HomeMy WebLinkAboutChange Order No 1-PCA - Small Drainage Design and Repair Project No 118-063 - GE MarshallPw
1316 COUNTY -CITY BUILDINGS PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD �` IWACK FAX 574/ 235-9171
SOUTH BEND. INDIANA 46601-I 830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
August 27, 2019
Frank Marshall
G.E. Marshall, Inc.
1351 Joliet Road
Valparaiso, IN 46385
RE: Change Order No. 1 (Final)/Project Completion Affidavit - Small Drainage Design
and Repair, Division A — Project No. 118-063
Dear Mr. Marshall:
The Board of Public Works, at its meeting held on August 27, 2019, approved the Final
Change Order for this project, for a decrease of $18,521.47. The new Contract sum is
$117,106.53.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$117,106.53.
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��
DEPARTMENT OF PUBLIC WORKS,
PROJECT CHANGE ORDER'
DATE: 7/22/2019
PROJECT NO: 118-063
PROJECT NAME: Small Drainage Design and Re air DivA
CONTRACT DATE: 12/20/2018
CHANGE ORDER NO: 1 Final
SUBJECT OF CHANGE ORDER: PCR #1-AdLstment to Final Quantities.
All items completed substantially as planned.
See attached Comparison of Estimate for overruns and underruns.
The original contract sum
$ 135,628.00
Net change by previously authorized change orders
$ 0.00
The contract sum prior to this change order
$ 135,628.00
By this Change Order, the project amount is
Increased
� Decreased $ 18,521.47
The new contract sum including this change order
$ 117,106.53
This Change Order represents a total change of
-13.66 %
Total change for entire project
-13.66 %
Original contracted completion date/time
6/7/2019
Extension of date/time by previous change orders
....._
0 days
Date/time extension by this change order
0 days
New completion dat me
6/7/2019
C NTR
RECOMMENDED FOR APPROVAL
Contrac o Signature
CONSTR ON MANAGER
CITY OF SOUTH BEND
Frank A. Marshall President
Printed Name and Title
BOARD OF PUBLIC OJRS00
Approved Date
G.E. Marshall Inc.
Company Name
K Uk.
ty A. Gilot, President
Small Drainage Design and Repair DivA
Address
Valparaiso, IN 46385
City, State, Zip
Genevie%4e E. Miller, 1yember
Elizabeth A. Maradik, Member
�rese J orau, Member
Laura O'Sullivan, Member
,"'i Woo
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT AMA
PROJECT NAME
Small Drainage Design and Repair DivA
PROJECT NO
118-063 FINAL COST $117,106.53
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 any pavement, curia, 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, d that the contractor performed the work within the scope of the Specifications and Standards of the City
of South Bend wl1ch were a part of toCoNe Contract.
8th day
ture
Fran' „;. Marshall, Presiden
2019 _ G.E. Marshall Inc.
Company Name
1351 Joliet Rd.
Company Address
City, p +i
P'rinte rive Valparaiso, IN 46385 `��111 111
State, Zip �� '"��M`�'`�,�s
.
WITNESSESS: .'d� »,
Before me, the undersigned Notary Public in and for said country and state, personally appeared Z *, Nora
Taylor Burkern
, and acknowledged his/her signature to the above Project Completdon Affi ,
"i « �
the 8th day ,Aat ust 01 9,�Ct."
>
Notary SN 9/21 2021ure M Commission Expires 1"i Al"
Taylor A. Bur e
111111 �'
Printed Name County of Residence Tzke
If the Contractor is a corporation, the following certificate will be executed.
I, Roger W. Marshall certify that I am3A&4te &? oration executing this release; that
gFrank
a rs all who signed this release on behalf of the contractor was then
re s � dent of said Corporation; that said release was duly signed for and on behalf of said
or n by Authori f ' Bove ling body, and is within the scope of corporate powers:
loo
^�
3kr C ' Srgnatvre-- V e resident Corporate Seal
Roger W. Marshall
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
table for f pprovat and we recommend to the Board of Public Works that it be ordained so.
Thipro� t is acceptable tl
p Date:
Constructio 'der
Gary A. Gilot, President
Therese J.
BOARD OF PUBLIC WORKS APPROVAL
Genevieve E. Miller, Member
Laura O'Sullivan, Member
Date:
Eliabet A. Mara ik, ernber
Linda Martin, Clerk.
Bond No: MNT 7659093
Maintenance Bond
KNOW ALL MEN BY THESE PRESENTS, that we
G.E. Marshall, Inc. hereinafter
called Principal, as Principal, and Fideli and Deposit Com an of Ma land
a corporation of the State of I L , Schaupnbura ILr_ , hereinafter called Surety, as Surety,
are held and firmly bound unto
City of South Bend Indiana,,Board of Public Works
hereinafter called Obligee in the sum of Eleven Thousand Seven Hundred Ten Dollars and 65/100 $11,710.65
DOLLARS, lawful money of the United States of America, to be paid to the said Obligee, or its successors or assigns, to
the payment of which sum well and truly to be made, we do bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
SIGNED, sealed and dated this 6th day of August 1 9 2019 ,
WHEREAS, the Principal entered into a contract with the said Obligee, dated December 20 2018
for
Small Drainage Design and Re air, Pro ect No. 118-063
and,
WHEREAS, the Obligee requires that these presents be executed on or before the final completion and acceptance of said
contract and
WHEREAS, said contract was completed and accepted on the 25th day of July 1 2019 .
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall remedy, without
cost to the Obligee, any defects which may develop during a period of three (3) years
from the date of completion and acceptance of the work performed under the contract, caused by defects "aadt�:
materials or workmanship, then this obligation shall be void:. otherwise it shall be and. remain in full forcew ��
4v.. oRpo J
Kathryn R. Posima
CON800107Z0601 f
G.E. Marshall.Alnc, 1 SEAL M`
F tak Marshall, President , VEPO10
Fidelity and Deposit Company of Ma la
.4 ra
By: IO
David M. Oliger , Attorn act.,
Bond Number MNT 7659093
City or South Bend, Indiana, Board of Public
Obligee works
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute,
and appoint D-ayd M, Qjjg2L , its true and lawful agent and Attorney -in -Fact, to make, execute,
seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such
bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and
purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE
COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND
SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT
COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 19th day of June, A.D. 2019.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
$%.
By. Robert D. Murray
Vice President
Q4-
ot.
By. Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this 19th day of June, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D.
Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who
executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of
the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2023
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, AtlgMqy4-jti-7ragt. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attomeys-in-fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the loth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 6th day of August ,2019 .
�r
SEAL
a4 ��
Brian M. Hodges, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
www.re ortsfelaiffna zuric tia, rat
800-6264577
Final Waiver of Lien
State of Indiana, County of Porter SS,
Frank A Marshall
being duty swomthat he/sheisthe President
(Name of Officer) (Title)
of G.E. Marshall, Inc _ having contracted with City of South Bend Dept of Public Works
(Contractor) (Owner)
to furnish certain materials and/or labor as follows: Storm. Sewer and Grading
(Description)
p Small ___..... _..._._ �,......._. a. g pair D ivA fora project as Draina a Design & Re ........___.._� . � ...,
(Name of Project)
located at Hawbaker Drive
and owned by
(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
❑ receipt of which is hereby acknowledged; or
❑ the payment of which has been promised as the sole considerations for this Affidavit and Final Waiver of Lie,a which is given
solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the
undersigned;
One �adred) sevent balance due from the contractor is the sum of / mm
(FINAL WAIVER that the fines W 106.53
n thousands'one hundred six 5 117,
❑ 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 premjs s, any and all liens or claims whatsoever
on the above -described property and improvements thereon an account of labor or water' I or both, furnished b the tndersigned
thereto, subject to limitations or conditions expressed herein, if any; and further certlfl #hatno other fear as int or right to a
lien on account of any work performed or material furnished to the undersigned for so' project, and wit a cope ftbis Affidavit
and Waiver of Lien.
G. E. Marshall Inc . BY .._.. _.:.
STATE 0.— .. ..._
(F) (Authorised Repres ntative)
F INDIANA )
SS:
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, in and for said County' nd State, personaily appeared Frank A Marshall
and acknowledged the execution of the foregoing .affidavit and Waiver of Lien.
IN WITNESS WBEREOF, I have hereunto subscribed my name and affixed my off ial seat on the 12 day of
Aug , c 200 ,
No ublic S fi aturo ,► tTl i' ii-1,
iMY r0;0
° i
My Commission Expires, pires, � .�._.� � ���aa� ���W�� •�� ��^
w" �.
Lorri 1�i1..ler�" , � a,
g County, IN Notary Pobli Naaiet tt�r«
Residing m Porter _ -
PUBLIC
NZ
'S/ON f0,)NI"
yyw,
tt�
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 8 14/ww2019
Name Toy Villa
m_w
Department: Engineering
BPW Date 08/27/2019 Phone Extension 5920
LAIbDPfflblG9mNl9®lN,i�t NGf�'/tl FNnYVWNIIX4fldYW
Board_ ____..................... .........1
BPW Attorney], Attorney Name
Dept. Attorney
Purchasing
FE
Check the Arfty
Attorney Name
Item Tvne
0 Professional Services Agreement ❑ Contract
❑ Open Market Contract
f-I Amendment/Addendum
E Bid Opening
E] Bid Award
E Quote Opening
❑ Quote Award
Proposal Opening
® C/O & PCA No.l Final
Chg. Order, No.
Traffic Control
F-1 Other:
Information
Company or Vendor Name G.E. Marshall, Inc.
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
All i Submssions
�Proposal
LJ Special Purchase, QPA
❑ Req. to Advertise ❑ Title Sheet
Reject Bids/Quotes
PCA
Resolution
Ease./Encroach
Yes❑ If Yes, Approved by Purchasing
No
MBE Completed E-Verify Form Attached Yes
No
Si all Diili.Il xgc Deslg!l.aiid Repair
118-063
....�����.�.�.�.�.�.�.. �.................... .w__..�..�.,............__.
ExpenContractual Service .._.�....._..�.......
SSDA TIF /Utility..............ww�._..........�..._.
Expense/ Fund
430.1050.460.42.01
Proiect Closeout
Amount .........:.:.. .......wm, �wm
For Chan Orders Only ... _ ...
t of Increase
Decrease ($ 18,521.47)
Previous Amount $ 135,628.00
Increase m.. �....._......%
e: Decrease .
Current Percent of Chan .1..3.6...............6
g (6%
New Amount $ 117,106.53
Increase _%
Total Percent of Change: Decrease13.66%
Time Extension Amount:
New Completion Date: �.. _.m.m..m.m.............� �� ._._............._...