HomeMy WebLinkAboutChange Order No 2 - Three Twenty at Cascade Project No 118-074D - Indiana Earth Inc1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
1865
CITY • SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
May 28, 2019
Mark Osler
Indiana Earth, Inc.
10343 McKinley Highway
Osceola, IN 46561
PHONE 574/235-9251
FAX 574/ 235-9171
RE: Change Order No. 2 - Three Twenty at the Cascade — Project No. 118 -074D
Dear Mr. Osler:
The Board of Public Works, at its meeting held on May 28, 2019, approved the above
referenced Change Order for an increase of $2,416, bringing the current contract amount to
$189,183.
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'S ULLIVAN THERESE J. DoRAu
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
4/9/2019
118-074D Division A&C
Three Twenty at the Cascade - Site Utilities
12/20/2018
2
PCR #4-Delete MH-8A PCR #5-Delete C13-8 PCR #7-Remove
Concrete Wall PCR #8-Re lace Frozen Subgrade
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
Af
ontractor Signature
L) & /,z //&s
Printed Name and Titlell
Indiana Earth, Inc.
Company Name
10343 McKinley Highway
Address
$
168„472.00
$
18,295.00
$
186,767.00
X Increased
Decreased
$
2,416.00
$
189,183.00
1.29 %
12.29 %
6/14/2019
0 days
0 days
6/14/2019
CONST
ON MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC VVORKS
PP
A roved Date: 3� J�
Gary A. Gilot, President
Genevie a E. Miller, ember
Osceola, IN 46561 1 a
City, State, Zip
Elizabeth A. Maradik, Member
Ar e i. orau„ e r
O'Sullivan, Mer6bgr
0iy444'
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
4l�pM �
1 1 8-074D IWoo Tworily°a tho C: N° +a" P IUtWtigm (101 m ionA P C ) 2
Project Number: Project Name: Change Order #:
DATE INITIATED. 4-15-19 BPW DATE: 5-28-19 mmmmmmmmm
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Includes deductions for eliminating structures as well as additions for replacing frozen subgrade
and demo of unforeseen existing foundations in the watermain path.
Attachments: (List documents support change — required)
Price breakdown
Amount of Blncrease / ❑Decrease: $ 2,416.00
-�'"" "" Categories (Pick One):
Previously approved Change Order(s): $_18,295.00 ❑ Scope of Work
IT Iii Differing Site Conditions, Changed Conditions
Current Percent of Change: 129
❑ Conflicted Specifications and Drawings
189,183 ❑Failed Materials
New Total Amount: $ ❑ Error
nnnn12.29 ❑Omission
Total Percent of Change: __.... % ❑ Final Quantity Adjustment
Funding Secured From: River
(filled out by PM)
RECOMMENDED BY:
Dan Jones
M
Project Inspector (Print Name) (Signature) (Date)
REVIEWED BY:
Toy Villa
Construction Manager (Print Name) (Signature) (Date)
APPROVED BY:
Zach Hurst
Engineering Project Manager (Print Name) (Signature) (Date)
APPROVED BY:
Kara Boyles
City Engineer (Print Name) (Signatur) (Date)
r+
0)
I:
v
o
3
m
rn
I°
c
o
M
T
()
O
W
00
N
n
do
D
M
r)
r
c
m
cr
0
a
o'
=
m
M
3
3
jo
N
O
c
O1
�
n
m
D
m
D
m
D
C
3
V?
N
00
N
F
N
N
7
e+
00
O
O
N
N
�
00
O
O
O
O
_
O
O
O
O
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 5/21/2019
Department Public
Name Zach Hurst. Works
BPW Date 5/28/201.9 Phone Extension 3057
ommwuuv�uiuiuiuuwiumry .,tt��w�w�w�w��:: mHUHiHiHiHiHiHuuuuuuuuuumwnwuwm�uuiuiuirvw.wrvmaarcrtm„ m�v ¢,u� ,,. ...... �uurwmar��ai uuuuuuuuuuuuummmuzre�uaiu�r
lec uired Prior to Submittal to Board
._.. ._._........_. ..� .... ��6...... ....
BPW Attorney❑ Attorney Name
Dept. Attorney [J Attorney Name
Purchasing E]
Check the A
Professional Services Agreement
❑ Open Market Contract
�] Bid Opening
] Quote Opening
Proposal Opening
® Chg. Order, No. 2
El Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
ate Item T e
Contract
aaaa eelfi'n- All Submissions
Amendment/Addendum
❑] Bid Award
E] Quote Award
(� C/O & PCA No.
] Traffic Control
Required Information
LJ Proposal
0 Special Purchase, QPA
Req. to Advertise
❑ Reject Bids/Quotes
PCA
Resolution
Ease./Encroach
❑ Title Sheet
Change Order No. 2 accoua1ts for unforeseen _f6undation aca'noval .le 1gc......
of frozen suhgrade and elimination ofdraiaMq structures,
For Change Orders Only
Amount of
Increase $ 2,416 00
�...._, .... .. .r�__ ee...
�]
Decrease ($ )
Previous Amount
$ 186,767.00
........................................._ ... _...._..,,............................................................
.�......................m_... ..............
Increase 1.29%
Current Percent of Change:
�................ ........—._.........,,.......................................
Decrease ( %)
New Amount
_...._..... _ ............. �..�
$ 189,183.00
......Increase .............. ... ...... ....�.�m�.�.9%........��.....................kw
Total Percent of Change:
w� �.-_.
Decrease %)
Time Extension Amount:
._........r.�
0 days
New Completion Date: 6/14/2019