HomeMy WebLinkAboutChange Order No 1 - Human Rights Commission Office Remodel - Premier 1 Construction Inc1316 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 PUBLIC WORKS
May 14, 2019
Al Lusk
Premier 1 Construction, Inc.
105 E. Jefferson Blvd.
South Bend, IN 46601
RE: Change Order No. 1 - Human Rights Commission Office Remodel
Dear Mr. Lusk:
PHONE 574/235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on May 14, 2019, approved the above
referenced Change Order for an increase of $2,877, bringing the current contract amount to
$24,129.
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 (xA no
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
CITY OF SOUTH BEND
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE: 5/3/2019
PROJECT NO:
ihts CaramNss—Office Remodel
_Offimod
PROJECT NAME: Fiu an R+ ..__w c �..� _....
CONTRACT DATE: 4/23/2019
CHANGEORDER NO. �..���.����������...�...��............_....._�_..........w�.._._... ,. � ...,, �...._�_�___________�..........m......................
SUBJECT OF CHANGE ORDER: xt rwsion f c r of lac r��..... � � ent
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
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
tractoOnr
Al Lusk President
Printed Name and Title
Premier 1 Construction„ Inc.
Company name
105 E. Jefferson Blvd.
Address.............__W. _..........w...._--
South Bend, IN 46601
City, State, zip
$ 21252
$ �... ..................... 21252
® Increased
❑ Decreased $ 2877
24129m
13.5 %
13.5 %
RECOMMENDED FOR APPROVAL
Construction Ma
CITY OF SOUTH BEND
BOARD OF PUBLIC OR S
Approved Qate: m `�
.... _.............
............
Gary A. ilot, Presid nt
la eth aradik, Member
Therese Dorau, Member
Ge ieve E. Mild M ber 9....................... .........
ura O'Sullivan, M.' r
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 5/3/2019 __ _... �.�... ..._.._.............
Department Central
Name Adam Parsons Services
BPW Date5/14/20,19 Phone Extension 9302
_.m.,.- m._ �...
. qu fired Prior to Submittal to Board
. ._.... � �...,� ... � �.�.. �� ...� ........
BPW Attorney F-] Attorney Name
Dept. Attorney Attorney Name
Purchasing 11
Check the Appropriate Item Type --
Q Professional Services Agreement 0 Contract
Open Market Contract
❑ Amendment/Addendum
❑ Bid Opening
❑ Bid Award
❑ Quote Opening
❑ Quote Award
❑ Proposal Opening
❑ C/O & PCA No.
® Chg. Order, No. 1
❑ Traffic Control
E] Other:
irt?d fibr All Submissions
Required Information
LJ Proposal
E] Special Purchase, QPA
E] Req. to Advertise
0� Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
❑ Title Sheel
Company or Vendor Name
Premier 1 Construction, Inc.
_.
New Vendor
... w . _........................... —.........
E]Yes ❑ If Yes, Approved by Purchasing
No
MBE/WBE Contractor
MBE Completed E-Verify Form Attached ❑❑ N s
Project Name
Human Rights Commission —Office Re model
Project Number
_......������ _.._.. .. .......
Funding Source
C. .�.._............W.............
_ OIT
Account No.
�._.� .......... .......... w .............. . ...... ,.
404-0617-631.36-01
Amount
...._..._ ......_._..........w .......
$..._.............._.. ._............. 6
2,877.00
Terms of Contract
................. . .............. mw m� ._� � _..._......._-......
Lump Sum ....... ......................w
mm,_�.�...... ® ..._...
Purpose/Description
To extend the installation of carpet to the hallway, replacing wavy, unsafe
carpet.
For Clay Orders Only
Increase _ %
Total Percent of Change: Decrease ( %
Time Extension Amount:
New Completion Date: