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HomeMy WebLinkAboutChange Order No 1 Final & PCA - Mishawaka Ave Tree Replacement Proj No 118-111 - Acorn LandscapingBUILDING 227 W. JEFFERSON BOULEVARD OV'11 µ 1865 SOUTHCITY OF BEND PETE * MAYOR i>!A1 OF PUBLIC WORKS May 28, 2019 Jeff Ritschard Acorn Landscaping LLC 3680 W Sample Street South Bend, IN 46619 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit - Mishawaka Avenue Tree Replacement —Project No. 118-111 Dear Mr. Ritschard: 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 $2,415. The new Contract sum is $19,424.50. In addition, the Project Completion Affidavit for this project was approved in the amount of $19,424.50. 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 GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU CITY OF SOUTH BEND, INDIANA� DEPARTMENT OF PUBLIC WORKS: PROJECT CHANGE ORDER DATE: 5/1 /2019 PROJECT NO: 118-111 PROJECT NAME: Mishawaka Ave Tree Replacement CONTRACT DATE: 11/20/2018 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 $ 21 839.50 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 21,839.50 By this Change Order, the project amount is Increased HxDecreased $ 2,415.00 The new contract sum including this change order $ 19,424.50 This Change Order represents a total change of -11.06 % Total change for entire project -11.06 % Original contracted completion date/time 4/15/2019 Extension of date/time by previous change orders 0 days Date/ti nsion by this change order 0 days New mpWio date/time 4/15/2019 MAQTnR RECOMMENDED FOR APPROVAL C a' ignature CONS 10N MANAGER CITY OF SOUTH BEND Printed Name and Title BOARD OF PUBLIC WORK Approved Date: ... r° ACORN LANDSCAPING LLC. Company -Name Gary A. Gilot, President 3680 W SAMPLE Address SOUTH BEND, IN 46619 City, State, Zip Genevielie E. Miller, Vember za eth A. Meiradik, Member Th ese J, Wral - ber aura O'Sulliva m Member PROJECT NAME PROJECT NO CONTRACT SIGNED PROJECT DESCRIPTION WITNESSETH: CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT m " Mishawaka Ave Tree Replacement 118-111 FINAL COST $19 424.50 11/20/2018 MAINTENANCE AGREEMENT ENDS Installation of new trees and tree grates in the sidewalk on Mishawaka Avenue, The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by suc ontract, d that the contractor performed the work within the scope of the Specifications and Standards of the City of Sot h Bend whi h were a part of the above Contract. xec ed this a of ACORN LANDSCAPING LLC. y 201 _. Company Name Signatur" I N DA J I L R ©Y 80 W SAMPLE Notary Public, State of Indiaar rnpany Address $t, Joseph County Printed Name y Commission A 629162 S DUTH BEND IN 46619 4, :*` My Commission Expires ty, State, Zip August 31, 2019 WITNESSESS: Map Before me, the undersigned Notary Public in and for said country and state, personally appeared and acknowledged his/'her signature to the above Project Completion Affidavit on the 7A day of r 201 Notary Signature My Commission Expires Printed Name i County of Residence cf'z (J-,!gxy If the Contractor is a corporation, the following certificate will be executed. I, 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 Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project I acceptbie or r approval and we recommend to the Board of Public Works that it be ordained so. Date: Construction ager- Gary A. Gilot, President T rese J. Do , Merhber P B t WORKS APPROVAL Date: I E. Millen"ember Elizabeth A, Maradik, Member O'Sullivan, M. Martin, Clerk ) Final ( ) Partial P Payment to Follow State of Indiana, County of St. Joseph --Jeff Ritschar ,being _CIUI sworn state fiat he -is the Owner of Acorn Landscaping LLC having contracted with C to certain labor, materials, or both, furnished for or incorporated into said building by the undersigned, up to this date, Located at � //v'-)/ / Owned by And does hereby further state on behalf of the aforementioned Contractor (Partial Waiver) that there is due from the Owner the sum of receipt of which is hereby acknowledged; or the payment of which has been promised as the sole consideration of this Affidavit and the Partial 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 there is due from the Owner the sum of $ ( ) receipt of which is hereby acknowledged; or I the payment of which has been promised as the sole consideration of this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. Therefore, the undersigned waives and releases unto the Owner of said premises, any and all lien or claim whatsoever on the above described property and improvements thereon on account of Labor or Material, or both, furnished by the undersigned thereto, subject to the 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 said project, and within the scope for this affidavit and waiver. "1141900(„. � » �� Company: Nooz'v MDA d ��, ),Cii-ROy La:^ Ydyd di 6Eh� ytVY,l+3'IT, c Kee YI$S'o n # 629 d s By: May sWdd'tl71 MVVbk"^K ,ryr9V,i Ptl M,.W�y yy1C�pu �� 3 Y � G ., '1 9 WITNESS MY HAND AND NOTARIAL SEAL, this h/- day of X4 20, Notary My Commission Expires; BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 05/14/2019 Department Name Toy Villa Engineering BPW Date 05/28/2019 Phone Extension 5920 VEM _...... ...__._.......................... ........... . wWwww Required Prior to Submittal to Board BPW Attorney Attorney Name Dept. Attorney Attorney Name Purchasing._ Check the Appropriate Item Type ­ LJ Professional Services Agreement ❑ Contract ❑ Open Market Contract ❑ Amendment/Addendum Bid Opening ❑ Bid Award E Quote Opening Quote Award �❑ Proposal Opening M C/O & PCA No. Final ❑ Chg. Order, No. Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Acorn I E, Yes M No Information LLC r. All Submissions ❑ Proposal ❑ Special Purchase, QPA E] Req. to Advertise ❑ Title Sheet E] Reject Bids/Quotes PCA Resolution Ease./Encroach If Yes, Approved by Purchasing ❑]I MBE Completed E-Verify Form Attached ❑ Yes ❑ WBE ❑ No Mishawaka Avenue Tree Replacement _.,. . 118-111 Complete Streets Transportation 404.1001.460.42.30 F_or Change Orders Onty,, _ Amount of Increase _$ _ Decrease �$ 2 415.00) Previous Amount $ 21 839�� 50 ._....... ......... � .� ......Increase w ,,,,..._- — -- .......... �.�.........................�.�.�.�.�.�.�..........�.�.�......� _�............,....................................�__.m......._ % ���� Current Percent of Change: Decrease 11 0600) New Amount $ 19,424.50 Increase /o Total Percent of Change: Decrease 0 11.06 /o Time Extension Amount: New Completion Date: . . ........ -- — ................m._ w......_w............_w ..�...........__ .....�.�............�.�... �.—_....�.�..