HomeMy WebLinkAboutChange Order No 1 Final & PCA - 2018 Demolitions Project No 118-307 - Ritschard Bros Inc1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND_ 1NDIANA 46601-1 930
CITY OF ! BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
May 28, 2019
Rachelle Dolniak
Ritschard Bros., Inc.
1204 W. Sample Street
South Bend, IN 46619
PHONE 574/235-9251
FAX 574/235-9171
RE: Change Order No. 1 (Final)/Project Completion Affidavit - 2018 Demolitions —
Project No. 118-307
Dear Ms. Dolniak:
The Board of Public Works, at its meeting held on May 28, 2019, approved the Final Change
Order for this project, for a decrease of $55,341. The new Contract sum is $264,417.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$264,417.
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,
(a -
Linda M. Martin, Clerk
Enclosures
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
x0 V MP#
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS'
PROJECT CHANGE ORDER
DATE: 5/3/2019
PROJECT NO: 118-307
PROJECT NAME: 2018 Demolitions
CONTRACT DATE: 11/27/2018
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
$ 319,758.00
Net change by previously authorized change orders
$ 0.00
The contract sum prior to this change order
$ 319,758.00
By this Change Order, the project amount is
_
Increased
'Decreased
$ 55,341.00
The new contract sum including this change order
$ 264,417.00
� ................
This Change Order represents a total change of
-17.31 %
Total change for entire project
-17.31 %
....................... __
Original contracted completion date/time
....... .... .._
3/8/2019
Extension of date/time by previous change orders
0 da s
Date/time extension by this change order
0 days ..
New completion date/time
3/8/2019
CONTRACTOR
RECOMMENDED F
ntractor Signature
CONST ION MANAGER
CITY OF SOUTH BEND
Rachelle L. Dolniak Pres_ident__
Printed Name and Title
BOARD OF PUBLIC WOR' S
Approved Date:'
Ritschard Bros., Inc.
Company Name
Gary A. Gilot, President
1204 W. Sample Street
Address
WGenevi a E. Miller Member
South Bend, IN 46619
City, State, Zip
iz beth A. Maradik, Member
T ere" e J. Dorau r
aura; O'Sullivan, kkevMber
„�atic'pnu �A
CITY OF SOUTH BEND, INDIANA ,
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME 2018 Demolitions
PROJECT NO 118-307 FINAL COST $264,417.00
CONTRACT SIGNED 11/27/2018 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Demolitions of 23, More or Less, Vacant and Abandoned Homes within 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,
cured this 8th day of May 201 9 Ritschard Bros.,, Inc.
Company Name _...... .
Signature 1204 W. Sample Street
........ ......__
Rachelle L. Dolniak Company Address
Printed Name South Bend, IN 46619
City, State, Zip
WITNESSESS:
Before me, the undersigned Nota Public in and for said country and state, personally appeared
achelle 1—Do and ac wledged his/her signature to the above Project Completion Affidavit on
the 8th ay f_ M 2019 �ti �tlrrn�re
Notary rgnature My Corr rr �n'Ex�pires 18 2
Robin zo
Printed Name Count of R: � 4 w:
ess�r�� � . Joaeh
1, onald' is d ions, t� following certificate
ti�atwill
l am ���ed � � � .•” ;�
I the Contractor is a r rat
certify �ry of the orporatiry executing this release; that
l niak who signed fh or ' %life the. contractor was then
t' d It of said Corporation, that s f1SJ�s malty signed for and on beN�alf of said
o 0 o g v ping body, and is within the scope of corp e powers:
becreraays bignature
Corporate Seal
Donald Ritschard A.
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptabNe for fi I approval and We recommend to the Board of Public Works that it be ordained so.
Date. w13.
Construction edger
BOARD OF PUBLIC WORKS APPROVAL Date:a 1
Gary A. Gilot, President Ge vi2E,Wr, Member Elizabeth A. Maradik, Member '
_ _...ry t
�
The s�Drt Me R er ura O'Sullivan, ruteN Ltp a M. Martin, Clerk
Final Waiver of Lien
State of Indiana, County of St. Joseph SS:
Rachelle Dolniak
vp being duly sworn that he/she is the W _ President
or)
(1"itle;)
of Ritschard Bros.. Inc � _ having contracted with City of South Bendw
(Contractor) (Owner)
to furnish certain materials and/or labor as follows:
(Description)
for a project known as 2018 Demolitions
..... �..., (Name of Project)
t)
located at Various Addresses
and owned by C-ily of South Bend
(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
.s. � Dollars ,
❑ receipt of which is hereby aclutowledged; or
El 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
h r T1 wand Y;Lf on D ..;) 00 ISO .L. . _ .... _
❑ receipt of which is hereby acknowledged; or
® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shelf
become effective onlyuponreceipt 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 undoes" red for said project, and within the scope of this Affidavit
and Waiver of Lien
�k
• xn.,...
Rtscfnard Bros. Inc- .....�.,.�. BY w .
(Firm) (Authorieed Representative)_
STATE OF INDIANA )
SS:
ST. JOSEPH COUNTY )
Beforet me, the undersigned, a Notary Public, in and for said County and State, personally appeared Rohe L. DoIn Qp1r
and acknowledged the execution of the foregoing
Affidavit and Waiver of Lien.
IN WITNESS WHEREOF, Ihave hereunto subscribed my name and affixed ray oifi a cal n the 8 t'h day of
hla 200 19
RD
����gttulCr
r, otary Public 81gaa tro
My Commission Expires: 9 i 8 25
Robin 1 ozo
. Jose h County, ...�. .�."...,�.�., h', '� '�-.
Residingin St "°. lotaryPubliName
E3L\
OF 109
'r rrrruof000
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 05/14/2019
Department
Name Tol Villa Engineering
BPW Date 05/28/2019 Phone Extension 5920
UMN
....-..-_.._.................
Required Prior to Submittal to Board
......_ ---_.u_ .0.__. M ---
BPW Attorney Attorney Name
Dept. Attorney R Attorney Name
Purchasing
Check the
Item Type — Required,16r, All Submissions
Professional Services Agreement E] Contract
Open Market Contract
Amendment/Addendum
Bid Opening
Bid Award
Quote Opening
Quote Award
Proposal Opening
® C/O & PCA No. Final
❑
Chg. Order, No.
❑ Traffic Control
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Information
LJ Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise
Reject Bids/Quotes
PCA
Q Resolution
Ease./Encroach
Ritschard Bros., Inc.
.........................................
E] Yes If Yes, Approved by Purchasing
Z No
❑ MBE Completed E-Verify Form Attached
WBE
2018 Demolitions
__________________
118-307
COIT
........................ _u
404.1201.415.39.87
❑ Title Sheet
................._ _ _...... ......._ _------
For Change Orders Only ... - ww ...
Amount of Increase $
Z Decrease . $ 55,341.00) ........... __....
Previous Amount $ 319,758.00
Current Percent of Change
New Amount
Increase %
.1_...................
Decrease ( 7.31%
$ 264,417.00
❑ Yes
❑ No
Increase %
Total Percent of Change: Decrease 17.31%)
Time Extension Amount:
New CompletionITDate _....................._. ....___.... _.._........ ...... ...