HomeMy WebLinkAboutChange Order No 1 - 2019 Lamppost Program Project No 119-006 - Gama Sonic Solar LightingTo
1316 COUNTY -CITY BUILDING,{�
� - PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
MACE
FAX 574/ 235-9171
SOIITH BEND_ INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
October 22, 2019
Matt Cohen
Gama Sonic Solar Lighting
6185 Jimmy Carter Blvd., #F
Norcross, GA 30071
RE: Change Order No. 1 — 2019 Lamppost Program — Project No. 119-006
Dear Mr. Cohen:
The Board of Public Works, at its meeting held on October 22, 2019, approved the above
referenced Change Order for an increase of $4,239.76, bringing the current contract amount
to $51,936.76.
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
OE COI. 1II BEh
CITY OF SOUTH BEND, INDIANA A.
DEPARTMENT OF PUBLIC WORKS x "`
PROJECT CHANGE ORDER
DATE: 10/4/2019
PROJECT NO: 119-006
PROJECT NAME: 2019 Larn000st Pro ram
CONTRACT DATE: 5/14/2019
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER: . Additional eight 8 Solar,_Lamppost with Hand Auger Base
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
Contractor Signature
Printed Name and Title
G Son <Sdav, 6+1
Company Name
Co1R5 JI►Kh-i &Air gl% � F
Address
r�rf�ss 30 C 7
City, State, Zip
x Increased
[� Decreased
0 days
0 days
$ 47,697.00
$ 0.00
$ 47,697.00
$ 4�239.76
$ 51,936.76
8.89 %
8.89 %
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CITY OF SOUTH BEND
BOARD OF PUBLIC ORKS
Approved Date: �
Gary A. Gilot, President
t"t E r, Member
Elizabeth A. M,radik, Member
Sullivan, Member
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
Project Number: 119-006 Project Name: 2019 Lamppost Program Change Order #: 1
DATE INITIATED: 10/02/19 � � BPW DATE: 10/22/19
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Additional eight (8) Solar Lamppost with Hand Auger Base.
Attachments: (List documents support change — required)
Invoice from Gama Sonic
Amount of Blncrease/ ❑Decrease: $4,239.76
Categories (Pick One):
Previously approved Change Order(s): $ 0 ❑ Scope of Work
El Site Conditions, Changed Conditions
Current Percent of Change° 8'89 % ❑ Conflicted Specifications and Drawings
❑Failed Materials
New Total Amount: $ 51,936.76
❑ Error
8 89 El Omission
Total Percent of Change: % 8 Final Quantity Adjustment
Funding Secured From: COIT (404-0602-431.31-06) 0
(filled out by PM)
RECOMMENDED BY:
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Project Inspector (Print Name) (Signature) (Date)
REVIEWED BY:
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Construction Mana er (Print Name) (Signature) (Date)
APPROVED BY:
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Engineering Project Manager (Print Name) (Signature) (Date) iN
APPRQ ED BY:
(Date)
City Engineer (` int Na e) (Si natu )
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/09/19
Name Alicia. Czarnecki Department Engineering
BPW Date 10/22/19 Phone Extension 5903—
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I.er�ird Prior to Submittal to Board
BPW Attorney ❑ Attorney Name
Dept. Attorney E:1 Attorney Name
Purchasing n
Professional Check the ALTpj tgate Item Type Rat,
Services Agreement l Contract
El Open Market Contract n Amendment/Addendum
Bid Opening E, Bid Award
Quote Opening [l Quote Award
❑ Proposal Opening n C/O & PCA No.
E" Chg. Order, No. 1 ❑ Traffic Control
�] Other:
,Required d Information
All Submissions
�] Proposal
❑ Special Purchase, QPA
[� Req. to Advertise
Reject Bids/Quotes
PCA
❑ Resolution
Ease./Encroach
❑ Title Sheet
Company or Vendor Name Gama Sonic USA, Inc.
.❑ Ves [] If Yes, A roved b
New Vendor pp y Purchasing
No
MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached❑ Nos
Project Name 2019 Lamppost Lighting Pro ram
Project Number 119-006
Funding Source COIT
Account No. 404-0602-431.31-06
............... ........
Amount
���...m m m ........... �_.......
Terms of Contract
Purpose/Description
Amount of ( LXJ 4
Increase 239.76
Decrease .......�.$........�..� .�.........
m............................�.�.�.......�.....
Previous Amount $ 47,697.00
Increase ,,,..........g.mg.........._�
9%
Current Percent of Change: Decrease ( %
New Amount $ 51,936.76
Increase 8.89%
Total Percent of Change: Decrease ( %)
Time Extension Amount:
New Completion Date