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Home My WebLink AboutChange Order No 1-PCA - 2017 Lamppost Program Project No 117-011A - Martell Electric LLCBUILDING 227 W. JEFFERSON BOULEVARD CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD % PUBLIC WORKS June 11, 2019 Jennifer Martell Martell Electric LLC 4601 Cleveland Road South Bend, IN 46628 PHONE 574/235-9251 FAX 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit - 2017 Lamppost Program — Project No. 117-011A Dear Ms. Martell: The Board of Public Works, at its meeting held on June 11, 2019, approved the Final Change Order for this project, for a decrease of $3,175. The new Contract sum is $27,550. In addition, the Project Completion Affidavit for this project was approved in the amount of $27,550. 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 Mfto CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKSd'°, PROJECT CHANGE ORDER DATE: 5/28/2019 PROJECT NO: 117-011A PROJECT NAME: 2017 Lamppost Program CONTRACT DATE: 9/12/2017 CHANGE ORDER NO: 1 Final SUBJECT OF CHANGE ORDER: PCR #1-Reduced Quantity 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 IId y ■ r S?*nature Jennifer Martell/President Printed Name and Title Martell Electric, LLC Company Name 4601 Cleveland Road Address South Bend, IN 46628 City, State, Zip $ 30„725.00 $ 0.00 $ 30, 725.00 RIncreased X Decreased $ 3,175.00 $ 27,550.00 -10.33 % -10.33 % 11/15/2017 0 days 0 days 11/15/2017 RECOMMENDED FOR APPROVAL t CON TION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC411 KS Approved Date: t Gary A. GM, President Gene a E. Miller, Member Elizabeth A. 'Maradik, Member Therese J. 136'rau, I'mber Laura O'Sullivan Member 'wA, CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKSv�' PROJECT COMPLETION AFFIDAVIT mom A PROJECT NAME 2017 Lam opost Pro ram PROJECT NO 117-011A FINAL COST $27,550.00 CONTRACT SIGNED 9/12/2017 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Installation of IamDDosts on private residences throughout the Citv. 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. Exeout s 7th daAfYV 201 9 Martell Electric, LLC Company Name Signa r 4601 Cleveland Road JenniWr Martell Company Address Printed Name South Bend, IN 46628 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Jennifer Martell and acknowledged his/her signature to the above Project Completion Affidavit on the 7th day of May 201 9RENABALDtAIhN Notar/ Public, State of Indiana "(AArew St Joseph County �2�28�202 4 A 5' Co« irnisbion e 663664 Notary Signature My Commission Expires , FurJ1Expires Rena Baldwin eay28, 223 Printed Name County of Residence St Joseph 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 Printed Name Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acce table for ;i pproval and we recommend to the Board of Public Works that it be ordained so. Date: ConsfruAtr%n ger ho-vo xl/ld� Gary A. Gilot, President BOARD OF PUBLIC WORKS APPROVAI Genevieve E. Miller, Member Therese J. D "au, M6 ber Laura O'Sullivan, Member AFFIDAVIT AND WAIVER OF LIEN State of Indiana, County of 5.t_JD3.eP.i1 ._.._. SS: Jennifer Martell being duly sworn that he/she is the President (Name of Officer) (Title) of Martell Electric LLC having contracted with City of South Bend (Subcontractor/Supplier) (Contractor) to furnish certain materials and/or labor as follows: electrical (Description) for a project known as 2017 La -a t Program (Name of Project) located at various Sout Bend locations and owned by City 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 Dollars S ❑ 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 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 Twenty seven th_pgagn five hun rfifty s (g27,550.00) - nreceipt 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 shall become effective only upon receipt 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 undersigned for said project, and within the scope of this Affidavit and Waiver of Lien. Martell Electric LLB _ .... By (Firm) CAithohzed Representative) STATE OF INDIANA ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Jennifer Martell/President and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 71h day of Maw 20§( 19 Notary Public Sigxtattrre My Commission Expires: 02/28/2023 n Residing in County, ty °u µNotar Notary o eq CDW county Notary Public dN e Public Mate of Indh�utu g St Jose h ty, tary Pu' �-- - `';�-�' ""� a" �»`^' My Commission CNpfred BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 06/03/2019 Department Name Toy Villa En ineerin2 BPW Date 06/11/2019 Phone Extension 5920 r�mmmw�umuuu��.mmmmwmmmmvmvim�mvummmmmmwm0mm!wu rcsrMAMEuuMuMOMivaWrmM urorom;»irmwiofflymam mewr nog «. .. ,� iuww ;r w,�r;rmr�wr�raxr m�a� ............... ............ .............� ..� ........,................W.,......................... ww.�,.ww,.�..—_ .._..........�.�.�.�...... RNuire , Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type Requ r ed /br All Submissions [-] Professional Services Agreement ❑ Contract [�] Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening ❑ Bid Award Quote Opening F� Quote Award Proposal Opening Z C/O & PCA No.l Final E] Chg. Order, No. E] Traffic Control El Other: Information Company or Vendor Name Martell Electric, LLC New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description u Proposal Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes ❑ PCA EJ Resolution Ease./Encroach Yes f If Yes, Approved by Purchasing No ❑ Title Sheet ❑ MBE Completed E-Verify Form Attached ❑ Yes ❑ WBE ❑ No 2017 Lamppost Program 117-011A COIT .......................................................... 404-0602-431.31-06 _.....� ...n..... �....... El increase or Change Orders Only Increase $ Amount of Decrease � — _...__._._._. __ __ ..... ........ _... Previous Amount $ 30,725.00 Increase Current Percent of Change: Decrease New Amount $ 27,550.00 Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: m.(3,175 y00,%).m.,...........................................................................................................m...m._........._... 10.33%