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Home My WebLink AboutChange Order No 1 - PCA - 2018 Downspout Disconnect Program Proj No 118-014 - Acorn Landscaping LLC.AV 'i 1316 COUNTY—CFCY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 t ` ar cc �6 CITY OF •' BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLICWORKS November 26, 2019 Mr. Jeff Ritschard Acorn Landscaping LLC. 3680 W. Sample St. South Bend, IN 46619 PHONE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit — 2018 Downspout Disconnect Program — Project No. 118-014 Dear Mr. Ritschard: The Board of Public Works, at its meeting held on November 26, 2019, approved the Final Change Order for this project, for a decrease of $17,015.10. The new Contract sum is $30,798.65. In addition, the Project Completion Affidavit for this project was approved in the amount of $30,798.65. 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 GENEV IEVE 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: 11 /26/2019 PROJECT NO: 118-014 PROJECT NAME: 2018 Downspout Disconnect Program., CONTRACT DATE: 3/27/2018 CHANGE ORDER NO: 1 Final SUBJECT OF CHANGE ORDER: -PCR #1-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 DateMM ex"t lion by this change order Ne omoletioh date/time ctor Signature Printed Name and Title Acorn Landscaping LLCm qx w e m Company Name 3680 W. Sample St Address South Bend, IN, 46619 City, State, Zip $ 47,813.75 $ 0.00 $ 47,813.75 X�Increased Decreased $ 17,015.10 $ 30,798.65 -35.59 % -35.59 % 2/28/2019 0 days 0 da s 2/28/2019 RE99MMENOE12 FOR APPRQ . •N MAN _ ,.GER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS proved Date: datq Gary A. Gilot, President Genevi a E. Mill Member Elizabeth A. Maradik, Member There e J. Dorau, Meta er �ura/L. O'Sullivan„ Mem er CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT. PROJECT NAME 2018 Downspout Disconnect Pro ram PROJECT NO 118-014 FINAL COST $30,798.65 CONTRACT SIGNED 3/27/2018 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Remove downspouts connected to the combined sewer from willinq resident dwellinqs WITNESSETH The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the 4�G c South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or (xecuted, uch cone ot, and that the contractor performed the work within the scope of the Specifications and Standards of the City were a part of the above Contract, Ben which day of � 1;/ � , 201 Acorn Landscaping LLC 1.4 �r" Company Name Sig +�.„. ,�,r,xror starIkV J AANF07 am eSt tgry PubHo, Stny Address fit. Jrrreh Printed Name Commissionbtu""bernd, IN, 46619 MY commission �rN rw� July 1. ate, Zip WITNESSESS: Before me,the undersignedNotary Public in and for said country and state, personally appeared gqir %"rand acknowledged his/her signature to the above Project Completion Affidavit on the day Of. La 11 2X201�. Notar Signature(` My Commission Expires � �i Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then www_WWWW_W of said Corporation; that said release was duly signed for and on behalf of said 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 This project is acceptable for final pproval and we recommend to the Board of Public Works that it be ordained so. Date: l I• l 3• 1yl Construction er BOARD OF PUBLIC WORKS APPROVAL Date: Gary A. Gilol, President Gen vMeve E. Mill , Member Elizabeth A. Maradik, Member Therese J. Dorau, Member M. Martin, Clerk Final Waiver of Lien State of Indiana, County of % �SS: (Name of Officer being duly sworn that he/she is the of having contracted with City Of South Bend (Contractor) (Owner) to furnish certain, materials and/or labor as follows;?'IT�/"� (/'? (Description) for a project Imown as _ (Name of Project) located at and owned by City of South Bend (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 ❑ recolpt of which is hereby acIntowledged; or ❑ the payment of which lies 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 sball be effective only upon receipt of payment thereof by the undersigned,u° ^c� (FINAL WAIVE II) that the final balance due from the contractor is the sum of ❑ receipt ofwhich is hereby acknowledged; or n g ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which s become effective only upon receipt of such payment. C w�•=c" t. THEREFORE, the utiderslgned waives and releases unto the Owner ofsa is a , any and all liens or claims whats m � � on the above -described property and improvements thereon an account of labor " material ° both, furnished b the undersigned n , o M thereto, subject to limitations or conditions expressed herein, if any; and firth ; certified the no other party has any claim or ri N o Ron on account of any work performed or material tarnished to the undorsign for Bald pro" of within the scope of this Affa avl and Waiver of Lien. (Finn) (Authorized Representative) 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. _ y seal on the r/f day o€ IN S WHEREOF, Ihave hereunto subsorlbed in name andaffixed m offtc aI Notary Public ,gnature y Expires: V( :' a x z "" M Commission Residing in l U " q County, .&O-Z-117441 Notary Public Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11 / 13/2019 Name Tov Villa Department: Engineering BPW Date 11/26/2019 Phone Extension 5920 Required Prior to Submittal to Board ._.__ BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing [l Check the A ro riate Ite�e — Require Professional Services Agreement Contract Ej Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening F� Bid Award ❑ Quote Opening ❑ Quote Award Proposal Opening Z C/O & PCA No.l Final E] Chg. Order, No. ❑ Traffic Control F-1 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 {or All Submissions Proposal Special Purchase, QPA ❑ Req. to Advertise ❑ Title Sheet Reject Bids/Quotes E] PCA Resolution O.Eae./Encroach vvv Acorn Landscaping LLC YcsEJ If Yes, Approved by Purchasing No MBE Completed E-Verify Form Attached El Yes WBE No 2018 Downspoutnrogram Disconnect P.._ ............... 118-014 ..— .................... .......... _. Wastewater O & M ................—....._..................... ........... 641.0630.793.6335 For Claa�a e Orders 0��1 Amount of ❑ Increase $ ® Decrease ($ 17,015 10) Previous Amount $ 47,813.75 ..... _ ........... ............. ..-.. ........... .______..........— Increase % Current Percent of Change: Decrease (35 59%) _.. ................. New Amount $ 30,798.65 ..... ............... ..._------- ------- Increase % Total Percent of Change: Decrease (35.590/) Time Extension Amount: — ................. ............... ... New Completion Date: