HomeMy WebLinkAboutChange Order No 1 - McKinley Avenue and Fremont Park Improvements Div B Project No 118-072 - Walsh & Kelly Inc1316 COUNTY —CITY BUILDING
Dustin Hilary
Walsh & Kelly, Inc.
24358 State Road 23
South Bend, IN 46601
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CITY OF • BEND PETE i J'BOARD OF PUBLIC WOR
July 9, 2019
RE: Change Order No. 1 — McKinley Avenue and Fremont Park Improvements, Division
B — Project No. 118-072
Dear Mr. Hilary
The Board of Public Works, at its meeting held on July 9, 2019, approved the above
referenced Change Order for an increase of $1,380 bringing the current contract amount to
$245,920.
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,
f X '
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:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
7/9/2019
118-072
McKinely Avenue and Fremont Park Improvements Division B
12/10/2018
PCR #1-Add Line Item: Trip Stop
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
Contractor Signature --,1 ®q
Printed Name and Title
Walsh & Kelly, Inc.
Company Name
24358 State Road 23
Address
South Bend, IN 46614
City, State, Zip
$ 244,540.00
$ 0.00
$ 244,540.00
X Increased
Decreased $ 1,380.00
$ 245,920.00
0.56 %
0.56 %
5/31 /2019
0 days
0 days
5/31 /2019
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CON ST U N MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC OR S
Approved Date -,a
r
Gary A. Gil6t, President
Genevieve E. Miller, Member
i,
Elizabeth A. Mara i„ Member
o use J. Iforau, Member
Laura O'Sullivan, Member
'.Kr,4:. P7i &Y'.
tDEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
INOA ,
1 8-0 F 2 (Div 13 � McKinley Avenue and Fremont Park Improvements (Div B)
Project Number: Project Name:. Change Order #:
DATE INITIATED: 6-13-19 BPW DATE.: 7-9-19
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
VPA and Engineering wanted to test out a new product; Trip Stop. This was placed at every
contraction joint around the memorial tree (5ft * 23 joints = 115 LFT))
Attachments: (List documents support change — required)
N/A
Amount of Blncrease / ❑Decrease: $ 1 ,380.00
Categories (Pick One):
Previously approved Change Order(s): $ 0.00 — ® Scope of Work
......................_--- El Differing Site Conditions, Changed Conditions
Current Percent of Changer 0'56 % ❑ Conflicted Specifications and Drawings
245,950 00 ❑ Failed Materials
New Total Amount: $ _ ❑ Error
0.56 I--] Omission
Total Percent of Change: , % ❑ Final Quantity Adjustment
El
Funding Secured From: _ ,,,,,, "OilIr
(filled out by PM)
RECOMMENDED BY
..
Dan Jones
Project Inspector (Print Name) (Signattre) (Date)
REVIEWED BY:
Toy Villa
Construction Manager (Print Name) (Signature) _ (Date)
APPROVED BY:
Alicia Czarnecki
Engineering Project Manager (Print Name) (Signature) 0 (Date)
APPROVED BY:
Kara Boyles
City Engineer (Print Name) (SiCi)a ) (DI
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 06/26/19
Name Alicia Czarnecki/Sue Ellen Doudrick Department Engineering
BPW Date 07/09/19 Phone Extension 5903
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Rewired Prior to Submittal to Board
Legal ® Attorney Name Clara McDaniels
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 ® Michael Schmidt
�ITIT Check the Appropriate Item Type - Required for All Submissions
A reem g ent ❑Contract 0 Proposal Addendum
❑ Professional Services
❑ Resolution
❑ Bid Opening
❑ Bid Award [] Req. to Advertise ❑ Title Sheet
Quote Opening
Change Order No.
Quote Award
�� ❑ PICA
ase/Encroach.
❑ Traffic Control
❑ Other:
....
Required Information
Company or Vendor Name
_....._ _W.. ..
Division B & Alt. B1 B2 B3: Walsh & Kelly, Inc., Inc. .
New Vendor
El Yes [I
No ❑ If Yes, Approved by Purchasing
MBE/WBE Contractor
F-1 MBE ❑ WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company
Project Name
Avenue and Fremont Park Improveme mm.ts
McKinley n
Project Number
118-072
Funding Source
Account No.
Amount--
.................................. �,�....................�.
Terms of Contract
_ ............- .
Purpose/Description
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non Debarments ran„ etc.
Required For CheNe Orders Only
Amount of OX Increase $ 1,380 00
Decrease
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Copy Original
® ❑ Kara Bo
$ 244, 540.00
0.56%
$ 245,920.00
0.56%
Dispersal After Approval