jetter Removal
CONTRACT DATE: 7/10/2018
CHANGE ORDER NO: 1 (Final)
SUBJECT OF CHANGE ORDER: PCR #I -Additional Video Inspection PCR #2-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
Dateltime extension by this change order
New completion date/time
'IN
Contractor Si nature
Matthew D. Cain,President
Printed Name and Title
HRP
Company Name
5777 Cleveland Road P.O. Box 266
Address
South Bend, IN, 46624
City, State, Zip
[] increased
F�71
[Al Decreased
8/15/2�018
0 days
60 days
10/14/2018
45,451.00,
0.00
45,451.,00
$ 21,438.50
$ 24,012.50
-47,17 %
-47,17 %
RECOMMENDED FOR APPROVAL
CONSTRUq,JON MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC Y0 V RKS
Approved Date: l
'_7
Gary A. Gilot, President
Suzanna M. Fritzberg, Member
I JJ �--
Elizabeth A. Maradik, Member
Therese J. Dorau, Member
Jam yIs A. Mueller, Member
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
-Mishawaka Avenue - Roto-Rooter Jetter Removal
118-0169R (Division 1) FINAL COST $24,012.50
7/10/2018 MAINTENANCE AGREEMENT ENDS
Removal of Rota -Rooter Jolter and hoses within the private lateral and the
sewer main on
Mishawrka Avenue
The work under the above contract between the City of South, Bend and the undersigned contractor having been completed,
the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or
by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City
of South Bend which were a part of above Contract,
Execut is 1 y 0 to 201 8 HRP
Company Name
Signature - I ",-.J 5777 Cleveland Road P.O. Box 266
Matthew D. Cain, President Company Address
Printed Name South Bend, IN, 46624
City, State, Zip
WITNESSESS:
Matthe
Beforma
b � thmn e undersigned Notary Public in and for said country and state, personally appeared
w A and acknowledged his/her signature to the above Project Completion Affidavit on
the 1 1Ah day Of O,t nh,-, 201 9
Notary sjgnat&e My Commission Expires
Cimdy Vanheste
Printed Name
3/6,/24
County of Residence St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
1, Nancy Knapik certify that I am Secretary of the Corporation executing this release; that
Matthew D. Cain who signed this release on behalf of the contractor was then
President of said Corporation; that said release was duly signed for and on behalf of said
Corporation by Authority of its governing body, and is within the scope of corporate powers:
Socretary'd' eignatidre - Corporate Seal
Nancy Knapik
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable f 'r fi al approval and we recommend to the Board of Public Works that it be ordained so.
Date: D
Construction ger
I —
lyk$l 44WAA
Gary A. Gilot, President
Therese J. Dorau. Member
BOARD OF PUBLIC WORKS APPROVAL Date: 4 t1d
Suzanna M. Fritzberg, Member
Jame
A. Muelrer, Member
t q
X 1=11,L
l�b
Elizabeth A. Maradik, Member
Fnda M. Martin, Clerk
AFFIDAVIT AND WAIVER OF LIEN
State of Indiana, County of S t . Joseph SS:
Nancy Knapik being duly sworn that he/she is the secretary/treasurer
(Name of Officer) (Title)
of HRP CONSTRUCTION INC. having contracted with City of South Bend
(Subcontractor/Supplier) (Contractor)
to furnish certain materials and/or labor as follows: Mishawaka Avenue - Roto Rooter fetter Removal
(Description)
for a project known as MishRwska Avenue - Rnto Ronter Jetter Ri'lemoval
(Name of Project)
located at Mishawaka Avenue
and owned by 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 sum of
Dollars ($ )
❑ 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 ofpayment thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
Twenty sa d Tw&1ve Dollars and 50 100 ($ ) 24,_01 2_.50
❑ receipt of which is hereby acknowledged; or
❑X the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver 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 Iimitations 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.
HRP CONSTRUCTION INC.
(Firm)
By
(Authorize Representative)
STATE OF INDIANA } Nancy K n a p i k
SS:
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Nancy K n a p i k
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 1 1 t h day of
October 200 2018
d4'�4
Notary Public ignature
My Commission Expires: 3 / 8 / 2 4
C, 001AI YQl1 'e-5�-e—..
Residing in S t . Joseph County, Indiana Notary Public ame
City of South Bend Project No. 118-069R
OWNER: City of South Bend
ENGINEER: City of South Bend Engineering
Kara M. Boyles, P.E.
Professional Engineer No. 10809510
CONTRACTOR: HRP Constructtion
Change Order No, 1--10/23/18
PROJECT: Mishawaka Avenue — Roto-Rooter Jetter Removal (Division 1)
Project No. 118-069R
SUBJECT: Change Order Explanation
ISSUE Date: October 23, 2018
This Change Order to the Contract document shall supplement, amend, and shall become
a part of, and be incorporated as an Addendum to the Contract.
The purpose of this Change Order is to add costs associated with conducting a more
detailed video inspection and decrease the overall costs by adjusting the removal means.
The video inspection further investigated the lateral connections to get a better picture of
the Roto-Rooter hose issues. This method determined that jetter head removal is not
feasible without risking extensive damage to the private lateral. The hose will now be
removed from the main by mechanical means in lieu of full excavation.
What we do today makes a difference!
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/13/2.018
Name _ToyVilla Department
BPW Date 10/23/2018 Phone Extension 5920
Reauired Prior to Submittal to Board
Legal F-1 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 1:1
L] Agreement
F-1 Professional Services
F-1 Bid Opening
F-1 Quote Opening
E] Change Order No.
[] Ease/Encroach.
F-1 Other:
H Contract
M Resolution
F-1 Bid Award
[:] Quote Award
Z C/O & PCA No. I (Final)
F-1 Traffic Control
Proposal L] Addendum
] Req. to Advertise El Title Sheet
am
Company or Vendor Name HRP Construction, Inc.
New Vendor El YesEl No E] If Yes, Approved by Purchasing
MBEANBE Contractor [] MBEE] WBE
MBEANBE Contractor Requested 0 No 0 Yes Name of Company
Mishawaka Avenue — Roto Rooter letter Removal and
Project Name Drive Imr)rovements
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Sewer Capital
641.0621.792,63.35
Proiect Closeout
North Shore
[:1 Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc
Amount of F-1 increase $
Z Decrease $21,438.50
Previous Amount $ 45,451.00
Current Percent of Change
New Amount
Total Percent of Change:
Copy
Original'
F
El
E]
F-1
E]
D
-47.17%
$24,012.50
-47.17%