HomeMy WebLinkAboutChange Order No 2 - Cleveland Well Field Refurbishments Proj No 118-021A - Peerless Midwest Inc227 W. JEFFERSON BOULEVARD
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CITY OF •, BEND PETE
BUTTIGIEG, MAYOR
BOARD PUBLICWORKS
May 28, 2019
Frank Williams
Peerless Midwest, Inc.
55860 Russell Industrial Parkway
Mishawaka, IN 46545
PHONE 574/ 235-9251
FAx 574/235-9171
RE: Change Order No. 2 - Cleveland Well Field Refurbishments — Project No. 118-021A
Dear Mr. Williams:
The Board of Public Works, at its meeting held on May 28, 2019, approved the above
referenced Change Order for an increase of $4,500 plus an additional four (4) days, bringing
the current contract amount to $145,244 and the revised project completion date to June 4,
2019.
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
Enclosure
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: 5/9/2019
PROJECT NO: 118-021A
PROJECT NAME: Cleveland Well Field Refurbishments - Proam rRelated Items
_w_
CONTRACT DATE: 4/9/2019
CHANGE ORDER NO: 2
SUBJECT OF CHANGE ORDER: PCR #2-integrate SCADA Programming.
..................
The original contract sum $ 136,850.00
..........................
Net change by previously authorized change orders $ 3,894.00
The contract sum prior to this change order $ 140,744.00
By this Change Order, the project amount is N
Increased
Decreased $ 4,500.00
The new contract sum including this change order $ 145,244.00
This Change Order represents a total change of 3.20 %
Total change for entire project 6.13 %
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
i
Contractor Signature
Printed Name and Title
Peerless Midwest, Inc.
_. ....... _..w.w.........
Company Name
55860 Russell Industrial Parkway
Address
Mishawaka, IN 46545
City, State, Zip
5/31 /2019
0 days
4 days
6/4/2019
• a. • • Low
• µ I •
CITY OF SOUTH BEND
BOARD OF PUBLIS
Approved Date:
Gary A. Gilot, President
Genevii a E. Miller Member
Elizabeth A. Maradik Member
T i e�arau _.i Nli�nft'
ura O'Sullivan, . er
PEERLESSO'
May 9, 2019
City of South Bend Dept. of Public Works
Division of Engineering
227 W. Jefferson Blvd, Suite 1316
South Bend, IN 46601
Attn: Ms. Rebecca Plantz
RE: 118-021A Cleveland Well Field Refurbishments North Station SCADA Programming
Dear Ms. Plantz:
In regards to project 4118-021A Cleveland Well Field Refurbishments, it was requested that the additional
cost be provided to integrate programming at North Station to continue to receive the data produced by
the Cleveland Well Field„ Below is our quotation:
We would propose not to exceed $4,500 in programming labor, and would request a four day extension
of the current completion date.
Please let me know if there are any further questions, or if we can be of any further assistance.
Regards,
PEERLESS MIDWEST, INC.
' y C
FrankT. Williams
Project Manager
Ya860IRusssedlll lnd ustHal F'11(w y Ksiwwaka, IN 4654I5
514 254,9050IC:uO'oQwrm S74.254.91a."rb0'fax w:azu'ru
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
PROJECT CONTRUCTION CHECKLIST
Project No. 118-021A NTP 4/18/2019
Project Name Cleveland Well Field Refurbishments - Program Related Items Sub. Comp.
Contractor Peerless Midwest, Inc. Final Comp. 6/4/2019
Inspector JJE Today's Date 5/9/2019
PAY APPLICATIONS & CHANGE ORDERS CHART
Cowl
PAYMENT APPLICATION
........
SUMMARY
_...........
End Date
Total
Deductions
Sub Total
Prev. Pmts
_.®
Amount
Prev Pmt Error
1
2
3
._ ..._..
4
5
6
7
8
..................... .._-_ _
....... __
..
9
10
11
12
S
-
.
#N/A
- 50.00
�PII1/A
CHANGE
..........
ORDER SUMMARY
Date
Prv. Contract
Change Amt.
New Contract
Change %
Total %
Added Days
1
5/3/19
$136„850,00
$3,894,00
$140.744.00
2.85%
2.85%
0
2
5/9/19
$140,744.00
$4,500.00
$145,244.00
3.20%
6.13/0
�.......--__ 4
'
3
5
._._-
_.._.
-..-..----_ ......
.__ .......
6
_...................
�..._ ........
'7
......_.
_._.........
10
11
..........
...........
12
._ .................
S
$8 394.00
-
6,13%
6/8/2019
DOCUMENT CHECKLIST
Items J Notes Y Date
Final Waiver of Lien
Final Chanoe Order
As -Built Documents
Signature, °' % h t `* N- 1 N-11 ' IN,, Date:
�DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
Project Number: 118-021A Project Name: Cleveland Well Field Refurbishments Change Order #: 2
/09--....�.........°°°°°°
DATE INITIATED: 5/921BPW DATE: °
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Integrate programming at North Station to receive data produced by the Cleveland Well Field,
Attachments: (List documents support change — required)
Amount of 8 Increase / ❑ Decrease: $ 4, 500.00
..................................................... Categories (Pick One):
3 894.00 8 Sco a of work
Previously approved Change Order(s): $, ' P
.•..... ................ W--- ---- ❑ Differing Site Conditions, Changed Conditions
Current Percent of Change 3 ........................................._ .., ,,,..— % ❑ Conflicted Specifications and Drawings
...New Total Amount: .......... ........_ _ w......
145,244 00 El Failed Materials
$ ❑ Error
.... .._._._._. El Omission
Total Percent of Change: 6.13
❑ Final Quantity Adjustment
Funding Secured From: WMyJ0 L
(filled out by PM)
RECOMMENDED BY:
Josh Ehmer "a "A w `y'°"" 5/9/19
ru nd �z ua rw u
Project Inspector (Print Name) (Signature) (Date)
REVIEWED BY:
1 °1
Construction Manager (Print Name) (Signature) (Date)
APPROVED BY:
Engineering Project Manager (Print Name) (Signature) (Date)
APPROVED BY:
a D
City Engineer (Print Name) (rgrrature (Date)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 5/17/19
Department Public
Name Becca Plantz Works
BPW Date 5/28/19 Phone Extension 5998
IMP
.. _ .,......_..... ........._............. a .�gtjtp Prior to Submittal to Board___..._...__..._...........��_._ � � � m_
BPW Attorney ❑ Attorney Name Clara McDaniels
Dept. Attorney
Attorney Name
Purchasin g El
Check the Aplarop�k<tc
Item Type lour cel r All Submissions
❑
Professional Services Agreement
El Contract
Proposal
❑
Open Market Contract
❑ Amendment/Addendum
Special Purchase, QPA
Bid Opening
[- Bid Award
Req. to Advertise ❑ Title Sheet
Quote Opening
❑
Quote Award]
Reject Bids/Quotes
Proposal Opening
C/O & PCA No.
❑ PCA
®
Chg. Order, No. 2
[]
Traffic Control
EJ Resolution
Other:
Ease. Encroach
Required Information
Company or Vendor Name
Peerless Midwest_
❑ Yes If Yes, Approved by Purchasing
New Vendor
® No
❑ MBE Yes
MBE/WBE Contractor
Completed E-Verify Form Attached
WBE ❑] No
Project Name
Refurbishments — Program Items
Cleveland Well Field ram R
...............mm.,..,.,.,.,.,., .,.,.,.,.,.,.,....,..,.............................................................
Project Number
118 021A
Funding Source
Riverw_est TIF ������
Account No.
324-1050-460.42-02
Amount
Terms of Contract
Lump_ Sum ...
Purpose/Description
to touchscreen to different vendor.
Contrast sum increase _a...w:P `.
For Chan e Orders Only
Amount of ® Increase $ 4,500.00
Decrease
Previous Amount
$ 140,744.00
s ...............�....................
Increase
Current Percent of Change:
Decrease
( %
New Amount
$ 145,244.00
............6............1% .........,,_
Increase...
Total Percent of Change:
Decrease
�
Time Extension Amount:
4 days
New Completion Date:
6/4/2019