HomeMy WebLinkAboutChange Order No 1-PCA - Farmington 14A Lift Station Project No 117-027 - John Boettcher Sewer and Excavating1316 COUNTY -CITY BUILDING j
227 W. JEFFERSON BOULEVARD
SOI JTH BEND. INDIANA 46601-1 830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARDU LIC WORKS
September 24, 2019
John Boettcher
John Boettcher Sewer and Excavating
3305 N. Home Street
Mishawaka, IN 46545
PHONE 574/235-9251
FAx 574/ 235-9171
RE: Change Order No. 1 (Final)/Project Completion Affidavit - Farmington 14A Lift
Station Rehabilitation — Project No. 117-027
Dear Mr. Boettcher:
The Board of Public Works, at its meeting held on September 24, 2019, approved the Final
Change Order for this project, for a decrease of $23,125.23, plus an additional one -hundred,
forty (140) days. The new Contract sum is $337,452.56 and the new project completion date
is September 30, 2018.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$337,452.56.
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: 09/10/2019
PROJECT NO: 117-027
PROJECT NAME: Farmington 14A Lift Station Rehabilitation
CONTRACT DATE: 11/28/2017
CHANGE ORDER NO. 001 _
SUBJECT OF CHANGE ORDER: Credit 23 m125.23 Ad"usted Quantities Underruns & Overruns All items completed substantially as 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
CONTRA TOR
ContrJ for Signature
John W. Boettcher, President
Printed Name and Title
John Boettcher Sewer & Excavatin
Company name
3305 North Home Street
Address
Mishawaka, Indiana 46545
City, State, Zip
❑ Increased
® Decreased
$ 360,577.79
$ 0.00
$ 360,577.79
$ 23„125.23
$ 337,452.56
-6.41 %
-6.41 %
05/13/2018
0 days
........ .......-.....
9/30/2018 (140 Days); Adjustment due to
Electrical Cabinet Su plies Delay
9/30/2018
RECOMMENDED FOR APPROVAL
M . ,� 09.23-Zvi 9
onstruction Manager
CITY OF SOUTH BEND
BOARD OF PUBLIC O �S
Approved Date:"
e- -
M .w
O'Sullivan, M
Geneve E. Miller,al—
ETJ�za6eTfituber
A. M radik„ Member
Therese J. rau, Member
CITY OF SOUTH BEND, INDIANA�" r ,
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT,
PROJECT NAME Farmington 14A Lift Station Rehabilitation
PROJECT NO. 117-027 FINAL $337,452.56
COST
CONTRACT 11/28/2017 MAINTENANCE AGREEMENT 09/30/2021
SIGNED ENDS
PROJECT Rehabilitation existing Farmington 14A Sanitary Sewer Pump Station
DESCRIPTION
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 that the contractor performed the work within the
scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract.
1t'h _ y September 19
Executed this a of p 20 ,mm
Signal re
John Boettcher
Print'. ame
John Boettcher Sewer & Excavating, Inc.
Company Name
3305 North Home Street
......
Company Address
Mishawaka, Indiana 46545
City/State/Zip
WITNESS
Before me, the undersigned Notary Public in and for said country and state, personally appeared
John W. Boettcher and acknowledged his/her signature to the above Pro'ec M NotaI'Mry Public,
LEONARD
�. ______. W..... ,
��
September on the 16th day of P.... 201„w9
� w"" �' °" „ N ublic, State of Indiana
�r� Commission R 684989
'eA`
My Commission Expires
Notary Signature My Commission Expires May 9, 1plis'si^ "ss oly 09. 2024 nowl
Elicia A. Leonard
_................................... ............................ .._
Printed Name County of Residence St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
I
John W. Boettcher certify that I am Secretary of the Corporation executing this release; that
John W Boettcher
m� who signed this release on behalf of the contractor was then
President mmmmmm of said Corporation; that said release was duly signed for and on behalf of
sa¢ 1 Corporation of its governing body, and is within the scope of corporate powers:
ecre a °s Signature Corporate Seal
John Boettcher
T'riAt"dd Name
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.
as ro 1" Date: D 9- 23- Zo/9
onstruction Manager
B ARD Off" PUBIA ' C�'I�.S APPROVAL Date: q��
, „4sra'rllan, Me
mberGar A. PresiGenevieve E. Miller, Member
`y
C 1&
Eliza beffA. Maradik, Member T erese , DorCK Member nda M. Martin, ;lerk
l"
0 pit
CITY OF SOUTH BEND INDIANA °
w' tip:
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
i86
PROJECT NAME Farmington 14A Lift Station rehabilitation
PROJECT NO. 117-027 FINAL $337,452.56
COST
CONTRACT 11/28/2017 MAINTENANCE AGREEMENT 09/30/2021
SIGNED ENDS
PROJECT Rehabilitation existing Farmington 14A Sanitary Sewer Pump Station
DESCRIPTION
WITNESSETH:
The work under the above contract between the City of South Bend and the undersigned contractor having
been completed, the City of South Bend, its officials and agents are hereby released from all claims and
demands whatsoever arising under or by such contract, and that the contractor performed the work within the
scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract.
Executed this 16th day of September
b
AJohn
eBoettcher
111rinl-ed Name
2019
John Boettcher Sewer & Excavating, Inc.
Company Name
3305 North Home Street
_.. ...
Company Address
Mishawaka, Indiana 46545
City/State/Zip
WITNESS
Before me, the undersigned Notary Public in and for said country and stat , M
John W. Boettcher and acknowledged his/her signature to the above Pro'e' cowl g$;�no alas
o..... .._..oat . ._._.... , g g ) State cat Indiana
rnm
Of
y September , 2019 on the 16th day of
My Commission Expires
Moy 09" 2024
Notary Signature My Commission Expires May 9„
Elicia A. Leonard
Printed Name
County of Residence St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
I, John W. Boettcher certify that I am Secretary of the Corporation executing this release; that
John W Boettcher who signed this release on behalf of the contractor was then
President of said Corporation; that said release was duly signed for and on behalf of
saiu Cor oration,by,7�m ority of its governing body, and is within the scope of corporate powers:
Secre a�°y's Signature
oh Boettcher Corporate Seal
Printed Name
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.
�. Date: 499,23- ZV19
Construction Manager
BOARD OF PUBLIC WORKS APPROVAL
Gary A. Gilot, President
Date:
Genevieve E. Miller, Member
Laura O'Sullivan, Member
Attest:
Elizabeth A. Maradik, Member Therese J. Dorau, Member Linda M. Martin, Clerk
MAINTENANCE BOND
601128361
KNOW ALL MEN BY THESE PRESENTS, that we, John Boettcher Sewer & Excavating Contractor, LTD
3305 N Home St., Mishawaka, IN 46545
as Principal, and The Ohio Casualty InsuranceCompanyas Surety, are held and firmly bound unto
City of South Bend Board of Public Works
(hereinafter
he reinafter called the Obligee), in the penal sum of Thirty-three Thousand Seven Hundred Forty-five Dollars And
Twenty-six Cents Dollars $33,745.26
for the payment of which, well and truly to be made, we do hereby bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Dated: September 30, 2019
WHEREAS, the said Principal has heretofore entered into a contract with the Obligee for Farmin_qton Lift Station 14A
Rehabilitation; Protect No 117-027 and,
WHEREAS, the work called for under said contract has now been completed and accepted by said Obligee;
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall for a
Principal shall for a period of 2mm(two) years from and after the date of the completion of the contract indemnify
the Obligee against any loss or damage directly arising by reason of any defect in the material or workmanship that may
be discovered within the period aforesaid, then this obligation shall be void; otherwise to remain in full force and effect.
PROVIDED, HOWEVER, that in the event of any default on the part of the Principal, written statement of the
particular facts showing such default and the date thereof shall be delivered to the Surety by registered mail, at its
home office in the city of Keene, New Hampshire promptly and in any event within ten (10) days after the Obligee or
his representative shall learn of such default; and that no claim, suit or action by reason of any default of the Principal
shall be brought hereunder after the expiration of thirty days from the end of the maintenance period as herein set
forth.
John Boettcher Sewer & Excavating Contractor, LTD
3305 N Home St., Mishawaka, IN 46545
...._�.--.....��..m._.� n. _... vw�w (Principal)
By: A—
.mm
John ettcher
C.` V#A
The Ohio Casualty Insurance Company
62 M le Avenue, Keene, ew Hampshire 03431
By:
142_,_�
Gregory S Miller
(Attorney -in -Fact)
POWER OF ATTORNEY
The Ohio Casualty Insurance Company Bond Number:601128361
Principal: John Boettcher Sewer & Excavating Contractor, LTD 3305 N Home St.., Mishawaka, IN 46545
Agency Name: RICHARD S. MILLER & SONS, INC.
Obligee: Cit of South Bend Board of Public Works Agent Code:133847
Know All Men by These Presents: That The Ohio Casualty Insurance Company, pursuant to the authority granted by Article IV, Section 12 of the Code of Regulations and
By -Laws of The Ohio Casualty Insurance Company, do hereby nominate, constitute and appoint: Christian L. Barnes; Gregory S. Miller; Benjamin R. Nehls of BREMEN, Indiana
its true and lawful agent(s) and attomey(ies)-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,
UNDERTAKINGS, and RECOGNIZANCES, excluding, however, any bond(s) or undertaking(s) guaranteeing the payment of notes and interest thereon
And the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company, as fully and amply, to all intents and purposes, as if
they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Keene, New Hampshire, in their own proper
persons, The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact
In WITNESS WHEREOF, the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of
said Company this 26th day of September, 2016,
tN&
CO
ir
0 1919 x
*yob David M. Carey, Assistant Secretary
STATE OF PENNSYLVANIA
COUNTY OF MONTGOMERY
On this 26th day of September, 2016 before the subscriber, a Notary Public of the State of Pennsylvania, in and for the County of Montgomery, duly commissioned and qualified,
came David M. Carey, Assistant Secretary of The Ohio Casualty Insurance Company, to me personally known to be the individual and officer described in, and who executed the
preceding instrument, and he acknowledged the execution of the same, and being by me duly sworn deposes and says that he is the officer of the Company aforesaid, and that the
seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said
instrument by the authority and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal at the City of King of Prussia, State of Pennsylvania, the day and year first above
written
' COMMONWEALTH OF PENNSYLYANIA
r,." " " iw Nrr arrrwl SsM
OF Teresa Pastdla Nutary Public,
y Commission Fx aou March xe aaa1 Notary Public in and for County of Montgomery,State of Pennsylvania
��.. ry tY Y
My Commission expires March 28, 2021
This power of attorney is granted under and by authority of Article IV, Section 12 of the By -Laws of The Ohio Casualty Insurance Company, extracts from which read
ARTICLE IV -Officers: Section 12 Power of Attorney.
Any officer or other official ofthe Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or President
may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all
undertakings, bond, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attomey, shall have full
power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation, When so executed, such instruments shall
be as binding as if signed by the President and attested to by the Secretary.
Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President
or by the officer or officers granting such power or authority.
This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of
directors of The Ohio Casualty Insurance Company effective on the 15th day of February, 2011:
VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing upon a certified copy of any power of attorney
issued by the company in connection with surety bonds, shall be valid and binding upon the company with the same force and effect as though manually affixed.
CERTIFICATE
I , the undersigned Assistant Secretary of The Ohio Casualty Insurance Company, do hereby certify that the foregoing power of attorney, the referenced By -Laws of the Company
and the above resolution oftheir Board of Directors are true and correct copies and are in full force and effect on this date
IN WITNESS WHEREOF, I have hereunto set my hand and the seal of the Company this 16th day of September 2019
Renee C Llewellyn, Assistant Secretary
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
TO: Members of the Board of Public Works
Eric Horvath, Director of Public Works
Clara McDaniels, Board of Public Works Attorney
Linda M. Martin, Clerk
FROM: Al Greek, Director of Utilities
Jacob M. Klosinski, P.E., Assistant City Engineer
SUBJECT: Project No. 117-027 Farmington 14A Lift Station Rehabilitation
Change Order No. 1 (Final) and Project Completion Affidavit
DATE: September 16, 2019
IOg1illAYM'M�.YlpY+ !M'Agwo�IrR7A4 M1N�ld��l#YiAe9'PtVlllvg'�'A1N�XNwMftGA5U�XA4NNJL'f#flPId50VfVlvbJ1VW�MVpIf0Yl1;5'iGU^WW,bYd-0�d!-0H:dNIWYOUdG�'S�.r'M4q�'J6A4N➢AlE 4N fdfYN:MWI�M'tAln lBNe IUh'1nnnwA�M.MflfoMt�tl.Po.MMiMIMovkPo'�"i�MGm�tiIXA VIIVIu'�l/niANN1:R�titttIMV&9i'iJiGutil�'G!',�l�M9hMtblB�f�I6f�1GNNNiAVgNgIu�WModdNW�Yd�'9Ati'�4Wh MNWWIW wmlril�ilN... �IMiri��4ddn^tl 40��uA,IUINI�N
The Division of Utilities requests the Board of Public Works approval of Change Order No. 1
(Final) and the Project Completion Affidavit for Project No. 117-027 Farmington 14A Lift Station
Rehabilitation. The subject project is complete and the sanitary lift station is fully operational.
The following adjustments are necessary to adjust for quantity underruns and overruns for
the subject project.
Item 7: Curb and Gutter, Type 'A', Overrun
• Quantity Adjustment: 20 LFT to 31.5 LFT
• Cost Increase: $800.00 to $1,260.00
• Net Increase: $460.00
Item 8: Compacted Aggregate, No. 53, Base, Underrun
• Quantity Adjustment: 50 Ton to 4 Ton
• Cost Decrease: $700.00 to $56.00
• Net Decrease: ($644.00)
Item 9: Asphalt Pavement Patching, Overrun
• Quantity Adjustment:
15 SYD to 34.92 SYD
• Cost Increase:
$1,275.00 to $2,968.20
• Net Increase:
$1,693.20
Item 10: PCCP for Drive, 6", Underrun
• Quantity Adjustment:
15 SYD to 11.15 SYD
• Cost Decrease:
$525.00 to $390.25
• Net Decrease:
($134.75)
Item 11: Topsoil, Underrun
• Quantity Adjustment: 15 CYS to 1 CYS
• Cost Decrease: $1,035.00 to $69.00
• Net Decrease: ($966.00)
Item 12: Nursery Sodding, Overrun
• Quantity Adjustment: 70 SYD to 100 SYD
• Cost Increase: $1,368.50 to $1,955.00
• Net Increase: $586.50
Item 13: Force Main, 4" Diameter, Underrun
• Quantity Adjustment: 50 LFT to 22 LFT
• Cost Decrease: $13,316.00 to $5,859.04
• Net Decrease: ($7,456.96)
Item 14: Asphalt Pavement Patching, Underrun
• Quantity Adjustment: 15 LFT to 9 LFT
• Cost Decrease: $6,658.05 to $3,994.83
• Net Decrease: ($2,663.22)
Item 23: Debris Removal Allowance:
• Quantity Adjustment: 200 Tons to 0 Tons
• Cost Decrease: $4,000.00 to $0.00
• Net Decrease: ($4,000.00)
Item 24: Utility Relocation Allowance:
• Quantity Adjustment: 1 LS to 0 LS
• Cost Decrease: $10,000.00 to $0.00
• Net Decrease: ($10,000.00)
TOTAL NET DECREASE: ($23,125.23)
SUMMARY OF CHANGE ORDER NO. 1
Original Contract Sum:
Net Change by Previously Authorized Change Orders:
Contract Sum prior to this Change Order:
By this Change Order, the Project Amount is Decreased by:
The new Contract Sum including this Change Order:
This Change Order Represents a Total Change of:
Total Change for the Entire Project:
$360,577.79
$ 0.00
$360,577.79
($ 23,125.23)
$337,452.56 FINAL
-6.41 %
-6.41 % FINAL
Adjustment in time by 140 Days to account for manufacturer's delays in product delivery to
the site. Control Cabinet product is a City Standard and adjustment is being made due to
City's preference and requirement for the specific product for compatibility.
Final Payments shall be issued through the Division of Utilities through the Utilities Wastewater
Capital Account 642-0630-415-43-66 .
For questions regarding the above recommendation or the subject project, contact Al Greek
(Ext. 4210) at the Division of Utilities or Jacob M. Klosinski (Ext. 9496) at the Division of
Engineering.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date September 16 2019
Department
Name Jacob M. Klosinski En ineerin / Utilities
BPW Date Se tenter 2 20'l.9 Phone Extension Ext. 9496
�� �w,wiwwnai uvuzervr�n imirvvmmmm��i rr�m�
... ............._.._.._... e uired Prior to Submittal to Boar. ........ . ...........................
R
._ .9 _. d _..� . ._. �....__
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney Attorney Name
Purchasing F
Check the A
Profession. __.__....-.................
al Services Agreement
❑ Open Market Contract
E] Bid Opening
El Quote Opening
Fj Proposal Opening
I j Chg. Order, No.
❑ Other:
Item Type —Required.f6r All Submissions
" Contract
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
® C/O & PCA No. 1
❑ Traffic Control
Reau red Information
Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise
E] Reject Bids/Quotes
PCA
E] Resolution
Ease./Encroach
❑ Title Shee
or John Boettcher Sewer & :1:xc�aa�at�n�, Inc. Vendor Name J .. .._.
Company
�] Yes1] If Yes, Approved by Purchasing
New Vendor ] No
MBE/WBE Contractor MBE Completed E-Verify Form Attached ❑ Yes
F] WBE No
Project Name Farmm on..14A Lift Station Rehabilitation....S......................................�.��.._w _� � .....�...... .............�.w—..
Project Number 117-027
Funding Source Utilities, Wastewater Ca ital
Account No. 642-0630-415-43-66
.....................
_......_�_�.....�__� ��............__......�w..
Amount
Terms of Contract
Purpose/Description The Division of En gincering and Division of Utilities request the Board o
Public Works approval of Change Order No. 1 Final,_adustment of final
quantities),, Pr9jeq "om', letion Affidavit,and Maintenance Bond for the
subject proiect. All work is con late.
For CLn, e Orders l w_u
Amount of Increase $
Decrease � _ �.. ... .... .... ..... ___ �...
® ($ 23 125.23)
Previous Amount $ 360.577.79
Increase
% .�.��.0
Current Percent of Change:
g
Decrease
6.�.�.�.�.�.�.�.�.�.�.� .�.
(.41 %)
New Amount
$ 337,452.56
._... �.� ...................................................
Increase
Total Percent of Change:
Decrease
(6.41 %)
Time Extension Amount:
140 Dais, Adjust due to Electrical Cabinet Supplier Delay
New Completion Date:
09/30/2018