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Home My WebLink AboutChange Order No 1-PCA - 2019 Tree and Stump Removal Project No 119-012 - K&R Tree Service LLC1316 COUNTY -CITY BUILDING � PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD � � � � (�% FAX 574/ 235-9171 SOT ITH BEND. INDIANA 46601-1830 +f�7 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARDU LIC WORKS October 8, 2019 Kevin Kenney K&R Tree Service LLC 1724 S. Grant St. South Bend, IN 46613 RE: Change Order No. 1 (Final)/Project Completion Affidavit 2019 Tree & Stump Removal — Project No. 119-012 Dear Mr. Kenney: The Board of Public Works, at its meeting held on October 8, 2019, approved the Final Change Order for this project, for a decrease of $2,312.00. The new Contract sum is $24,743.00. In addition, the Project Completion Affidavit for this project was approved in the amount of $24,743.00. 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, _w. Linda M. Martin, Clerk Enclosures GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER 9/17/2019 119-012 2019 Tree & Stump Removal 5/14/2019 SUBJECT OF CHANGE ORDER: PCR #1-Adjustment to Final Quantities. 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 CONTRACTOR C ntracto ig ture e o �,e e —OL,- c.Q r Printed Name and Title K&R Tree Service LLC Company Name 1724 S. Grant Street Address South Bend, IN 46613 City, State, Zip $ 27,055.00 $ 0.00 $ 27,055.00 Increased Decreased $ 2,312.00 $ .........__. 24„743.00 -8.55 % 8.55 % 6/30/2019 ........... 0 da..s.._..... 0 days. 6/30/2019 ___ ...... RECOMMENDED PPROV'AL ] _ CONST ION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC W Rt Approved Date: 0 1 sdo ( I .. Gary A. Gilot, President Genevi ve E. Miller, Member w Elizabeth A. Maradik, Member � gAal'tll# qtp tl� CITY OF SOUTH BEND, INDIANA,, BOARD OF PUBLIC WORKS,, PROJECT COMPLETION AFFIDAVIT PROJECT NAME 2019 Tree & Stump Removal PROJECT NO 119-012 FINAL COST $24,743.00 .... ...... CONTRACT SIGNED 5/14/2019 MAINTENANCE AGREEMENT ENDS Removal of trees and stumps in the right of way at various locations within the City of South PROJECT DESCRIPTION Bend, IN, 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 day of 1 :!> „ 201 K&R Tree Service LLC Company Name SigiKature L 1724 S. Grant Street VCompany Address Printed Name South Bend, IN 46613 City, State, Zip WITNESSESS; Before me, the undersigned Notary Public in and for said country and state, personally appeared Keu'jn • 4(, lNt / and acknowledged his/her signature to the above Project Completion Affidavit on the 9' rol day of e .f, s,` 201 ary Signature My Commission Expires tr Printed Nay°wd'.VO me County of Residence os _. If the Contractor is a corporation, the following certificate will be executed. I, certify that I am Secretary of the Corporation executing this release; tha �P* la 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 sai' Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL Corporate Seal 1'his project is acceptable for gal pproval and we recommend to the Board of Public Works that it be ordained so. Date: too Construction er Gary A. Gilot, President BOARD OF PUBLIC WORKS APPROVA GehO'yieve E. Miller rese J. Qbrau, Member f au�5`,O` ullivan„ L Date: A �.. - rza eth A. Macadik, Member )w 0� da M, Martin, Clerk Final Waiver of Lien State oflndiana, County of J SS: an (Name of Off b y Bain duly sworn that he/she is the O Officer) (Title) of _ I&- having contracted with ` J t ::5-, �K „ (Contractor) (Owner) to furnish certain materials andlor labor as follows:tmm�. (Description) for a project known as ( "t '"., off Name ofP U t A D I z (N rojeot) located at 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 W. ❑ receipt of which is hereby aclatowledged; 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 balance due from the contractor is the sum of ❑ 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, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further cartifled that no other party has any claim or right to a lien on account of any work performed or material famished to the undersigned for said project, and wlthin the scope of this Affidavit and Waiver of Lim By (Firm) A4t ad Represc �11) STATE OF INDIANA ) SS: ST, JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared and acknowledged the execution of the foregoing Affidavit and Waiver of Lion. ed my e and affi xed my official seal on the 3 day of �WITNESS WHEREOF, I have hereunto subscribed � 1 N Public Signature M Commission Expires: ' Y yy p� �. II J e- Residing in i i ,r V d County, h Notary Public Name Julie Romero .,. St. Joseph County MY Commission Expires February w 1 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 9/24/2.01.9...................................r� �_...� ......................... Name To Villa Department Engineering �.. .........m. _.----....... .. BPW Date 10/08/2019 Phone Extension 5920 ...�PuaJPPPPMMEm00000000mmm�mmmm PPPMmmmmmmmmmmm�� asiamaRaaN �N i oommmoMIMMummuu EMMM mm r� mov�uwwww�uwwwwu�wuwwiWOWIuuiuiuiuu1pwffivffm wm .... .......................... .......... �,�, ........... ......... egtjirdPrior to Submittal to Board BPW Attorney El Attorney Name Dept. Attorney Attorney Name Purchasing Check the Appropriate Item Type Professional Services Agreement [:] Contract El Open Market Contract F-1 Amendment/Addendum [] Bid Opening F-1 Bid Award ]' Quote Opening 0 Quote Award Proposal Opening ® C/O & PCA No.l Final E Chg. Order, No. ❑ Traffic Control 0 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 All Submissions ❑ Proposal El Special Purchase, QPA FI Req. to Advertise Reject Bids/Quotes 0 PCA E] Resolution Ease./Encroach ❑ Title Sheet K & R Tree Service ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No ❑ MBE Completed E-Verify Form Attached El Yes ❑ WBE ❑ No 2019 Tree and Stump Removal 119-012 MVH 619.431.31.06 Project Closeout. Forhgo�Orders Only . _-. w. _ . ._ q.. Amount of ❑ Increase $ Decrease _..$ 2,312 0p Previous Amount $ 27,055.00 .an..... _ .. ww ,.., - - - .. .. .....-�_�,. Increase % Current Percent of Change: Decrease (8 55%) New Amount $ 24,743.00 Increase /o Total Percent of Change: Decrease (8 55%) Time Extension Amount: w Completion Date: