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Change Order No 3 - Erskine Clubhouse Renovation Project No 116-108 - Ziolkowski Construction
1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOIJTH BFNn_ INDIANA 46601-1930 �k 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS December 11, 2018 Bill Favors Ziolkowski Construction, Inc. 4050 Ralph Jones Drive South Bend, IN 46628 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 3 - Erskine Clubhouse Renovation — Project No. 116-108 Dear Mr. Favors: The Board of Public Works, at its meeting held on December 11, 2018, approved the above referenced Change Order for an increase of $10,471, bringing the current contract amount to $925,370. 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 GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU SAIA Document G701" - 20,17 Change Order PROJECT: (Name and address) CONTRACT INFORMATION: CHANGE ORDER INFORMATION: 17043 - Erskine Clubhouse Renovation Contract For: General Construction Change Order Number: 03 Date: 8/28/18 Date: 11/9/18 OWNER: (Name and address) ARCHITECT: (Name and address) CONTRACTOR: (Name and address) Board of Public Works Gregory A. Kil & Associates, Inc. Ziolkowski Construction Co., Inc. City Of South Bend, Indiana 1316 County City Building (d/b/a) Kil Architecture / Planning 4050 Ralph Jones Drive 227 W Jefferson Bouldvard 1126 Lincolnway East South Bend, IN 46628 South Bend, IN 46601-1830 South Bend, IN 46601 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Per the attached RCO#007 Revised, add $10,471.00 for labor, material and equipment to remove existing gutter System on the south side of clubhouse and install new as shown on attached drawings. The original Contract Sum was $ 907,000.00 The net change by previously authorized Change Orders $ 7,899.00 The Contract Sum prior to this Change Order was $ 914,899.00 The Contract Sum will be increased by this Change Order in the amount of $ 10,471.00 The new Contract Sum including this Change Order will be $ 925,370.00 The Contract Time will be increased by Zero (0) days. The new date of Substantial Completion will be March 22, 2019 NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER Gregory A. Kil & Associates, Inc. A r t name) SIG A — nt`;. r IHNCAR'li , AIA Architect PR TED N ME ND TITLE �— DATE Ziolkowski Construction Co. Board of Public Works, City of South He°nd„ IN "IX�VMIPI CONTRACTOR (Firm name) OWNER (M ) of SIGNATURE SIGNATURE DEC- 1 1 1 1 Mw PRINTED NAME ANDITITLE PRINT DATE DATE q AIA Document G701 TM — 2017. Copyright © 1979, 1987, 2000 , 2001 and 2017 by The American Institute of Architects. All rights reserved. WAll?NtplINQ This a�;aurrnrnnp s f ected by US Ca pyro^rigllht. Law and i nt�ein�naUornll Vrratloa, Unauthorized uspFodiiAcUain or dGstii 1pnuft n of tlhnp�s AIIA" Document, or, IIA�' Iltan � is ou��a�at aunyy poi°ffoun of 01, irnayp iesuufil in seveii,o a.Mll aund r,iu°uindinai! Ipoinaanities, and MH he p hose.¢ uteri to the irnnaxhill irmn extent imssl!!We uuund eu° the iawrv, This document was produced by AIA software at 13:45:57 ET on 11/09/2018 under Order No 4082306517 which expires on 11/09/2019, and is not for resale, User Notes: (3139ADA54) DATE 11/9/2018 City Of South Rend Venues, Parks and Arts Erskine Clubhouse Renovation Project No.116-108 Ziolkowski Project #17668 RCO # 007 Revised 11/212018 DgSCI IP^TIO Provide labor, material and equipment to remove existing gutter system on the south side of clubhouse and Install new as shown on attached drawing. Payment & Perf Bond q' TOTAL RCO AMOUNT 1C1 711 Tim Subject: From: Floyd Poor rnailto Roy d dudeckroofin .cons] - Sent: Friday, November 09, 2018 9:40 AM To: Tiny Morey Subject: RE: Erskine Club house. Tim, Original scope — Install EPDM gutter liner in existing North and South built-in gutters - $4,470.00 — 50% (credit for Southside) $2,235.00 Revised scope - Materials, Labor & credit. Total Costs - $11,660.00 - credit - $2,235.00 = $9,425.00 Labor - 96 hrs x 79.00 = $7,584.00 Materials - 4,076.00 Credit - - 2,235 00 Total — $9,425.00 Change Order Request, fl BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/4/2018 Name Krle Silveus Department Engineer!n _......_. BPW Date 12/11/2018 Phone Extension 9083 oou�m�o uwmrmmm re�uuuuuuuuuummwwm�rtwrcra�m!�mrmrwvrnmwr�r r�®r�rwm more�n a�,���,�y Required Prior to Submittal to Board �......._. _ ........ ...................... _. __.. Legal AttorneyName Clara McDaniels Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing �] Michael Schmidt Check the Agreement (l Professional Services ❑ Bid Opening Quote Opening Change Order No. 3 El Ease/Encroach. EI Other: Nropriate Item Tye [I, Contract ❑ Resolution El Bid Award �] Quote Award jC/O &PCANo. _ Traffic Control for All Submissions Proposal F-1 Addendum ❑ Req. to Advertise ❑ Title Sheet Required Information ❑ PCA Company or Vendor Name Ziolkowski Construction Inc. New Vendor ❑ Yes Z No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE [:] WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Erskine Clubhouse Renovation Project Number 116-108 FundingSource VPA Maintenance�� ����_....................................m........._ Fund Account No. 201.1101.452 39.89 Amount$ 10,471......................._..............................................�� �....�................................................�.�............._��. Terms of Contract Purpose/Description Amount of El ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination Non Debarment, E-Verif , Iran, etc.. Rtjuired For Changqe� Orders Onl,, Increase $ 10,471 Decrease $ Previous Amount $ 914,899.00 14,sgg...........m..........�.......................................�._�ww mm�.......�..................................�.��, 00 ...........................�.�.�.�.�............. Current Percent of Change:,1...1�4o�� New Amount $ 925,3.............._70.00 . ................ ...e.....� Total Percent of Change: 2.03% Dispersal After Approval Copy Original ® ❑ Kyle Silveus Patrick Sherman