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Home My WebLink AboutChange Order No 1-PCA - Navarre St Milling and Asphalt Overlay Project No 117-128 - Walsh & Kelly1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-I930 1865 CITY OF ! BEND PETE BUTTIGIEG, MAYI BOARD OF PUBLIC January 22, 2019 Nick Relias Walsh & Kelly, Inc. 24358 SR 23 South Bend, IN 46614 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit - Navarre Street Milling and Asphalt Overlay — Project No. 117-128 Dear Mr. Relias: The Board of Public Works, at its meeting held on January 22, 2019, approved the Final Change Order for this project, for an increase of $7,000, plus an additional one -hundred ninety-five (195) days. The revised contract sum is $49,503.50 and project completion date is December 12, 2018. In addition, the Project Completion Affidavit for this project was approved in the amount of $49,503.50. 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 M. FRITZBERG ELIZABETH A. MARADIK LAURA O'SULLIVAN THERESE J. DoRAu uwMr . CITY OF SOUTH BEND, INDIIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJECT OF CHANGE ORDER: 11 /27/2018 117-128 Navarre Street Milling and Asphalt Overla Base Bid & A1t#1 12/21/2017 1 PCR #1-Add line items #16 Remove Sidewalk / Curb, 55SY @ $50.00/SY and #17 Replace Sidewalk / Curb Combo, 50SY @ $85.00/SY. 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 A Contractor Signature " 4, 'e) .,5 1& � IJ r t uted Name and Title Walsh & Kelly, Inc. Company Name 24358 SR 23 Address South Bend, IN 46614 City, State, Zip e $ 42 503.50 $ 0.00 $ 42,503.50 Increased Decreased $ 7,000.00 $ 49,503.50 16.47 % 16.47 % 5/31 /2018 0 da s 195 days 0: CONSTP43 MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC "M/I/'O K Approved Date: 1 "C3ary A. Gilot, President Suzanna M, Fritzberg, Member I�L wL Elizabeth A. M,radik, Member q �d�,YSY�tl p y CITY OF SOUTH BEND, INDIANA k BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVITr.,u PROJECT NAME Navarre Street Milling and Asphalt Overlay Base Bid & Alt#1 PROJECT NO 117-128 FINAL COST $49,503.50 CONTRACT SIGNED 12/21/2017 MAINTENANCE AGREEMENT ENDS Perform milling of surface, provide and install HMA surface pavement, and pavement striping PROJECT DESCRIPTION and markinqs on Navarre St. from Michiqan St. to St. Joseph. Wrr,011*19:0r: 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 at the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend4hl were a part of the above Contract. I'tin Hilary, VP of South Bend Area Printed Name 201 8 Walsh & Kelly, Inc. Company Name 24358 SR 23 Company Address South Bend, IN 46614 City, State, Zip Before e, th g Notary ry p Fo� A KRU�fGEana Before me, theundersi ned Nota Publ9 m and for paid count and state, �orsar�rnp��ra�n 1�ele RDUStIn Hrla and acknowled ed his/her si nature to the above Pro'• +Indiana trtwair the lit day f ea er 2018 !,AL St,Jo,ephCounty " My Commission Expires 4 WW„` June 05„ 2022 '�A�YdtlPWliv' Note gr afore My Commission Expires Alisha Krue er Printed Name County of Residence St. Joseph If the Contractor is a corporation, the following certificate will be executed. I, J. Michael Schaum certify that I am Secretary of the Corporation executing this release; that Dustin Hila ; who signed this release on behalf of the contractor was then VP of So Bend Area �„ of said Corporation; that said release was duly signed for and on Corpor ti n b athority i overning body, and is within the scope of corporate powers: % I W � ?I 9 Secretary" &9nature � �" T f �" � /. )� � J. Mi 04 el S ha um r A Prante Name S A.L mm DEPARTMENT OF PUBLIC WORKS APPROVAL This project acceptable f f` I approval and we recommend to the Board of Public Works that it be ord rm/ l ') I , t° �ww� "r�/Plllttttl Date: Construction tiger BOARD OF PUBLIC WORKS APPROVAL Date: a� „ ,,� )C)( el M ry mMember Elizabeth Map , Ga A. GIN t� President LSunna M. Fri't�lsrs o adik, Member Therese J. orau, Member aratte er. .. /1 't"!n�ta M. Martin, Clerk. Final Waiver of Lien State of Indiana, county of St. Joseph SS: Dustin Hilary_ being duly sworn tbathe/sheisthe South Bend Area Vice President (Name ofOfileer) (Title) of Walsh & Kelly, Inc. haft contracted with City of South Bend (Contractor) (Owner) to furnish certain,materialsandlorlabor ssfollows; m w Asphalt Pavement and Marking (,D�mrlpiion) for a project known as _WM # 117-128: Navarre Street Milling & Asphalt Overlay (Natrre of Project) located at and owned by Navarre Street City of South Bend ��._.T. (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier.- (PARTIAL WAIVER) that there is due from the Contractor the sum of ........... _...._.._... �.w ..._ . Dollars ❑ receipt of which is hereby acknowledged; or ❑ the paYment of~ hlch has been promised as the sole considoratlou for this Affidavit and Fivul Walver ofLlot —milch is given solely with respect to said amorrrrt, and which waiver sbal,l be effective only upon receipt of payment thereof by the rundersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of 16, 912.80 ❑ receipt of which is hereby adonowledged; or 91 the payment ofwhich has been promised as the sole consideration for this Affidavit and Final Waiver ofLlen which shall becorno oMoflyo only upon receipt of such payment, THEREFORE, the Underslgnud waives and releases unto the Owner of said premises joy and all liens or claims whatsoever ort tlro above-deser°lbed proptaty and helm ovements th " ) ®punt of labor ormnterlot, th, ftrrnlshe o undersigned therolo, subject to limitatlous or conditions ox rxas r t,rwd further cortll tb o other pax , s any claim or right to lien on account of any work performed or metal igued fo eland jcot, and w the scope of this davit and Waiver ofLien. o "• ». d '"°" �_,.........,...�......_.�.�....,.. aserrtativo y Walsh & Kell, Inc. STATE OF DIDUNA «� ST, JOSEPH COUNTY ) �, IND\ before die undersigned, allota Pabli �� I6440llountya � ;triStae� personally p�v Dustin Hilary Ilforr•e Inc, re execution oftho foragobig Affidavit mid Waiver ofI ion 1N WITNESS WHEREOF I have heremrnto subscribed ruy naino and affixed my offrc soul o the 21 st day of December' 200 8 ... �. .b_ .._ _._ _ . . Not y Prrbllo�Slgrratot"o. My Commission Expires: June 07, 2023 w � mm y .. h Turpin Residm m Indiana C Am Elizabeth g _,_,,,,,Indiana county, Marshall t ail e a Notary Public, State of liadians armhaip Geun' ' C,cmrna ss+on Expites June 7, 2023 .�ry BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01 /08/2019 Department Public Works Name �.. Toy �V�.l�la �........................ _M..�. Division/Bureau Engineering BPW Date 01/22/2019 Phone Extension 5920 �n�wmm�mimimHUHiwuuu�nui�r�ia m�ummmm�urw.u�muuw!�i�ivrti �uuwu�uu�m��vv sam�rxrt�rrtra�u ru�ruw�uiow� ....,.,...,. ,�......�,m.....�.. �,.. ...._... .... .......... ..,._ Required Prior to Submittal to Board Legal ❑ Attorney Name: Clara McDaniels 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 Quote Opening (l Change Order No. El Ease/Encroach. F� Other: General Release Company or Vendor Name ropriate Item Type — Rew EI Contract Resolution F-1 Bid Award Quote Award ® C/O & PCA No.1 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 Copy Original �d for All mSubmissions ❑ Proposal ❑ Req. to Advertise ❑ PCA Required Information Walsh & Kellv El Yes No Purchasin. nc. Addendum ❑ Title Sheet If Yes, Approved by MBE ❑ WBE No �] Yes Name of Company Navarre Street Milling and Asphalt Overl 117-128 LSRA / Street Maintenance 1.060 31.36.10