HomeMy WebLinkAboutChange Order No 2 - 510 S. Main St. Building Improvements Proj No 119-084 - HC3 LLC dba St. Clair DevelopmentTtl
NT
1316 COUNTY -CITY BUILDING
I
i PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
FAX 574/ 235-9171
SOIITH BEND_ INDIANA 46601-1830
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CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARDOF PUBLIC WORKS
November 12, 2019
David St. Clair
HC3 LLC d/b/a St. Clair Development
PO Box 6114
South Bend, IN 46660
RE: Change Order No. 2 - 510 S. Main Street Building Improvements — Project No. 119-
084
Dear Mr. St. Clair:
The Board of Public Works, at its meeting held on November 12, 2019, approved the above
referenced Change Order for an increase of $6,458.50, bringing the current contract amount
to $161,162.96.
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:
11/5/2019
119-084 -
510 S. Main Street Buildin Improvements
9/10/2019
PCR #5-Restroom Accoutrements PCR #6-Locking Thermostat
Covers PCR #7-Fence Tarp Deduct PCR #8-Remove Old Signage
PCR #9-Paint Facade PCR #10-Replace Extra Ceiling Tile PCR
#11-Add Water Heater PCR #12-Add 'Keep Off Signage PCR #13-
Furnace Repair PCR #14-Front Door Tint PCR #15-Replace Stolen
Do $� outs
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 dateltime
w
Contractor Signature -
Printed Name and Title
HC3 LLC d/b/a St. Clair Develgpment
Company Name
P.O. Box 6114
Address
South Bend, IN 46660
City, State, Zip
$
149,485.00
$
5,219.46
$
154,704.46
Increased '
t_J Decreased
$
6,458.50_..._._._.�.
$
�161,162.96
4.17 %
7,81 %
10/25/2019
0 days
_....._
Oda s
10/2512019
CONSTRUCTION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC ORtS
Approved Date. ,P
Gary A. Gilot, rresidenit
Genevieve E, Miller, Member
Elizabeth A. aradik, Member
There J. Dorau, ber
L ira L. O"Su va e ber,
Change Order #2 Price Breakdown
• Restroom Accoutrements $1,501.00
- Added paper towel dispenser (omitted)
• Locking Thermostat Covers: $194.00
- In order to lock controls
• Fence Tarp Deduct: ( )
- In lieu of slats (same screening purpose)
• Remove Old Signage $1,120.00
- Remove all 'Salvation Army' signage
• Paint Facade $1,400.00
- Add aesthetic appeal
• Replace Extra Ceiling Tile $854.00
- Excess the replacement needed
• Add Water Heater $1,106.00
- No hot water feed from adj. building as thought
• 'Keep Off' Signage $100.00
- Added to eliminate potential liability issues
• Furnace Repair $546.00
- Secondary furnace repaired for use as a backup
• Front Door Tint $292.50
- Added for privacy reasons
• Replace Stolen Downspouts $439.00
- Original downspouts stolen and needed replaced
�4NU NIA i7,�;fl.
" DEPARTMENT OF PUBLIC WORKS
- DIVISION OF ENGINEERING
Project Number: 119-084 Project Name: 510 S. Main Street Building Improvement Change Order #: 2
DATE INITIATED: 10-25-19 BPW DATE: 11-5-19
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Various unforeseen and aesthetic items added to improve the functionality and safety of the winter
amnesty building.
Attachments: (List documents support change — required)
See attached price breakdown
Amount of BIncrease / [--]Decrease: $ 6,458.50
Categories (Pick One):
Previously approved Change Order(s): $ 5219.46 lig Scope of Work
- Current Percent of Change: 4.17 8 Differing Site Conditions, Changed Conditions
❑ Conflicted Specifications and Drawings
New Total Amount: �. � ..._..............—...
161,162.96 ❑ Failed Materials
$ ❑ Error
❑ Omission
Total Percent of Change: 7.81 %
❑ Final Quantity Adjustment
' Funding Secured From 30 . 14077.
0
(filled out by PM)
RECOMMENDED BY:
Dan Jones _. �...
Project Inspector (Print Name) (Signature) (Date)
REVIEWED BY:
Toy Villa ° '
Construction Manager (Print Name) (Signature) (Date)
APPROVED BY:
Alicia Czarnecki
Engineering Project Manager (Print Name) (Signature) (Date)
APPROVED BY: i
Kara Boyles in
City Engineer (Print Name) (Signa rya) (Da )
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/30/19 mmmm
Name Alicia Czarnecki/Pani Me e ° Department C n ineeri / DCI
BPW Date 11/12/I9 Phone Extension 5903
mmomoMMMNmmow ffl m mffl
...�... _. ....w...............
lie u�d Prior to Submittal to Board
BPW Attorney ❑ Attorney Name
Dept. Attorney [] Attorney Name
Purchasing
.............�..._w......
Check the Appropriate Itemav... Reqy
Professional Services Agreement E] Contract
Open Market Contract ❑ Amendment/Addendum
0 Bid Opening ❑ Bid Award
❑ Quote Opening ❑ Quote Award
sal Opening C/O
PCA
❑ Ch . Order, No. 2 ❑ Traaffic Control
µ
g• ®
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
aired Information
All Submissions
" Proposal
Special Purchase, QPA
❑ Req. to Advertise
❑ Reject Bids/Quotes
0 PCA
Resolution
0 Ease./Encroach
❑ Title Sheet
HC3 LLC dba St Clair Development
❑ Yes❑ If Yes, Approved by Purchasing
H No
F1 MBE Completed E-Verify Form Attached ❑ Nos
WBE
ments
510 Main Street Building Improvem s
119-084 ........REDIT /Grants &SubRedevelopment General al
_.._. ..........
408.1001.460.39.30 / 433.1050.460.39.30
See attached summary of change order items due to
chanced/unforeseen site conditions.
Amount of Increase $ 6,458.50
(� Decrease ($ )
Previous Amount $ 154,704.46
Current Percent of Change:
New Amount
Total Percent of Change;
Time Extension Amount
New Completion Date:
Increase 4.17%
Decrease ( %)
$ 161,162.96
Increase 7.81 %
Decrease
0 days