HomeMy WebLinkAboutChange Order No 1 & PCA - Small Drainage Design and Repair Proj No 118-063 - Selge ConstructionBUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND- INDIANA 46601-1930
CITY OF SOUTH BEND P
BOARD OF PUBLIC
June 25, 2019
Robert Kuhns
Selge Construction Co., Inc.
2833 S 1 lth Street
Niles, MI 49120
PHONE 574/235-9251
FAX 574/235-9171
RE: Change Order No. 1 (Final)/Project Completion Affidavit - Small Drainage Design
and Repair, Division B — Project No. 118-063
Dear Mr. Kuhns:
The Board of Public Works, at its meeting held on June 25, 2019, approved the Final Change
Order for this project, for a decrease of $4,148.87. The new Contract sum is $100,619.41.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$100,619.41.
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 Vx A;
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER a "
DATE: 5/30/2019
PROJECT NO: 118-063
PROJECT NAME: Small Drainage )esign and Repair DivB
CONTRACT DATE: 12/20/2018
CHANGE ORDER NO: 1 Final
SUBJECT OF CHANGE ORDER: PCR #1-A0justment to Final Quantities.
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
CONTRACTOR
I P
Contractor Signature
Robert Kuhns, Project Engineer
Printed Name and Title
Sel a Construction Co., Inc.
Company Name
2833 S. 11th Street
Address
Niles, MI 49120
City, State, Zip
HIncreased
X Decreased
6/7/2019
....
0 days
00 d�
6/7/2019
$ 104„768.28
$ 0.00
$ 104„768.28
$ 4,148.87
$ 100,619.41
-3.96 %
-3.96 %
REOMMENDED FOR APPR M
---r-- Njz!
CONSTRU N MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WO KS
Approved Date: L " m oi%
Gary A. Gilot, President
Genevieve E. Miller, Member
Elizabeth A. aradik, Member
Therese J. Doffiu, Member
Laura O'Sullivan, Member
CITY OF SOUTH BEND, INDIANA "
BOARD OF PUBLIC WORKS �-
PROJECT COMPLETION AFFIDAVIT "
PROJECT NAME
Small Draina a Design and Repair Diva
PROJECT NO
118-063 FINAL COST $100„619.41
CONTRACT SIGNED
_. _. .........
12/20/2018 MAINTENANCE AGREEMENT ENDS
Provide and install various stormwater drainage improvements along and near Hawbaker
PROJECT DESCRIPTION
Street, Olivia Circle, and Creekwater Lane including a pavement, curb, and sidewalk repair.
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.
�. eked thi� day of June 201 9 3e1ge Con tru bon Co.„ Inc
Company Name
Signature 2833 S. 11th Street
Company Address
Printed Name Niles, MI 49120
Project Engineer City, State, zip
WITNESSESS:
Before me the undersigned Notary Public in and for said country and state, personally appeared
RcbEX,L KWin a and acknowledged his/her signature to the above Project Completion Affidavit on
the 3 d day of JLme 1201 9 N.
MwP
Notary Signa@tare My Commission Expires 07/25/2020 �NOTAR
� MPUBLIC
CO BSS ON
Z Vicki Priest Berrien "
Printed Name
County of Residence � 71.
25 2020�^�* �,
l be executed.
1, the Contractor is a Vicki APcorporation, the following cefica, certifythat tell am Secretary of the Corporation executing this releaz,�k
-t�--P._ , who signed this release on behalf of the contractor was then 'rn,i�q,wt
Praj ec of said Corporation; that said release was duly signed for and on behalf of said
Co r o ation by Authority of it cpliaverning body, and is within the scope of corporate powers:
77
°
Secretary's Signatures
Corporate Seal
_Vicki A. Priest
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so.
Date: Go
Construction Eger
Gary A. Gilot, President
Therese J. Dor e . er
BOARD OF PUBLIC WORKS APPROVAL
Genevieve E. Miller, Member
Laura O'Sullivan, Member
Date: d 02 4 i
tizabe . aradik„ Member
M. Martin, Clerk
MERCHANi7S7��
BONDING COMPANY,.
MERCHANTS BONDING COMPANY (MUTUAL) P.O. BOX 14498, DES MOINES, IOwA 50306-3498
PHONE: (800) 678-8171 FAX: (515) 243-3854
MAINTENANCE BOND
KNOW ALL PERSONS BY THESE PRESENTS: Bond No. INC60763
That Selge Construction Company, Inc.
2833 S. 1 lth Street, of Niles, MI 49120
as Principal„ and the Merchants Bondin , Cora pang Mutual as Surety are
held and firmly bound unto the 'City of "outhl Bend, Indiana,
22.7 ''Vest Jefferson Boulevard„ South Bend, fN 46601 in the penal sum of
Ten Thousand, Sixty-one and 94/100 ($10,061.94 )
DOLLARS, lawful money of the United States of America, for the payment of which, well and truly to be
made, the Principal and Surety bind themselves, their and each of their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
Signed and delivered this 4th day of June 2019
WHEREAS, the Principal entered into a certain contract, dated the 20th day of December
2018 with the City of South Bend, Indiana
,
to furnish all the material and labor necessary for the construction of
Small Drainage Design and Repair Division B, Project No. 118-063
in conformity with certain specifications; and
WHEREAS, a further condition of said contract is that the Principal should furnish a bond of indemnity,
guaranteeing to remedy any defects in workmanship or materials that may develop in said work within a
period of 111
ra - years from the date of acceptance of the work under said contract; and
WHEREAS, the above work has been completed and accepted and if not accepted will be automatically
accepted upon the filing of this maintenance bond; and
WHEREAS, the. Merchants Bonding Cont pan Mutual' for valuable
consideration, has agreed to join with said Principal in such bond or guarantee, indemnifying said
City of South Bend, Indiana as aforesaid;
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal does
and shall, at the Principal's own cost and expense, remedy any and all defects that may develop in said
work, within the period of Three years from the date of acceptance of the work under said contract, by
reason of bad workmanship or poor material used in the construction of said work, and shall keep all
work in continuous good repair during said period, and shall in all other respects, comply with all the
terms and conditions of said contract with respect to maintenance and repair of said work, then this
obligation to be null and void; otherwise to be and remain in full force and virtue in law.
It is agreed that while the Principal shall be and remain liable for failure to adhere to the specifications
which form the basis for the work, the Surety, inasmuch as the original work was not bonded, shall be
obligated only to assure the maintenance of the work in the condition in which it existed at the time the
work was accepted. Any obligation beyond this shall be that of only the Principal.
Selge Construction Company, Inc.
Princi a1
6v
Approved Robert P. Kuhns Projcct Engineer
By Merchants Bonding Company (Mutual)
C
By I.
L("
CON 0304 (2/15) Elaine K�,Miller, Attorney -in- 'act
!�!�
. R,C H,w s
BONDING COMPANY.,
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually,
Connie J Messer; Dawn M Pequignot; Elaine K Miller; Harold E Everett; J Kevin Hughes; Jada M Karst; Jessica K Callahan; Marie E Comparet;
Melinda Jagger; Thomas J VanDyck; Tom McGovern
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity
of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors
of Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority
to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and
undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 14th day of July 2017
MERCHANTS BONDING COMPANY (MUTUAL)
W MERCHANT NATIONAL BONDING, INC,
2003 ;°M % 1933 : By
*"* ,e `" .O .w' *. ""� '"",• President
STATE OF IOWA�'"'+'..w"'�*
COUNTY OF DALLAS ss.
On this this 14th day of July 2017 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
ALICIA K. GRAM
Commission Number 767430
My Commission Expires
ApOI1,2020
Notary Public
(Expiration of notary's commission
does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this
4th day of June , 2019
4 '
Cr y 0� "
* P I *.
" 4; «
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o-
a-°"=
" _ °.
2003
1933 *
Secretary
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�Myra..W wtw.w_'�Jr�*
POA 0018 (3/17)
Final Waiver of Lien
State of Indiana, as:
WHEREAS, the undersigned Selge Construction Co. li1q, has been heretofore employed
by the_LLity of �South South "liana to furnish certain material and labor, to wit: Small Drainage
_Indi�
Design and Ike pai r # 118 -06 ' 3 for the real estate owned by the City of South Bend located in
South Bend, IN County of St. Joseph
State of Indiana,
Now Therefore, Know Ye, That the undersigned, for and in consideration of Fjfty Three
'11iousand Five Hundred Seventy Dollars and Sixty Six Cents ('$53.570.66). the receipt of which
is hereby acknowledged, hereby and now waives and releases unto the said owner of said
premises, any and all lien, right of lien or claim of whatsoever kind of character on the above
described real estate. TO AND FOR SAID AMOUNT, an account of any and all labor material,
or both furnished for or incorporated into said real estate by the undersigned up to this date, and
we further certify that the consideration moving to the undersigned for executing this Final
Waiver of Lien has been mutually given and accepted as final payment to or on account of the
said project for said real estate.
Signed, sealed and delivered this 3rd day of June, 2019.
Signed
Robert Kuhns
Project Engineer
Personally appeared before me this 3rd day of June, 2019, Robert Kuhns, who, being duly sworn
on oath, says: That he is Project Engineer of the Selge Construction Co., Inc. and that he hereby
acknowledges the execution of the foregoing instrument for and on behalf of said Selize
Construction Co.,Inc.
My Commission expires: O/25/2020 Z('111("!ff (",ill, I x
Notary Public
NOTAR)�'%
5t PUBLIC I
03 4 My COMMISSION
wq EXPIRES
7-25-2020
C 0
Ifloillwos,
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 06/17/2019 Department Public Works
�.. .
oy Villa Division/Bureau Engineering
Name T...... :.. -
BPW Date 06/25/2019 Phone Extension 5920
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m mm _ Required Prior to Submittal toy Board
Legal ❑ Attorney Name:
Controller Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing E]
Check the
L Agreement Amendment
El Professional Services
Bid Opening
El Quote Opening
El Change Order No.
❑ Ease/Encroach.
Other:
ropriate Item Type —
I � Contract
E] Resolution
or All Submissions
roposaI
EJ Bid Award E] Req. to Advertise
El Quote Award
® C/O & PCA No. 1 Final ❑ PCA
❑ Traffic Control:
Reauired Information
Company or Vendor Name Selge_Construction
Terms of Contract
Purpose/Description Project Closeout
New Amount $ 100,619.41
Total Percent of Chance: 3.96%
Dispersal After
Copy
Original
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Addendum
❑ Title Sheet