HomeMy WebLinkAboutChange Order No 5-PCA - 2016 Manhole and Sewer Lining Project No 116-026 - Insituform Technologies1316 COUNTY —CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND_ INDIANA 46601-1 930
()V T11
�a
u
1865
CITY OF ! BEND PETE BUTTIGIEG, MAYOR
BOARD , PUBLIC
December 20, 2018
Janet Hass
Insituform Technologies USA, LLC
17988 Edison Avenue
Chesterfield, MO 63005
PHONE 574/235-9251
FAx 574/ 235-9171
RE: Change Order No. 5 (Final)/Project Completion Affidavit - 2016 Manhole and Sewer
Lining —Project No. 116-026
Dear Ms. Hass:
The Board of Public Works, at its meeting held on December 20, 2018, approved the Final
Change Order for this project, for a decrease of $162,538.70. The new Contract sum is
$2,837,196.20.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$2,837,196.20.
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. GILOT SUZANNA . FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DoRAu
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS,
PROJECT CHANGE ORDERr
DATE: 9/26/2018
PROJECT NO: 116-026
PROJECT NAME: 2016 Manhole & Sewer Linin
CONTRACT DATE: 12/22/2016
CHANGE ORDER NO: 5 Final
SUBJECT OF CHANGE ORDER: PCR #5-Adjustment to final quantities.
All items completed substantially as planned.
See attached Comparison of Estimate for overruns and underruns.
_........ . ....................
The original contract sum
$
2„957,900.80
Net change by previously authorized change orders
$
41,834.10
The contract sum prior to this change order
$
2,999,734.90
By this Change Order, the project amount is []'Increased
[- Decreased
$
162,538.70
The new contract sum including this change order
$
2,837,196.20
...............
This Change Order represents a total change of
-5.42 %
Total change for entire project
-4.08 %
Original contracted completion date/time 7/1/2017
Extension of date/time by previous change orders 90 days
Date/time extension by this change order 0 days
...
_.......... .....
New completion date/time 9/29/2017
CONTRACTOR
(:
C ntractor Signature
Janet Hess
Contracting & Attesting Officer
Printed Name and Title
Insituform Technologies USA, LLC
Company Name
17988 Edison Avenue
Address
Chesterfield, MO 63005
City, State, Zip
RECO9111JERIM-*200k APPROVAL
CITY OF SOUTH BEND
BOARD OF PUBLIC 'WORKS
Approved Date;
Gary A. Gilot, President
:z nna �Fitz6eVg, Member
Elizabeth A Maradik, Member
Therese.) or u, M ber
Mee Member
LDwm D`SvI tear-,
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT �
PROJECT NAME 2016 Manhole & Sewer Lining
PROJECT NO 116-026 FINAL COST $2,837,196.20
CONTRACT SIGNED 12/22/2016 MAINTENANCE AGREEMENT ENDS
Lining of sewers and manholes to prevent inflow and infiltration and extend their service
PROJECT DESCRIPTION lives.
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.
ecuted this day of ' 201 Itlsotuforrn Technologies USA, LLC
w,IT Company Name
t626ale17988 Edison Avenue
JanetHass Company Addressontracting &Attesting Of w
...............
Printed Name Chesterfield, MO 63005
City, State, Zip
WITNESSES&
fore me the undersigned Notary Public in and for said country and state personally appeared
wew and acknowledged his/her signature to on
I.AI,&I0% M. Ae 4[
the day of 201 Not a y Public Pl+st,ar Seal
ittGf�riz������t1�Ri �k
L^" s
JL �I unty
�C� r�riti� I[ r?
x
btgry Signature My ComimispA"�rts
� y�y�,r✓p,. N
Printed Name County of Residence,
If the Contractor is a corporation, the following certificate will be executed. �»
certify that I am Set of the Corpora n executing is release; that
p 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
Cor nation y' Authority o tsj, pverning body, and is within the scope of corporate powers:
creiarp's Signat6%stlanda Adkins
Contracting &Attesting Officer
Printed Name
Corporate Seal
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptableofin a roval and we recommend to the Board of Public Works that it be ordained so.
Date:
.....
Construction er
BOARD PUBLIC WORKS APPROVAL Date:
Gary A. 61ot, President , n a ° t q b • Elizabeth A Maradik, Member
Therese J, P rainember James A— tm
Member " Linda M. Martin,
I Okvm 0'5L;1JiV"
MAINTENANCE Travelers Casualty and Surety Company of America
BOND One Tower Square, Hartford, CT 06183
Bond N0.:106647157- Revised
KNOWN ALL BY THESE PRESENTS: That we lnsptulorin IC.0hnolodes USA. LLC" ,
as Principal, and Travelers Casualty and Sg •e a_Con,ian afAmerica , a corporation
organized and existing under the Laws of the State of Connecticut , as Surety, are held
and firmly bound unto * ci ofSourn ]3end,,ta.6 ($11nt -(it Building , as Obligee, in the
total SUM Of Two Hundred Fihty Three Thousand Seven Hnndred Npneteen & 62/100's
U.S. Dollars ( %zs3.719.62 ) for the payment whereof said Principal and Surety bind
themselves, jointly and severally, as provided herein. * 227 West Jefferson Boulevard, South Bend, IN 46601
WHEREAS, the Principal entered into a contract with the Obligee dated mcember22,_2016 for
2016 Manhole and Sewer Lining,Project No. 116-026
-- .............. ("Work").
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal
shall maintain and remedy said Work free from defects in materials and workmanship for a
period of Three 3 year(s) commencing on 29 2017 (the
"Maintenance Period"), then this obligation shall be void; otherwise it shall remain in full force
and effect.
PROVIDED, HOWEVER, that any suit under this bond shall be commenced no later than one
(1) year from the expiration date of the Maintenance Period; provided, however, that if this
limitation is prohibited by any law controlling the construction hereof, such limitation shall be
deemed to be amended so as to be equal to the minimum period of limitation permitted by
such law, and said period of limitation shall be deemed to have accrued and shall commence
to run on the expiration date of the Maintenance Period.
SIGNED this 29 day of November .._, 2018
Insituform Technologies USA, LLC
17988 Emit son A en , Chesterfield, MO 63005
Janet Hasa
BY: front cling & Att Jtnp
Travelers Casualty and St t1 COMpvauy of America
�,,'Thome, , Attarney-i.n-Fact
State of Missouri
County of St. Louis
On 11/29/2018, before me, a Notary Public in and for said County and State, residing therein, duly
commissioned and sworn, personally appeared Andrew P. Thome known to me to be Attorney -in -
Fact of
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
the corporation described in and that executed the within and foregoing instrument, and known to me
to be the person who executed the said instrument in behalf of said corporation, and he duly
acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year
stated in this certificate ;above.
Andrea WCadl Mary Pvb c
ANDREA MCCARTHY
Notary Public — Notary Seal
State of Missouri, St, Louis County
Commission # 15636518
My Commission Expires July 30, 2019
My Commission Expires:
Travelers Casualty and Surety Company of America
AWK Travelers Casualty and Surety Company
TRAVELERSJ St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casually and Surely Company of America, Travelers Casually and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Andrew P. Thome, of Chesterfield, Missouri, their true and lawful
Attorney -in -Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in
the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts
and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February,
2017.
m �
State of Connecticut ., ' y
City of Hartford ss. Robert L. Raney, Sohfor Vice President
On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casually and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal. Notary My Commission expires the 30th day of June, 2021 Made Tetreault, Note
Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casually and
Surety Company of America, Travelers Casualty and Surely Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in
full force and effect, reading as follows:
RESOLVED, (hat the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by
one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casually and Surely Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies, which remains in full force and effect.
Dated this 29 day of November 2018
Kevin E. Hughes, Assi Carrl Secretary
To verify the authenticity of this Power ofAttorney, please call us at 1-800-421-3BB0.
Please refer to the above -named Attorney -in -Fact and the details of the bond to which the power is attached.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/17/2018 Department Public Works
Name W. To V i l Division/Bureau Engineering
.........
BPW Date 12/20/2018 Phone Extension 5920
_...._� ..... ...._.._......... _..._.........................
Legal ❑ Attorney Name:
Controller ❑ Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
Check the
El Agreement Amendment
0 Professional Services
❑ Bid Opening
E Quote Opening
Change Order No.
Ease/Encroach.
IL Other:
Company or Vendor Name
iropriate Item Typemm-.mRegb
E] Contractm mmmmmmmm
El Resolution
Bid Award
F1 Quote Award
® C/O & PCA No.5 Final
❑ Traffic Control:
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
for All Submissions
Proposal
E] Req. to Advertise
uired Information
Insituform Technologies
Project Closeout
❑ PCA
Addendum
❑ Title Sheet
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iramn,metc.
...
Required For Chance Orders Only
Amount of ® increase Decrea a �_$....1..62. 5.3�8...7............................_�........................
..�
Previous Amount $ 2,999,734.00
Current Percent of Change: 5 42%
New Amount - ---............................................. .�_�_
2,837,196.20
_._m .. ww�.......
Charge
Total
Percent o-4.08%mm ,�,... �._ .. ........�............
Discersal After Approval
Copy
Original
El
❑