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Home My WebLink AboutChange Order No 1-PCA - 2019 City Cemetery Paths - Acorn Landscaping1316 COUNTY -CITY BUILDING U} PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD fit` FAX 574/ 235-9171 SO[ )TH BEND_ INDIANA 46601-1 830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR ]BOARD OF PUBLIC WORKS August 27, 2019 Jeff Ritschard Acorn Landscaping LLC 3680 W. Sample Street South Bend, IN 46619 RE: Change Order No. 1 (Final)/Project Completion Affidavit - 2019 City Cemetery Paths Dear Mr. Ritschard: The Board of Public Works, at its meeting held on August 27, 2019, approved the Final Change Order for this project, for an increase of $3,170. The new Contract sum is $50,000. In addition, the Project Completion Affidavit for this project was approved in the amount of $50,000. 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 DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: PROJECT NO: _08/27/2019 1084...20.1..9 ..........................._ PROJECT NAME: 2019 Cit_ _�r Cemetery Paths CONTRACT DATE: 06/06/2019 CHANGE ORDER NO. �........�m.,..........�� -�www al Fin SUBJECT OF CHANGE ORDER: _ PCR #1 �stm ant to final uantities. All items completed substantiallyas 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 Printed Name and Title Company name Address City, State, Zip ® Increased ❑ Decreased $ 46,830.00 $ 0 $ 46.� �......................w. 830.00 $ 3,170.00 $...................................50000.00 6.8 % 6.8 % 08/15/2019 ............................................................. ..._.....15 ,. 0 days 08/30/2019 _ RECOMMENDED FOR APPROVAL Construction Manager CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Approved Dat Gary A. ilot, Preside t Ell � et h aradik, Member AQe �Dorau, embe.. .... ..... Genevieve Miller, Member Laura O'Sullivan, Member PROJECT NAME PROJECT NO CONTRACT SIGNED PROJECT DESCRIPTION WITNESSETH: CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT #NAME? 2019 City Cemetery Paths 1084-2019 FINAL COST 60„000.00 19 Resurfacino of MAINTENANCE - Phase 2 E The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of So d, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such c tract, and hat the contractor performed the work within the scope of the Specifications and Standards of the City of South end which ere a part of the above Contract. Execu d this ay of201 Acorn Landscaping Company Name 9 a raww rrrr� LINDA J GILROY 80 W Sample �atur Notary Public, State of 10dirar,I �� mpanyAddreSS J C _�1 St. Joseph County »* Printed Name aba�0. Commission Number NPC17Nrouth Bend, IN 46619 a�sMrrrr�zo My Commission July 31, 2027prres ut State, Zi y P WITNESSES& the JA 2 lay of 201. Notary Signature My Commission Expires Printed Name County of Residence 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 acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Construction Manager , 1� A-` Date: BOARD OF PUBLIC WORKS APPROVAL Date: A, � � , Gary A. Gilot, President Genevieve Miller, Member Theresd J Dora ember , Laura O'Sullivan, Member Elpxabeth A. Maradik, Member Ld nda M. Martina 0 rk AFFIDAVIT AND WAIVER OF LIEN State of Indiana, County of d �Q(fG SS: �..._.. . _..... _ -. �.._ w. ...._ .. being duly sworn that he/she is the (Name of Officer) (Title) of 14rf� % .. �I .,., �� .._,.. having contracted with ,Ile s% Q (Subcontractor/Supplier) Contractor to furnish certain materials and/or labor as follows:------------- (I)escription) _ for a project known as �...,f _.__ ; qr!.r.U.......... (Name of Project) located at and owned by (Owner)+■r.»,r�. LINDA J GILROY and does hereby further state on the behalf of the aforementioned subcontractor/supplier; �v "m�, Notary Public, State of Indiana r St, Joseph County + w` Commission Number NP0721620 (PARTIAL WAIVER) that there is due from the Contractor the sum of .,,' DP,***t w. My Commission Expires °"�40 110 July 31, 2027 Dollars ($ ............. ,. ...... ... _............ --------- ❑ 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 cc due from the contractor is the sum of 1i�, 1 ❑ 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 l become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner rforsaid miscs, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labia or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and ftlrl.'1ti t no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigtl1 ajc C and within the scope of this Affidavit and Waiver of Lien.,, By (Firm). p . esc-rltative) STATE OF INDIANA ) SS: ST, JOSEPH COUNTY Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared (f and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my na "ie sand affixed my official seal on the T day of _ A.__.lrn� ... .. ....._. tary Pull intture My Commission Expires: _..._A_ .�� .. . ...._1,�,eoy Residing in f rr (f Dc�County, otary Public Name Acorn Landscaping LLC 3680 W. Sample St. South Bend, IN 46619 574-288-6950 office Date Invoice # 8/16/2019 2356 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 08/22/2019 Department VPA: Facilities & Name Patrick Sherman Grounds BPW Date 08/27/2019 Phone Extension 5601 iE uiu lw'L ,' ,WRRR;YIIIVIIRRfii f8IgNVdIN6f .uvicrwwmvmummaa�: �ih1 i'1�A3d0�9B I� NN' tlh10MOM .... pu✓lUIl11 V' "iBW:' INNNNNN%Nl d'�iG' ._ df6�Jblpl9°X IMIMIMIMIMOIMUva Reired Prior Submittal to Boa ......... �.� 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 p��. Submissions Check the Appr�nopContrlactm Type Required Pro//osa mis ww _�m ......... �] Agreement ❑ Addendum ❑ Professional Services Resolution ❑ Bid Opening [ Bid Award E] Req. to Advertise ❑ Title Sheet Quote Opening Quote Award ❑ Change Order No. ® C/O & PCA No. 1 ❑ PCA Ease/Encroach. ❑ Traffic Control Other: Reluired Information Company or Vendor Name Acorn Landscapinq LLC New Vendor Ej Yes R No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor [_1 MBE ❑ WBE MBE/WBE Contractor Requested ® No ❑ Yes Name of Company Project Name 2.0.1.9.....C..!.tv....C.emetery Paths Project Number ..............................................._. 1084-2019 Funding Source COIT Account No. 408-1001-4....� __Y_____ m..�_................�.�.._� 60.42-01 Amount $ 50,000.00 Terms of Contract .. .. �� m..... ...... _..... ._ 45 Da sy : 3737 lin/ft Purpose/Description Phase 2: Resurfacing of over rown paths in C y. City Cemete ® Required Contractor's Certification Form Attached (Non - Collusion„ Non Discrimination, Non Debarment, erN,ran, etc R aired For ChanaeOrders Ong � _ � ....... Amount of ...... Increase __$ 3,170.00 Decrease Previous Amount $ 46,830.00 ------ .......... ..... .... Current Percent of Change 0% New Amount $ 5 000.00 Total Percent of Change: 6.8% Dispersal After Approval Copy Original El El n F] 1-1 El