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Home My WebLink AboutChange Order No 1 - 510 S Main Street Building Improvements Project No 119-084 - HC3 LLC dba St Clair Development1316 COUNTY -CITY BUILDING t P? , j PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD IEC` "'' FAx 574/ 235-9171 SOT ITH BEND. INDIANA 46601-1 Ran sr a� CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS October 22, 2019 David St. Clair HC3 LLC d/b/a St. Clair Development P.O. Box 6114 South Bend, IN 46660 RE: Change Order No. 1 — 510 S. Main Street Building Improvements — Project No. 119- 084 Dear Mr. St. Clair: The Board of Public Works, at its meeting held on October 22, 2019, approved the above referenced Change Order for an increase of $5,219.46, bringing the current contract amount to $154,704.46. 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 DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJECT OF CHANGE ORDER: The original contract sum 10/22/2019 119-084 510 S. Main Street Building Improvements 9/10/2019 1 PCR #1-Plumbing Repairs PCR #2-Remove and Replace Celotex PCR #3-Replace Trim and Sheathing PCR #4-Add Door Window 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 Signature Printed Name and Title HC3 LLC d/b/a St. Clair Develo ment Company Name P.O. Box 6114 Address South Bend, IN 46660 City, State, Zip X�Increased Decreased 10/25/2019 0 days 0 days 10/25/2019 149,485.00 0.00 149,485.00 $ 5,219.46 $ 154,704.46 3.49 % 3.49 % RECOMMENDED FOR APPROVAL CONST"ON MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC 'WO KS Approved Date: KA, Gary A. Gilot, President 4.v� �i r, Member t.Tt t Elizabeth A. Maradik, Member T hKere e J. orau_ Z:mibar ura L. O Sull nmber Ouse rar DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING Project Number: 119-084 Project Name: 10 S, Mais" Street Bundling Improvements Change Order #: 1 DATE INITIATED: 10-5-19 BPW DATE; 10-22-19 Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). Plumbing was in need of unforeseen repairs due to vandals stealing pipes. Water damage was found behind existing walls and was repaired. Downspouts need replacement after existing materials were stolen. A window is needed within an interior doorway for safety purposes. Missing trim and sheathing is needed to properly seal and waterproof the roof. Attachments: (List documents support change — required) Plumbing repair - $2,762.46 Celotex repairs - $1,254.00 Trim/Sheathing - $786.00 Add Window - $417.00 Amount of ® Increase / ❑ Decrease: $ 5,219.46 Categories (Pick One): Previously approved Change Order(s): $ 0.00 ❑ Scope of Work 8 Differing Site Conditions, Changed Conditions Current Percent of Change:."' 9 ❑ Conflicted Specifications and Drawings ...............�� NewTota...Amo...................................._____ �,,,...................................�................................ .❑ Failed Materials Amount: $154�' 70446 ❑ Error El Omission Total Percent of Change: 3'49 % ❑ Final Quantity Adjustment Funding Secured From: 0 (filled out by PM)� TFn t� mn RECOMMENDED BY: Dan Jones Project Inspector (Print Name) (Signatu e) (Date) REVIEWED BY: Toy Villa __.............WWu. Construction Manager (Print Name) (Signature) (Date) APPROVED BY: Alicia Czarnecki Engineering Project Manager (Print Name) (Signature) (Date) APPROVED BY: Kara Boyles �� "" 10, �14. City Engineer (Print Name) (Signalui (Date) BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/14/19 Name Alicia Czarnecki/Pain Me er Department En ineerin / DCI BPW Date 10/22/19 Phone Extension 5903 a ,e irod Prior to Submittal to Board N BPW Attorney Attorney Name Dept. Attorney [❑ Attorney Name Purchasing El Check the Appropri4te, Item T , e Requiredfibi, All Submissions ❑ Professional Services Agreement Contract Proposal ❑ Open Market Contract ❑ Amendment/Addendum Special Purchase, QPA E] Bid Opening ❑ Bid Award F-1 Req. to Advertise ❑ Title Sheet Quote Opening 0 Quote Award ❑ Reject Bids/Quotes Proposal Opening n C/O & PCA No. PCA ® Chg. Order, No. 1 ❑ Traffic Control Resolution n Other: Ease./Encroach Required Information Company or Vendor Name HC3 LLC dba St Clair Dem nt Yes❑ If Yes, Approved by Purchasing New Vendor ®No MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached Nos Project Name 510 S Main Street Building Improvements .........._.._..........._........................................ Project Number 119-084 Funding Source EDIT / Grants & SubsidiesmmF mmnd 33 Redevelopment _ ..n,.. _ u 4 General -------------- .----- .... _------- . Account No. 408.1001.460.39.30 / 43.3.1050.460.39.30 Amount . Terms of Contract Purpose/Description See attached summary of change order items due to champed/unforeseen site conditions. Amount of ❑ Increase $ 5...„319.46..... ❑ Decrease ....($............��.) ..m � .�....�.. Previous Amount $ 149,485.00 Increase 3.49% Current Percent of Change: Decrease ( % New Amount $ 154,704.46 Increase 3.49% Total Percent of Change: Decrease Time Extension Amount: 0 days New Completion Date: BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/15/2019 Department Public Name Zach Hurst Works BPW Date 10/22/20'1.9 Phone Extension 3057 om Required Prior to Submittal to Board ... ..........................................._ ....... ............. BPW Attorney Attorney Name Dept. Attorney 0 Attorney Name Purchasing 1:1 Check the Appropriate Item fie'. Required �br° All Submissions ProfessionalITServices Agreement Contract (1 Proposal ❑ Open Market Contract F-] Amendment/Addendum Special Purchase, QPA ❑ Bid Opening El Bid Award Req. to Advertise ❑ Title Sheet ® Quote Opening F Quote Award E] Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA E] Chg. Order, No. Traffic Control ❑ Resolution E] Other: ❑ Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description ui ret Information ❑ Yes If Yes, Approved by Purchasing ❑ No ❑ MBE Completed E-Verify Form Attached ❑ No ❑ WBE Lafayette Building Cleanout 119-098 RWDA TIF 324-1050-460-42.02 Lump Sum uote ro'ect to remove leftover oflic furniture, debris and broken Mass arom the Lal�awte Building,, For Cher ,orders Only www Amount of Increase $ w_w _ .............. El Decrease ($ Previous Amount $ Increase % Current Percent of Change: Decrease ( % New Amount $ Increase % Total Percent of Change: Decrease ( % Time Extension Amount: . ,New Completion Date: