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Home My WebLink AboutChange Order No 1-PCA - 2018 Tree and Stump Removal Project No 118-048A - K&R Tree Service1316 COUNTY -CITY BUILDING 227 w.JEFFERSON BOULEVARD SOIITH BEND. INDIANA 46601-1930 Kevin Kenney K&R Tree Service 1724 S. Grant St. South Bend, IN 46613 ttwwy� f,;,�A1�1 ry d[��'Y�rbAy1 y� } PPAC 1865 February 12, 2019 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit - 2018 Tree and Stump Removal — Project No. 118-048A Dear Mr. Kenney: The Board of Public Works, at its meeting held on February 12, 2019, approved the Final Change Order for this project, for an increase of $1,840. The new Contract sum is $17,465. In addition, the Project Completion Affidavit for this project was approved in the amount of $17,465. 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 arri ray R CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS C; PROJECT CHANGE ORDER DATE: 1 /7/2019 PROJECT NO: 118-048A PROJECT NAME:. 2018 Tree and Stump Removal CONTRACT DATE: 7/24/2018 CHANGE ORDER NO: 1 Final SUBJECT OF CHANGE ORDER: PCR #1-Adjustment to Final Quantities, All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 15,625.00 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 15„625.00 By this Change Order, the project amount is Increased N Decreased $ 1,840.00 The new contract sum including this change order $ 17,465.00 This Change Order represents a total change of 11.78 % Total change for entire project 11.78 % .... .__ ..... _..... Original contracted completion date/time ......... 9/14/2018 Extension of date/time by previous change orders 0 days Date/time extension by this change order 0 days New completion date/time 9/14/2018 CONTRACTOR REC9MMENQED EQR APPROVAL ,y ot ntractof i hature CONST ON MANAGER CITY OF SOUTH BEND Printed Name and Title I BOARD OF PUBLIC OAR S K & R Tree Service ppoved Date �� „,�._ �o7y � Company Name Gary A. Gil6t, President 1724 S. Grant Street Address manna M. Fritzbe M............_ g, a be South Bend,... IN 46613 L City, State, Zip .� " a Aa eth A. Maradik, Member Therpe J. Dorau, Merrm er flAN 2 2., 19 UR A c-511'4-11; 'Al) Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS. " PROJECT COMPLETION AFFIDAVIT m PROJECT NAME 2018 Tree and Stump Removal PROJECT NO 118-048A FINAL COST $17,465.00 CONTRACT SIGNED 7/24/2018 MAINTENANCE AGREEMENT ENDS Perform tree and stump removals as identified in the specifications at various locations within PROJECT DESCRIPTION the City of South Bend. 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. Executed this 2A day off .G 201K & R Tree Service / �7 Company Name re k 1724 S. Grant Street Company Address Printed Name South Bend, IN 46613 City, State, Zip WITNESSESS:`"""i Eugenia R. Francoeur fore me, the undersigned Notary Public in and for said country and state, persona I Pe. d St. JOesph County T � A and acknowledged his/her signature to the above Project CA! MoaGowiission Expires the day of A 2n, „ 2o1g April 26, 2026 . _ Notary Sign ture My Commission Expires �. .:2° N ; Q F� j c co eu-r Printed Name County of Residence 157.�°- If the Contractor is a corporation, the following certificate will be executed. 1, certify that I am Secretary of the Corporation executing this release; that 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 Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Printed Name Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable Tor ai approval and we recommend to the Board of Public Works that it be ordained so. _ Date: all Constructio manager BOARD OF/)PUBLIC WORKS APPROVAL Therese J. Dorau, Member I -At A d-Ylky—i o'ember Final Waiver of Lien r State of Indiana, County of tss'IC SS: being duly sworn that he/she is the U W h v— atne (N of Officer (Title) having contracted with (Contractor) (Owner) to furnish certain materials and/or labor as follows: - -L Description , fora project known as t y /� .. - (Name of Project) located at _ on and owned by � � . �- , and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the suns of Dollars _ ❑ receipt of which is hereby aclatowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien -which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of ❑ receipt of which is hereby aclmowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shell become effective only uponreceipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any, and further certified that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for sold project, and' within the scope of this Affidavit and Waiver of Lien. Sero —A By arm ' u rizedRepro ntxa "ve) STATE OF INDIANA ) SS: ST, JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared e U -,A S�9h end aclpt owledged the execution of tho foregoing Affidavit and Waiver of Lion, 7 IN WITNESS WHEREOF, I have hercnnto subscribed0my name and affixed my oflMal seal on the 7 — day of rtl " Notary 1, to Signature My Commission Expires:; Residing in 5° ,.�„:'47k .County, /� N (i M ._ Eugenla R. Francoeur St. Joes h County My Commission Expires April'p , pop BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01 /24/2019 Department Public Works Name Toy Villa Division/Bureau Engineering g ring BPW Date 02/12/2019 Phone Extension 5920 ie��rired Prior to Submittal to Board Legal F] 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 El _ Check the ❑ Agreement Amendment 0 Professional Services El Bid Opening Quote Opening Change Order No. El Ease/Encroach. F-1 Other: Company or Vendor Name iropriate Item T_y El Contract R Resolution Bid Award ❑ Quote Award ® C/O & PCA No ❑ Traffic Control: New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract R _qqlqd for All Submissions Proposal ❑ Req. to Advertise 1 Final R PCA uired Information K & R Tree Service Addendum ❑ Title Sheet Purpose/Description Project Closeout ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination Non Debarment E-Verify, Iran, etc. ....... _ ._____ ._. N Amount of .... _�.. .....�... __...... Ro iuired For Chan, Orders Orja�r ® Increase $ 1mm„840.00 ❑ Decrease $ �.s___..——_m._...... ........._ Previous Amount $ 15,625.00 CurrentPercent of Change: 1...1...78.%9.... _ _ ................��... m..��.........................��......�. �� A...A�.�.�.�.�.�......_. 6 New Amount _$ 17,465.00 Total Percent of Change: 11.78% ��- ......._._ ............. � Dispersal After Approval Copy Original ❑ El ❑ ❑