HomeMy WebLinkAboutChange Order No 3 - LWW and Charles Martin Sr Drive Improvements Project No 117-072A - Selge Construction1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1 830
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CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF LC WORKS
December 20, 2018
Robert Kuhns
Selge Construction Co., Inc.
2833 S. 111h Street
Niles, MI 49120
PHONE 574/235-9251
FAX 574/235-9171
RE: Change Order No. 3 - Lincolnway West and Charles Martin Sr. Drive Improvements
—Project No. 117-072A
Dear Mr. Kuhns:
The Board of Public Works, at its meeting held on December 20, 2018, approved the above
referenced Change Order for an increase of $9,353.50, bringing the current contract amount
to $1,195,263.03 .
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
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:
12/20/2018
117-072A
Lincoinway West and Charles Martin Sr. Dr. Improvements
6/26/2018
3
PCR #12-Add Line Item: Strain Pole Rush PCR #13-Add Line Item:
Concrete Ribbon PCR #14-Add Line Item: Temporary Striping
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
f
Contractor Signature
Robert Kuhns, Project Engineer
Printed Name and Title
Sel a Construction Co., Inc.
Company Name
2833 S. 11 th Street
Address
Niles, MI 49120
City, State, Zip
Increased
Decreased
11 /9/2018
2 days
0 days
11/11/2018
$ 1,131,012.15
$ 54,897.38
$ 1,185, 909.53
$ 9,353.50
$ 1,195,263.03
0.79 %
5.68 %
091,4001 We
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• - • a
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date--. d["'Do /Y
Gary A. 1 ot, President
nria W. F"ritzberg, Member
Elizabeth A. Maradik, Member
There a Do au, er
J mea-A.--Mueller, member
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date _12/17/2018
Name Kyle Silveus Department Engineering
BPW Date 12/20/2018 Phone Extension 9083
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ed PriortoSubmittalto to Board
Legal Attorney Name Clara McDaniels
Controller ❑I Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing ❑ Michael Schmidt
Check the
LJ Agreement
E] Professional Services
Bid Opening
El Quote Opening
® Change Order No. 3
❑ Ease/Encroach.
EJ Other:
r_opriate Item Tyww-
Contract
Resolution
Bid Award
[�] Quote Award
�] C/O & PCA No.
Traffic Control
for All Submissions
I Proposal 0 Addendum
❑ Req. to Advertise ❑ Title Sheet
Required Information
Company or Vendor Name Sel e Construction Co., Inc.
❑ PCA
New Vendor Yes EJ No ❑ If Yes, Approved by Purchasing
MBE/WBE Contractor [:1 MBE WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company
Im
Project Name LWW Charles Martin Intersection movements ............................____ .e...
Project Number 117-072A
Funding Source
RWDA
Account No.
324-1050-460-42.03
Amount$
9,353...50........................�.,,....................�.�.�.�............................����...�.. �m�.�...................................._..........�. _��
Terms of Contract
Purpose/Description
�.,
Add Line Items — Strain Pole Rush,Concreteribbb ons Temporary
Strip
❑ Required Contractor's Certification Form Attached (Non -
...__.._
Collusion, � a _..._w, Iran, etc.
ollusion, Non -Discrimination, Non -Debarment, E-Verify, ._.__
Amount of Increase
$ 9,353.50„ ..... _„
Decrease $
Previous Amount
.....1........................ ,....�.__- � � .�.�.
,185,909.53
Current Percent of Change:
0.79%����
........... ...............�.
New Amount
#1�9263.03
5,
�.��...
Total Percent of Change:
...�.�...._— mm....ww �_....�.
5.68%
Dispersal After Approva.L.....__.........................................�........... ������.......�...
Copy Original
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