HomeMy WebLinkAboutChange Order No 2 - North Station Well No 1 Replacement Project No 117-031R - Peerless Midwest Inc1316 COUNTY -CITY BUILDING r
PHONE 574/ 235-9251
�`
227 W. JEFFERSON BOULEVARD
IIn4' :! FAX 574/ 235-9171
SOUTH BFND_ INDIANA 46601-1 830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARDOF PUBLIC WORKS
September 10, 2019
Frank Williams
Peerless Midwest, Inc.
55860 Russell Industrial Parkway
Mishawaka, IN 46545
RE: Change Order No. 2 - North Station Well No. 1 Replacement — Project No. 117-
031 R
Dear Mr. Williams:
The Board of Public Works, at its meeting held on September 10, 2019, approved the above
referenced Change Order for an increase of $1,345, bringing the current contract amount to
$543,570.72.
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,
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°a
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDERmt.,
DATE: 8/28/2019
PROJECT NO: 117-031 R
PROJECT NAME: Water Works North Pumping Station Well Replacement
CONTRACT DATE: 2/26/2019
CHANGE ORDER NO: 2
SUBJECT OF CHANGE ORDER: PCR #2-Furnish & Install 10"x12" Water Main Reducer.
.........
The original contract sum
$
532,763.00
Net change by previously authorized change orders
$
9,462.72
The contract sum prior to this change order
$
542,225.72
By this Change Order, the project amount is X Increased
Decreased
$
1,345.00
The new contract sum including this change order
$
543,570.72
This Change Order represents a total change of
0.25 %
Total change for entire project
_ 2.03 %
........ ........ .._ ..... .._._...
Original contracted completion date/time 12/21/2019
Extension of date/time by previous change orders 0 days
Date/time extension by this change order 0 days
New completion date/time 12/21 /2019
CONTRACTOR RECOMMENDED FOR APPROVAL
Contractor Signature CONSTRU
N MANAGER
Printed Name and Title
Peerless Midwest, Inc,.
........� ....
Company Name
55860 Russell Industrial Parkwa
Address
Mishawaka, IN 46545
City, State, Zip
CITY OF SOUTH BEND
BOARD OF PUBLIC WO GCS
Approved Date:
Gary A. Gild„ President
Genevi ve E. Miller Member
Mishawaka, |N/574.254.0O5O
Westfield, |N/317.80G.2QD7
Ionia, [N|/O1(l527.005U
Fenton, N1|/8i0.21512Q5
Lombard, |L/03l7O8.3%12
Boulder, C0/574-288'O785
Littleton, CO/303-968'7Q2U
Canton, OH/33O-5g24148
City of South Bend Dept.oJPublic Works
Division ofEngineering
227VV.Jefferson Blvd. Suite1316
South Bend, |N466O1
Attn: Ms. Rebecca Plantz
RE: North Well Field 1A Change Order Request #2
In regards to the North Well Field Well #1A Construction, the City has requested the additional amount
needed in order to add a 12" x 10" reducer to the underground waterrylain. The following additional
costs would beincurred:
1, Supply of 12" x 10" reducer, necessary fittings, spool piece, labor, and equipment to procure, deliver
and inu1uU $1,345.
Please let me know if there are any further questions, or if we can be of arty further assistance,
Regards'
PEERLESS M|DVVEST'|WC.
Frank T.Williams
Project Manager
5586oRussell Industrial mm(m4) 254.9650
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
PROJECT CONTRUCTION CHECKLIST
Project No. 117-031 R
Project Name Water Works North Pumping Station Well Replacement
Contractor Peerless Midwest, Inc.
Inspector JJE
PAY APPLICATIONS & CHANGE ORDERS CHART
Pay APP 0 Contract rrr EVA
NTP
3/26/2019
Sub. Comp.
11/21/2019
Final Comp.
12/21/2019
Today's Date
8/28/2019
$200,000 00
7/1 /2019 911 /2019 11 /1 /2019
PAYMENT APPLICATION SUMMARY
End Date Total Deductions Sub Total
Prev. Pmts Amount Prev Pmt Error
1 7/12/19 $117,207.86 $5,860.39 $111,347.47
$0.00 $111,,347.39 -
2
3
4
5
6
7
8
9
10
11
12
S
-
-
-
$0.00
$111347.39
CHANGE
ORDER SUMMARY
Date
Prv. Contract Change Amt.
New Contract Change % Total % Added Days
1
6/18/2019
$532,763.00 $9,462.72
$542,225.72 1.78% 1.78% 0
2
8/28/19
$542,225.72 $1,345.00
$543,570.72 0.25% 2.03% 0
3
4
5
S
-
- $10 807.72
-
-
2.03%
12/21/2019
POST -CONSTRUCTION DOCUMENT CHECKLIST
Items Notes Date Rec'D
1 Final Pay Application
2
Project Completion Affidavit
3
Final Waiver of Lien
4
Final Change Order
5
Com lete Certified Payrolls
6
As -Built Documents
7
Testing Reports
8
Warrant Information
Signature: "+�
Date:
,.'a„ti,pl frt p ..
". el
DEPARTMENT DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
Project Number: 117-031 R Project Name: Water Works North Pumping Station Well Replacement Change Order #° 2
INITIATED,:8/28/19
DATE
BPW DATE:
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions Out of Scope, Etc.)..
Plans labeled existing Water Main as 10" but is actually 12".
Attachments: (List documents support change — required)
Contractor cost.
Amount of B Increase / ❑ Decrease: $ 1 , 345.00
Categories (Pick One):
Previously approved Change Order(s): $ 9,462.72
❑ Scope of Work
❑ Differing Site Conditions, Changed Conditions
Current Percent of Change: '25 %
❑ Conflicted Specifications and Drawings
....New To _�. �.._....._........
tal Amount: $ 543,570.72
......_.__.
❑ Failed Materials
8 Error
2.03
❑ Omission
Total Percent of Change:
❑ Final Quantity Adjustment
Funding Secured From:
❑
(filled out by PM)
RECOMMENDED BY:
Josh Ehmer
8/28/19
t
Project Inspector (Print Name)
(Signkr .
(Date)
REVIEWED BY:
W
Construction Manag r (Print Name)
(Signature)
(Date)
APPROVED BY:
Q)Uj-A
Engineering Project Manager (Print Name)
(Signature)
(Date)
APPROVED BY:
City Engineer (Print ame)
(Sign.", )
(Dalie)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date9/03/19.................................................�....................._
Department Public
Name Becca Plantz Works
BPW Date 9/10/19 Phone Extension 5998
>gu m mr �m� Hi uu�flffi�mm mmm 91110 wummmmm w
..._..................... ...... ......,.., ....._..........._A....._...... ........ .. �..._..._._
l uired Prior to Submittal to Board
..........._ ......J ........... ................. �......
BPW Attorney Attorney Name
Dept. Attorney F-1 Attorney Name
Purchasing I:]
Check the
Item Type — Requar ed,1 r All Submissions
Professional Services Agreement ❑ Contract
Open Market Contract ❑ Amendment/Addendum
Bid Opening 17'
Bid Award
F-1
Quote Opening ❑
Quote Award
Proposal Opening ❑
C/O & PCA No.
®
Chg. Order, No. 2 F-1
Traffic Control
❑ Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Information
L..j Proposal
Special Purchase, QPA
❑ Req. to Advertise
❑ Reject Bids/Quotes
❑ PCA
0 Resolution
Ease./Encroach
❑ Title Sheet
Peerless Midwest
El Yes If Yes, Approved���������....
.............
❑ by Purchasing
E] No
MBE Completed E-Verify Form Attached ❑ Nos
WBE
hNortStation Well No. 1 Replacement 117-031R
Water Works
62206406614602
Lump Sum
_.
,For Cl�a��gc Orders f���y
Amount of
Increase $ 1,345.00
� �.... ...... � ............ ... a. _ �� .........�.�.
Decrease J )
Previous Amount
$ 542,225.72 ................�.��.�_���._.....
... ��____.................�.......................m�_.
Increase
0.25
Current Percent of Change:
Decrease
.... .e_
(0%...........�
New Amount
$ 543,570.72
.Increas.e......................ww__
2.03%
Total Percent of Change:
Decrease
0 /o
Time Extension Amount:
0
New Completion Date:
12/21/2019