HomeMy WebLinkAboutChange Order No 3 - Downtown Cross Street Improvements Project No 117-041A - Walsh & Kelly1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOI JTH BEND- INDIANA 46601-1930
CITY OF SOUTH BEND PETE BUTTIGIEG, MAY
BOARD OF PUBLIC WORKS I
November 13, 2018
Edward Pilipow
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614
PHONE 574/235-9251
FAx 574/ 235-9171
RE: Change Order No. 3 - Downtown Cross Street Improvements — Project No. 117-
041A
Dear Mr. Pilipow:
The Board of Public Works, at its meeting held on November 13, 2018, approved the above
referenced Change Order for an increase of $786, bringing the current contract amount to
$1,671,938.60.
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
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:
7/23/2018 0:00:00
117-041 A
Downtown Cross Street Improvements
4/24/2018
3
STR #662 Casting Lid Replacement
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
CONTRACTOR
Contractor Signature
Printed Name and Title
Walsh & Kell
Company Name
24358 SR23
Address
South Bend, IN 46614
City, State, Zip
$
1,659,060.60
$
12,092.00
$
12671,152.60
X Increased
Decreased
$
786.00
$
1,671,938.60
0.05 %
0.78 %
10/26/2018 0:00:00
0 days
0 da s
10/26/2018
CONSTRU03TON
MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date: ,1,,<C'
Gary A. Gilot, President
Suzann M. Frit b r Member
Elizabeth A. Maradik, Member
Therese J. Dotau, Member
James A. Mueller, Member
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/05/2018 Department Public Works
Name To Villa Division/Bureau Engineering
. . . .............
BPW Date 11/13/2018 Phone Extension 5920
MqumiredITmPrior to Submittal to Board
. ITIT ........ ... . . ..... ... . ................
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
F-1 Bid Opening
F-1 Quote Opening
Z Change Order No. 3
F-1 Ease/Encroach.
F Other: General Release
Company or Vendor Name
iro riate Item Type
F1 Contract
El Resolution
El Bid Award
Quote Award
❑ C/O & PCA No,
Traffic Control:
New Vendor
MBEANBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
ired Information
Walsh & Kelly, Ing.
roval of C.O. #3
for All Submissions
I Proposal
Req. to Advertise
Addendum
El Title Sheet
F-1 Required Contractor's Certification Forms Attached (Non -
Collusion, N on-Discri m i nation, Non -Debarment, E-Verif ,
.... . ............. ............. .. . . ---- - - �ilra�netc,�..
Required For Change Orders Only
[Z Increase $786-00
Amount of Decrease
. . ...... ..
Previous Amount 1 6 7 1 1 52 .60
Current Percent of Change, 0.05%
New Amount -�-l","671',968'.'60
...........
Total Percent of Change 0.78%
. . ........
Disversal After Awroval
Copy
Original
1:1
El
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El
1:1
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