HomeMy WebLinkAboutChange Order No 2-PCA - Great Lakes Capital Spec Building Paving Project No 118-058 - Walsh & Kelly Inc.o
186
CITY OF O' BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLICWORKS
July 23, 2019
Dustin Hilary
Walsh & Kelly, Inc.
24358 SR 23
South Bend, IN 46614
PHONE 574/235-9251
FAX 574/235-9171
RE: Change Order No. 2 (Final)/Project Completion Affidavit - Great Lakes Capital Spec
Building Paving — Project No. 118-058
Dear Mr. Hilary:
The Board of Public Works, at its meeting held on July 23, 2019, approved the Final Change
Order for this project, for a decrease of $11,055.90. The new Contract sum is $323,665.80.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$323,665.80.
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,
ik
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 �W
DEPARTMENT OF PUBLIC WORKS `
PROJECT CHANGE ORDER "
DATE: 6/4/2019
PROJECT NO: 118-058
PROJECT NAME:. Great Lakes Capital Spec Building Paving
CONTRACT DATE: 10/9/2018
CHANGE ORDER NO: 2(Final)
SUBJECT OF CHANGE ORDER: PCR #2-Adjustment to Final Quantities.
All items completed substantially as planned.
See attached Comparison of Estimate for overruns and underruns.
The original contract sum
$
447,834.20
Net change by previously authorized change orders
$
-113,112.50
The contract sum prior to this change order
$
334,721.70
By this Change Order, the project amount is
Increased
P
Decreased
$
11,055.90
The new contract sum including this change order
$
323,665.80
This Change Order represents a total change of
-3.30 %
Total change for entire project
-27.73 %
Original contracted completion date/time
11/9/2018--
Extension of date/time by previous change orders
10 days
Date/time extension by t is c nge order
0 da s
a
New completion datrT,
11/19/2018
C
RECOMMENDED FOR APPROVAL
-
Contr r Sign tore
CONST
°ION
MANAGER
CITY OF SOUTH BEND
Dustin Hilary, SB Area Vice President
Printed Name and Title BOARD OF PUBLIC W RKS
Approved Date. 00
Walsh & Kelly, Inc.
Company Name
Gary A. Gilof, President
24358 SR 23
Address
South Bend, IN 46614
City, State, Zip
JJt _.
iGeneviojeEMiller ember
s eth A*ik.'Member
Ther orwber
i. y A el
Nw obi r ar a,,w
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS .°` ° -ell
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Great Lakes Capital Spec Building Paving
PROJECT NO 118-058 FINAL COST $323,665,80
CONTRACT SIGNED 10/9/2018 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Install asarklr� Poi and drivewa movements at 5545 Chet Waggoner Court.
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 tha contractor performed the work within the scope of the Specifications and Standards of the City
of South Bend wN�iot. er part of UPke above Contract.
Executed th
Sig
Name
WITNESSESS:
Before me, the undersigned Notary Public in
L Uad Hi l= , and acknowledged
the 24th d y pf Lme „ . , 201
Notary 0<911 l
Alisha Krueger
Printed Name
Walsh & Kelly, Inc.
Company Name
24358 SR 23
Company Address
South Bend, IN 46614
City, State, Zip
and for said country and state, personally appeared
is1l�§jg ornplet ton Affidavit on
ALISHA KRUEGf:R
,r�0 "-, Notary Public, State of Indiana
`;SEAL': ST,Joseph Counry
om ssi.on Expires j
>,c ommys�lon sslirg�
SIX" une 22
5, 2022
County of Residence St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
I, J. Michael Schaum certify that I am Secretary of the Corporation executing this release; that
Dustin Hilary who signed this release on behalf of the contractor was then
VP of '" '-" - of said Corporation; that said release was duly signed for and on behalf of said
Corporation t 1 ity of it v Ing body, and is within the scope of corporate powers:
ryt + m
Secretary° Signature
erporatp
J.J. id el Schaum
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL 0 0o,p
This project is acceptabl fo f w I approval and we recommend to the Board of Public Works that it be o"t alned'so
� Mw
��Date: �ts ,
ConstructiotAymager
Gary A. Gilot, President
i�erese J. 41 rau, Me fiber
BOARD OF PUBLIC WORKS APPROVAL
Geiler/ieve E. Miller, Member
Date: ` /') : .,q,l °J
�--
Efi—zabelh A. Ma adik, Member
da M. Martin, Clerk
Surety O + 908.903.3485
202B Halls Mill Road, PO Box 1650 F + 908.903.3656
Whitehouse Station, NJ 08889-1650
Federal Insurance Company
Maintenance Bond BondNo.MNT 8246-60-16 Amount$32,366.58
Know All Men By These Presents,
That we,
Walsh & Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
(hereinafter called the Principal), as Principal, and the FEDERAL INSURANCE COMPANY, a corporation duly organized
under the laws of the State of Indiana, (hereinunder called the Surety), as Surety, are held and firmly bound unto
Board of Public Works, City of South Bend, Indiana
227 W. Jefferson Blvd.
South Bend, IN 46601
(hereinafter called the Obligee), in the amount of 58/10o Two Thousand Three Hundred Sixty Six Dollars and
for the payment of which we, the said Principal and the said Surety, bind ourselves, our heirs, Sealed with our seals
and dated this 4th day of June, 2019.
WHEREAS, the said Principal has entered into a contract dated October 9 , 2018
for: Great Lakes Capital Spec Building, Project No.: 118-058
And
WHEREAS, the said Principal is required to guarantee the Great Lakes Capital Spec Building, Project No.: 118-058
installed under said contract, against defects in materials or worlunanship, which may develop during the
period June 4, 2019
to June 4, 2022
Form I5-02.0075FED (Rev. 5/17)
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall faithfully carry out and
perform the saidguarantee, and shall, on due notice, repair and makegood atits own expenseanyand all defects in materials
or worlananship in the said work which may develop during the period June 4, 2019 to June 4, 2022
or shall pay over, or make good and reimburse to the said Obligee all loss and damage which said Obligee may sustain
by reason or default of said Principal so to do, then this obligation shall be null and void; otherwise shall remain in full
force and effect.
Walsh & Kelly, Inc:`
0
✓;� k 4
Bn✓ o use m
n 1 :]�,�Of''Souris Bejid Area
a�
/pIpf
Federal Insurance Company
By M
Attorney -in -Fact
David M, Oliger
Form I502-MSFM (Rev.5/1n
CHUBES'
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Lisa M. Becker, Tia A. Boice, Terry R. Hurst, Brian T. Morton,
David M. Oliger, Kathryn R. Postma, Tina N. Senefeld and Eric M. Wahlstrom of Indianapolis, Indiana -•- --"--"-----. - ------------- — -------------
each as their true and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on this 61 day of March, 2019.
Rival Al. Chloros. Assistant Secretary
STATE OF NEW JERSEY
County of Hunterdon
Stephen Ai. I lancy. Vice President
d4P. , w
On this 6t, day of March, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, to me known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M.
Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she is acquainted with Stephen M.
Haney, and knows him to be Vice President of said Companies; and that the signature of Stephen M. Haney, subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M. Haney, and was thereto subscribed by authority of said Companies and in deponent's presence.
Notarial Seal ROSE CURTIS
+n NOTARYPIIBl1COFf1ElrfJf31BEY
rabW 10724
f *Om* 2 . teat Av"
N(aaiy Public
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016:
"RESOLVED, that the following authorizations relate to the execution, for and on behalf of the Company, of bonds, undertaldngs, recognizances, contracts and other written commitments ofthe Company
entered Into in the ordinary course of business (each a "Written Commitment"):
(1) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the
seal of the Company or otherwise.
(2) Each duly appointed attorney -In -fact of the Company Is hereby authorized to execute any Written Commitment for and on behalf of the Company, under the seal of the Company or
otherwise, to the extent that such action Is authorized by the grant of powers provided for In such person's written appointment as such attorney -In -fact.
(3) Each of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized, for and on behalf of the (Unupany,to appralnt In wrltlptg any Person the Attorney,
in -fact of the Company with full power and authority to execute, for and on behalf (it the company, 'under the seal of the company or ofl rwise, upch Written Commitments of the
Company as may be specified In such written appointment, which specification may be by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, to delegate In writing to any other officer of the
Company the authority to execute, for and on behalf of the Company, under the Company's seal or otherwise, such Written Commitments of the Company as are spedfied In such
written delegation, which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution, and the seal of the Company, maybe affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers, employees and other persons to act for and on behalf of
the Company, and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested. -
Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby
certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect,
(ii) the foregoing Power of Attorney is true, correct and in full force and effect
Given under my hand and seals of said Companies at Whitehouse Station, rip, this June 4, 2019.
.,. �� � lkivnn R9.(:hl(x•cr;./icalstaln15ecreal
pqII� If( yHli U WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT:
Ill.•_.... , - EVENTYO...I,e,Pb("irtre(,�OfIlrI034L.. Fax(i)OS)903-3656mmm _ e-mail: xur�etyticYvtMbbmcrpuA
. ..,...._,_", ....._,....�.�._.._....
FED- VIG ,PI (rev,' 08.18)
Final Waiver of Lien
State of Indiana, County of _ it. -J e l SS:
Dustin Hilaryg dui Area Vice President being y sworn that he/she is the South Bend
erne of Officer) (Tide)
of Walsh & Kelly, Inc.th......
having contracted with j!K —m_'Git_ Of South ._Be nd
(Contractor) (Owner)
to liirnish ceitaln materials and/or labor as follows; s halt Payinq and Concrete Work
(Description)
for a project known as Greatp p g Lakes Capital Spec Building
(Name of Project)
located at � 5545 Chet goner Court, South Bend, +I�It of South Bend Indiana IN 46628
_ & KEG
and owned by y
and does hereby Author state on the behalf of the aforementioned subcontractor/supplier: — G r�
(PARTIAL WAIVER) that there is due from the Contractor the sum of «« SEAL
Dollars �� _d��
�4t1'111111111N
❑ receipt of which is hereby aclaiowledged; 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) ..�w"._.,..�_.. that the final balance due kom the contractor sum of 132: 68008 the ..
❑ 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 shall
become effective only upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises, in end all liens or claims whatsoever
on the above -described property and improvements thereon an account of labor or material orb ,1hruished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any; and further certified a other rty has any claim or right to a
lien on account of any work performed or material famished to the undersigned for ,Icct ei !thin the scope,ofthi's Affidavit
and Waiver of Lien. r 17
Walsh & innKInc. B��F) utlaot°i rl Ipresrzttivci
STATE OF INDIANA ) Lin Hilary, South Bend Area Vice President
SS:
5T, IOSEPH COUNTY
Before me, the undersigned, a Notary Public, In and for said County and State, personally a peared Dustin Hilary
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. 25th
IN WITNESS WHEREOF, I have hereunto subscribed my na and affixed myofficiat on the day of
June 200
My Commission
e_
....._. r23
Elizabe
Rosldin im Marshall county, Indiana _y th Tur in
wa
N! "°IC'na c�i Griddana
a:u�ty E�uees�Cl�'
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 07/03/2019
Name Toy Villa Department Enn icneerin
BPW Date 07/23/2019 Phone Extension 5920
nm��i�ewra�w�urr�nma�imumumuHiHiHUHUHuuumwuwiruuwuwuwuwuwuwuuiuiuiuiuiuiuvw.winiw.�Nwuwiuiuwuwm�m�. �...:,���� �-- rr��wru wuuuummimuuuuuuuuuuuuuuuummmm�muWuuuum uu�vurr�arair�u!m�wrrwwwwwvmn ....... ww �nnm,nmrmcrar�.�
Re wired Prior tomSubmittal to Board
Legal [J Attorney Name
Controller Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing [�
Check the A
" Agreement
Professional Services
❑J Bid Opening
El Quote Opening
❑ Change Order No.
[� Ease/Encroach.
❑ Other:
lro riate Item T.y
❑( Contract
Resolution
❑ Bid Award
❑ Quote Award
® C/O & PCA No
❑ Traffic Control
l e _►rq for All Submissions
Proposal
❑ Req. to Advertise
2 Final ❑ PCA
ired Information
Company or Vendor Name Walsh & Kelly, Inc.
Addendum
❑ Title Sheet
New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing
MBE/WBE Contractor ❑ MBE ❑ WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company
Project Name Great Lakes Capital Spe�c B.u.!..l.din..g,................. __� ��.�.�.�.�.�.�..............................���m.................._w
Proiect Number 118-058
Funding Source RWDA TIF
Account No. 324.1050.460.42.04
Amount $
Terms of Contract
Purpose/Description Project Closeout
❑ Required Contractor's Certification Form Attached (Non -
Collusion,. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.
Required For Chancle Orders Oni
Amount of F-1 Increase $
Z Decrease $ 11,055.90
Previous Amount $ 334,721.70m
Current Percent of Change: 3.30%�
New Amount
Total Percent of Change
Copy
Original
n
El
$ 323665.80
27.73% mm
Dispersal After Approval