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Home My WebLink AboutChange Order No 2-PCA - Downtown Bridge Striping Project No 117-129 - The Airmarking Co1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND_ INDIANA 46601-1930 CITY OF ! BEND PETE BUTTIGIEG, MAYOR BOARD 1 OF iWORKS November 13, 2018 Greg Lowe The Airmarking Co., Inc. 1544 N. SR 25, PO Box 526 Rochester, IN 46975 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 2 (Final)/Project Completion Affidavit - Downtown Bridge Striping — Project No. 117-129 Dear Mr. Lowe: The Board of Public Works, at its meeting held on November 13, 2018, approved the Final Change Order for this project, for a decrease of $445.05. The new Contract sum is $86,357.15. In addition, the Project Completion Affidavit for this project was approved in the amount of $86,357.15. 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, /(6 m .....�s.._.,, 4'(...,, Linda M. Martin, Clerk Enclosures GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJECT OF CHANGE ORDER: 10/9/2018 117-129 Downtown Bridge Striping Base & Alt.#2) 12/21/2017 __ .....__ _ .. _.............._.. ........... _ 2 Finals PCR #2-Adlustment to 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 Increased 0.X Decreased 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,, Contract4r'Mrtature Printed Name and Title h m Co., Inc. Company Name . __. _..._ _._. .. .. 1544 N. SR 25 P.O. Box 526 Address Rochester„ IN 46975 City, State, Zip 5/31 /2018 65 days 0 days 8/4/2018 $ 72,500.20 $ 14, 302.00 $ 86,802.20 $ 445.05 $ 86,357.15 19.11 % • ONNAGER CITY OF SOUTH BEND BOARD OF PUBLIC ORKS Approved Date: Gary A. Gilat, President Su anr)a I Frltzberg, Member M E izabeth A. Maradik, Member Therese J. Dorau, Member James A. Mueller, Member CITY OF SOUTH BEND, INDIANA°E BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT" PROJECT NAME Downtown Bridge Stri ipinq Base & Alt.#2 PROJECT NO 117-129 FINAL COST $86,357.15 CONTRACT SIGNED 12/21/2017 _ MAINTENANCE AGREEMENT ENDS Work to be performed shall include equipment to hydro -blast existing striping and multi - component striping of the bridges crossing St. Joseph River and the East Race at LaSalle PROJECT DESCRIPTION Avenue, Colfax Avenue, and Jefferson Boulevard. 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. Execrte ris ay of �C�� 201 �S The Airmarkin Co., Inc. Company Name u'ria i 1544 N. SR 25 P.O. Box 526 Company Address Printed Name Rochester, IN 46975 City, State, Zip WITNESSESS: Before meq the undersigned Notary Public in and for said country and state, personally appeared Ec, l._ bL� E and acknowledged his/her signature to the above Project Completion Affidavit on the ST 1� day of 201 % Notary Signature My Commission Expires EtT Printed Name County of Residence F L,log If the Contractor is a cor aoration„ the following certificate will be executed. I, ,E certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authow°it of its governing body, and is within the scope of corporate powers: Secretary's Sign e Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable fo? a pproval and we recommend to the Board of Public Works that it be ordained so. Date: t Construction er BOARD OF PUBLIC WORKS APPROVAL Date: / / V (� Ga A. GiO President �anMi.. �nber Eliza et A. Maradik ry„Member T erese J. D ;rau, ernber James A. Mueller, Member .. Linda M. Martin, Clerk Final Waiver of Lien State of Indiana, County of BA L101 SS; G R E O l,J E being duly sworn that he/she is the (Name of Officer) ('Title) P4S�1C of 11AE btM( having contracted with S ofzill Is( (Contractor) (Owner) ' to :i mish certain materials andlor labor as follows; (Description) % j- for a project known as located at and owned by and does hereby further state on the behalf of the aforementioned subcontractor/suppiler: (PARTIAL WAIVER) that there is due from the Contractor the suns of Dollars ($ ) ❑ receipt of which is hereby acknowledged; or ip- ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver OfLienwh'ich 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 $om the contractor Is the sum of ❑ receipt of which is hereby acknowledged; or dw�r"i.4 XE E "II z 5 E' l~ mTE i" )A t>0L WKS ANDEkGH-i-1-SI*CENTS ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective oulyuponreceipt 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 as account of labor or material or both, famished b the undersigned thereto, subject to ]lmitatkous or conditions expressed herein, if any, and der certified that no other party has any claim or right to a liars on accottnt ofany work performed or material t)xmishod to the undersigned for sald projects an lthin the scope of this Affidavit and Waiver of Liam By ") Gf� E G LID E theur ed Irreentativ), ES IACAIT STATE OF INDIANA ) SS: ST, JOSEPH COUNTY ) � L Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared 7 OW E 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 E1 day of a V ER�99 gt No�Publico MyCommission Expires:, Residing MRWAESMACounty, RAI TOMNotary Public Namne BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/23/2018 Department Public Works Name Toy Villa Division/Bureau Engineerin g ��BPW Date 11/13/2018 Phone Extension 5920 u Y ININIMIImmmmIIIIIIIIIIIIIIIIIIIIIIImmmmmllmllN&. . IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIYmi .. _ RequiredITPrior to Submwittal 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 ❑ Check the ❑ Agreement Amendment [❑' Professional Services Bid Opening El Quote Opening [� Change Order No. ® Ease/Encroach. Other: General Release Company or Vendor Name lropfpteItem... . ❑ Contract Resolution El Bid Award ® Quote Award ®C/O &PCANo ❑ 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 kq for All Subm►ss►ons. Proposal ❑ Req. to Advertise 2 Final ❑ PCA The Airmarking Co., Inc. El Yes .........._. No. Purchasi.n,......................................�... ❑ MBE ❑ WBE Yes............N.am.e....of Downtown Bridge Strir)in 117-129 LRSA / Lane Markini 2.5.1. 0608.431..42..93 Proiect Closeout Addendum ❑ Title Sheet If Yes, Approved by s & LRSA / Street Maintenance, & 251.0608.431.36.10 ❑ Required Contractor's Certification Forms Attached (Non - Collusion„ Non -Discrimination„ Non -Debarment, EVerify, Iran, etc. For Champ- Orders ..nll.,.:.....w. . Amount�m .. of ❑ Increase ® Decrease $ 445.05 Previous Amount $ 86,802.20 Current Percent of Change: 0.51 % New Amount $ 86,357.15 Total Percent of Change 19.11 % Discersal After Aodroval Copy Original ® ❑I Sue Ellen Doudrick