HomeMy WebLinkAboutChange Order No 1-PCA - WWTP Belt Filter Press No 1 Rehabilitation Project No 118-019 - Alfa Laval, Inc1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
Larry Packard
Alfa Laval, Inc.
10470 Deer Trail Drive
Houston, TX 77038
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'PEACE
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLICWORKS
February 12, 2019
PHONE 574/235-9251
FAx 574/235-9171
RE: Change Order No. 1 (Final)/Project Completion Affidavit - Wastewater Treatment
Plant Belt Filter Press No. 1 Rehabilitation — Project No. 118-019
Dear Mr. Packard:
The Board of Public Works, at its meeting held on February 12, 2019, approved the Final
Change Order for this project, for a decrease of $175. The new Contract sum is $202,956.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$202,956.
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
CITY OF SOUTH BEND
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE: 01 /17/2019
�_.. _............
PROJECT NO: 118-019
PROJECT NAME: WWTP - Belt Filter Press #1 Rehabilitation
....... ........ .
CONTRACT DATE: 04/24/2018
CHANGE ORDER NO. 601
SUBJECT OF CHANGE ORDER: Credit of $175,00 for Unused Pro'ect Allowance
All items completed substantially as planned.
See attached Comparison of Estimate for overruns and underruns.
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
$ 203,131.00
$ 0.00
$ 203,131.00
❑ Increased
® Decreased $ _ 175.00
$_..........................202,956.00
........ .....
-0.086 %
-0.086 %
Original contracted completion date/time 10/31/2018
Extension of date/time by previous change orders 0 days
Date/time extension by this change order 0 days
New completion date/time Work is complete.
RECOMMENDED FOR APPROVAL
CONTRACTOR
Contractor ignature
Larry Packard / Contracts and Bid Manager
Printed Name and Title
Alfa Laval Inc.
Company name
10470 Deer Trail Drive
Address
Houston, Texas 77038
City, State, Zip
Construction Manager
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date: /2 /%
radik, Member
Therese J. Dorau, Member
CITY OF SOUTH BEND, INDIANA e i
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Wastewater Treatment Plant Belt Filter Press #1 Rehabilitation
PROJECT NO. 118-019 FINAL $202,956.00
COST
CONTRACT 04/24/2018 MAINTENANCE AGREEMENT 09/28/2021
SIGNED ENDS
PROJECT Rebuild Dewatering Belt Filter Press #1 at Wastewater Treatment Plant
DESCRIPTION
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. I
l3xecu d this r (Mai! of January 220 19
Signature
Larry Packard
Printed Name
..........._..._. ..._.. ......... _
AM Laval Inc.
Company Name
10470 Deer Trail Drive
................ -.- ........ _.....__...... ....
- -
Company Address
Houston, Texas 77038
City/State/Zip
WITNESS
Before me, the undersigned Notary Public in and for said country and state, personally appere
_ITQ� ,and acknowledged his/her signature to the above Project Completion Affidavi
on the two day of
Notary Signature My Commission Expires
Printed Name County of Residence --4
If the Contractor is a corporation, the following certificate will be executed.
I, WiW * cT, 60006 ' , certify that l am Secretary of of the Corporation executing this release; that
Larry Packard who signed this release on behalf of the contractor was then
Contracts and Bid Manager of said Corporation; that said release was duly signed for and on behalf of
said Corpora `on by lithority of its governing body, and is within the scope of corporate powers:
Si n ire Secretary's
Corporate Seal
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for final approval and we recommend to the Board of Public Works that it be
ordained so.
� Date: Of-ZS- 20/0
(,,"Con gtruction Manager
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APPROVAL ateVA—irra
BOARD OF PUBLIC O
......... JA /I
ary ilot', President �%j . n a Frigberg, Member O'Sullivan, er
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labet tc �.
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h A. aradik' Member Therese J. Dorau Member I�n a M. Martin, .lerlc
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS,
That Alfa Laval Inc. , as Principal, and
, as$urety, are held anti f'untly bound
unto Citv of South Bend IN -Board of Public Works , as Obligee, in the full and just gum
Dollars
$ 20,295.60 ), for the payment of which sum, well and truly to be nmda, the Principal and Surety bind themselves, their
half'. executors,, administrators, suttescors and esdgn', joimly and NVOU ly, firmly by these presents.
WHEREAS, The Principal has entered irrto a written contract dated May 8. 2018 with the Obt*e for
Wastewater Tre trP P es No. 1 Rehabilitation;P o ect No 118-01e
and
WHE REAS, said contract provides that the Principal will furnish a bond conditioned to guarantee for the period of three (3) years
after approval of the final asdmate on said job, by the owner, sllsinst all defects In workmanship and materials which may become apparent
dwbV said period.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall indemndy the Obligee for all hiss
that the Obligee may su'tain by reason of any defective materiels or workmanship which become apparent during the aforesaid period, then
this obligation shall be void; otherwise to remain In full force and effect.
Signed, seated and dated January 22. 2019
Alfa Laval Inc.
��" (saw)
tTr et
ts;vrory l
Bond No. -M3Q0 15Z14
By
J461sica J. Wirt" re oy.r.,.P.ae
37830(7463)
am
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POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Jessica J. Winfree , Individually
of Richmond, VA its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
StuetyBondNo.: M30035714
Principal: Alfa Laval Inc.
obligee: City of South Bend, IN -Board of Public Works
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be
hereto affixed on this 27th day of February, 2018.
r WESTERN SURETY COMPANY
Paul T. Bruflat, Vice President
State of South Dakota
County of Minnehaha I
ss
On this 27th day of February, 2018, before me personally came Paul T. Bmflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so
affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires
J. MOHR
Tune 2 3, 202 1 scwrrw
CERTIFICATE 1. Mohr, Notary Public
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 22nd day of January, 2019.
" WESTERN SURETY COMPANY
r"�" °w
Form F4280-7-2012 L. Nelson, Assistant Secretary
Go to rww&n tare ,t: tr > Owner / Obligee Services > validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Law
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
January 17. 2019
Jacob M. Klosinski
Department Utilities Env. Serv,
BPW Date Februa 12, 2019 Phone Extension574235-9496
!�'✓�✓� me�uar�mr� � ru a omomomo� eirm�n
........ ....�.�. .,..............
..w....._.......... ......_ ........_....
Required Prior to Submittal to Board
Legal ® Attorney Name 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 ® *AI Greek Director of Utilities*
Check the Appropriate Item Type
Agreement
Professional Services
Bid Opening
❑ Quote Opening
[:] Change Order No.
F-j Ease/Encroach.
0 Other:
LJ Contract
Resolution
Bid Award
Quote Award
® C/O & PCA No. 1 Final
❑ Traffic Control
for All Submissions
Q Proposal Addendum
❑ Req. to Advertise ❑ Title Sheet
Required Information
❑ PCA
Company or Vendor Name Alfa Laval Houston Texas
New Vendor ❑ Yes ® No M If Yes, Approved by Purchasing
MBE/WBE Contractor ❑ MBE ❑ WBE
MBE/WBE Contractor Requested ❑ No ® Yes Name of Company See Contractor Bid
Project Name WWTP - Belt Filter Press #1 Rehabilitation
Project Number 118-019
Funding Source Utilities - Wastewater ..................._w � .........._ ......
astewater -Other Equipment
Account No. 641-0630-793-36-05
Amount $
Terms of Contract
Purpose/Description The Division of Utilities reguests the approval of closeout
documents Change Order No. 1 Final Project Completion
Affidavit and Maintenance Bond for the subject roject. Final Pro'ecl
Cost 02,956.00.
Ej Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify,Iran, etc.).
Rewired For Change Orders n!__....---
Amount of El Increase $
Decrease $ 175.00
Previous Amount $ 203,1 .1.......0.....0.
Current Percent of Change:-0.0860/o
New Amount $ 202,956.00
Total Percent of Change:-0.086%
Dispersal After Approval
Copy Original
® ❑ Al Greek, Director of Utilities
® Jacob M. Klosinski, Assistant City Engineer
® Susan Zeeb, Director of Financial Services Wastewater
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENVIRONMENTAL SERVICES
TO: Members of the Board of Public Works
Eric Horvath, Director of Public Works
Clara McDaniels, Assistant City Attorney Public Works
Linda M. Martin, Clerk
FROM: Al Greek, Director of Utilities
Jacob M. Klosinski, P.E., Assistant City Engineer
SUBJECT: Project No. 118-019 WWTP Belt Filter Press #1 Rehabilitation
Closeout Documents — Change Order No. 1 (Final), Project Completion
Affidavit, Maintenance Bond
DATE: January 17, 2019
WON�b�ntCY'JONSWUv;�NSFlb`4iVMv����p;�MkHW✓urv¢w�'urvwJlfmmWlm'rvrv�wf��vwaw�va'mom'mv�vmn�w06tS'�e.�.wtirvllttNttVlV�wirmglitViN�Bd�1�h i� M��W!.UJWW,6;W�JffUSb.NM10MhW1�➢dBdWC eM4i1M;tlMePotMtlhll uIDlBi�dMiWv���mmmrxavnnu� 1�wn„'N�mrvNP'/rrIaPYUf�M�FASiM�k'1'�W�OOVfrP'hq�0'utl�lAMdm4iNM4NW;PMhJMu�;dVlvgOG/Y 9Utrul+d�u tifk,Fi�vA41u u4Pn9@k�'ninic�:;N
The Division of Utilities requests the Board of Public Works approval of Change Order No. 1
(Final), the Project Completion Affidavit and the Maintenance Bond for Project No. 118-019
WWTP Belt Filter Press #1 Rehabilitation.
The work for the subject project was completed by Alfa Laval,
Original Contract Sum: $203,131.00
Net Change by previously Authorized Change Orders: $ 0.00
The Contract Sum prior to this Change Order: $203,131.00
By this Change Order, the project amount is decreased by: ($ 175.00)
The new Contract Sum including this Change Order: $202,956.00
This Change Order represents a total change of:-0.086%
The Total Change for entire project:-0.086%
The project was completed on time and under budget.
The Division of Utilities will finalize remaining payments for the project from Utilities,
Wastewater Other E ui meat Account 641-0630-793-36-05
For questions regarding the above recommendation or the subject project, contact Al Greek
(Ext. 4210) at the Division of Utilities or Jacob M. Klosinski (Ext. 9496) at the Division of
Engineering.
iwtuli.,14. -I PH Mt._
To: South Bend Wastewater Tretament Plant
3113 Riverside Drive
South Bend, IN 46628
Attn: Jacob Klosinski (ph 574-235-9496)
Ashb
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D._
�50f
10470 Deer Trail Drive
Houston, TX 77038
(800) 362-9041 Toll Free
(281) 449-1324 Fax
Date: 01-24-18
Ref: Project 118-019
SO#:
We are sending you: FL] attached under separate cover
(via) FedEx Next Day (By 10:30am) the following items:
QTY DESCRIPTION
1 Executed Change Order No 1
1 Executed Project Completion Affidavit
1 Executed Payment Application No. 1
1 3 Year Maintenance Bond
THESE ARE TRANSMITTED TO YOU: PLEASE
foraroyal resubmit pp HEcopies
for your use submit copies
x as requested return approved copies
REMARKS:
Sign,
LarryPackard/Contract & Bid Manager
Rev 7
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