HomeMy WebLinkAboutChange Order No 1 - Vested Interest Building Roof Repair – Project No. 119-049 - Midland Engineering Company, Inc.1316 COUNTY -CITY BUILDING � PHONE 574/ 235-9251
PEACE
227 W. JEFFERSON BOULEVARD 'w t' FAX 574/ 235-9171
SOUTH BEND_ INDIANA46601-1930
x � ,
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
December 19, 2019
Mr. Jay Seniff
Midland Engineering Company, Inc.
52369 State Road 933 North
South Bend, IN 46637
RE: Change Order No. 1 — Vested Interest Building Roof Repair — Project No. 119-
049
Dear Mr. Seniff
The Board of Public Works, at its meeting held on December 19, 2019, approved the
above referenced Change Order an increase of $21,288.10, bringing the current contract
amount to $248,088.10.
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:
12/9/2019
119-049
Vested Interest Building Roof Repair
9/24/2019
1
PCR #1-Leaving Roof Containing Asbestos in Place. PCR #2-
Additional cost involved with unknown roof and structural conditions.
Furnish & install plywood backer to meet manufacturers warranty
requirements at area drywall as discovered. PCR #3-Wood Deck
Replacement. PCR #4-Installation of Roof Drains & Roof Drain
Plumbing.
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
ONISACTOR
C ntr t Signature
41,14J44T 10110-)oyA 6eye
Printed Name andTitle
Midland Engineering Company, Inc.
Company Name
52369 State Road 933 North
Address
South Bend, IN 46637
City, State, Zip
$ 226,800.00
$ 0.00
$ 226,800.00
X Increased
Decreased $ 21,288.10
$ 248,088.10
9.39 %
9.39 %
12/31 /2019
0 days
O da s
12/31 /2019
RECOMM,EN12ED FORQN
c
CONST r N MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC O7po
S
Approved Date: '�
W
Gary A. Gilot, resident
Genevi ve E. Miller Member
ta � I I �
Elizabeth A. Maradik:, Member
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
I�dM
Project Number: 119-049 Project Name: Vested Interest Building Roof Repair Change Order #: 1
DATE INITIATED: 11/7/19 BPW DATE: 1
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
-Leaving Roof Containing Asbestos in Place.
-Additional cost involved with unknown roof and structural conditions. Furnish & install plywood
backer to meet manufacturers warranty requirements at area drywall as discovered.
-Wood Deck Replacement.
-Installation of Roof Drains & Roof Drain Plumbing.
Attachments: (List documents support change — required)
Contractors Request for Change Order(s) and Pricing.
Amount of BIncrease / ❑Decrease: $ 21 ,288.10
Categories (Pick One):
Previously approved Change Order(s): $ 0 8 Scope of Work
8 Differing Site Conditions, Changed Conditions
Current Percent of Change: 9-39 % ❑ Conflicted Specifications and Drawings
._... _... _............ .. ❑Failed Materials
New Total Amount: $ 248' 088.10
❑ Error
El Omission
Total Percent of Change: 9.39
❑ Final Quantity Adjustment
Funding Secured From: ILI
.... ...
(filled out by PM) m,,
RECOMMENDED BY:
Josh Ehmer _ 12/9/19
Project Inspector (Print Name) (Date)
REVIEWED BY:
1Z.Io-%q
Construction Manager Print Name) (Signature) (Date)
APPROVED BY:
Engineering Project Manager (Print Name) (Signature) (Date)
APPROVED BY:
r4
City Engineer (Print Name (Srna ra) (Date)
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
PROJECT CONSTRUCTION CHECKLIST
Project No. 119-049
Project Name Vested Interest Building Roof Repair
Contractor Midland Engineering Company, Inc.
Inspector JJE
PAY APPLICATIONS & CHANGE ORDERS CHART
NTP 10/21 /2019
Sub. Comp. 12/31/2019
Final Comp. 12/31/2019
Today's Date 12/9/2019
..................
PAYMENT APPLICATION SUMMARY
End Date Total Deductions Sub Total Prev. Pmts Amount Prev Pmt Error
1 11/20/2019 $147,420.00 $7,371.00 $140 049.00 $0.00 $140.049.00
2
3
4
5
6
7
8
9
10
11
12
S
-
-
-
w
$0.00
$140 049.00
CHANGE
Date Prv. Contract Chan a Amt.
1 12/9/2019 $226,800.00 $21.288.10
..............
ORDER SUMMARY
New Contract Change % Total % Added Da s
$248,088.10 9.39% 9.39% 0
2
3
4
5
6
S
-
-
$21 288.10
-
9.39%
12/31/2019
POST -CONSTRUCTION DOCUMENT CHECKLIST
1
Items
Final Pa Application
Notes
Date Rec'D
2
Project Completion Affidavit
3
Final Waiver of Lien
4
Final Change Order
5
Com lete Certified Payrolls
6
As -Built Documents
7
TestingRe orts
8
Warranty Information
w.._
Signature: Date:
nalnftmn
52369 State Road 933 N.
South Bend, IN 46637
Phone: (574) 272-0200
Fax: (574) 272-7400
To: CITY OF SOUTH BEND
Charlotte Branch
227 W JEFFERSON BLVD
SOUTH BEND, IN 46601
Project: VESTED INTEREST BLDG ROOF REP
RFC No: 4
Date: 12/6/2019
Description: Additional cost associated with installation of new roof drains and rework
of existingroof drain piping.
The above work is subject to the same conditions as specified in the original contract
unless otherwise stipulated.
Upon approval the sum of $8,370.67 will be added to the contract price.
Original Contract $226,800.00
Other Approved Change Orders $0.00
Total Contract to Date $226,800.00
This Request $8,370.67
Other Pending Requests $12,917.43
Total Contract plus Pending RFCs $248,088.10
Authorized Signature: Date:
Midland Engineering Co., Inc.
Authorized Signature: Date:.
CITY OF SOUTH BEND
R IR-
; —7m
L a --
1606 Chestnut Street
Mishawaka, IN 46545
Phone: (574) 257-0123
Fax: (574) 257-0126
SITE Midland Engineering
52369 Indiana 933 North
South Bend, IN 46637
1 /5/2020 1 19-4259
DESCRIPTION Install additional roof drains
RESOLUTION Furnish and install additional roof drains.
PROJECT
1
7,609.70
TOTAL AMOUNT
60030
1
7.609.70
7,609.70
c�
N
CA
W
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date December 172019
Name Charlotte Brach Department Engineering
BPW Date December 19 2019 Phone Extension 9246
ui 4 Prior to Submittal to Board
BPW Attorney EJ Attorney Name
Dept. Attorney] Attorney Name
Purchasing E'
Check the App u rw to It pi T � e �- Re
E] Professional Services Agreement ❑ Contract
❑ Open Market Contract ❑ Amendment/Addendum
❑ Bid Opening ❑ Bid Award
❑ Quote Opening El Quote Award
❑ Proposal Opening ❑ C/O & PCA No.
® Chg. Order, No. 1 ❑ Traffic Control
�' Other:
Required Informati
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
All
LJ Proposal
F Special Purchase, QPA
❑ Req. to Advertise
Reject Bids/Quotes
PCA
[� Resolution
Ease./Encroach
❑ Title Sheet
Midland lrninccri�g_ ...............
Yes❑ If Yes, Approved by Purchasing
No
MBE Completed E-Verify Form Attached ❑ No
WBE
Vested Interest Building Roof Repair
-----.. -
.....................-._ ..........
........_
RWDA TIF
�.. ---__ ......................._......... �. � ...
324-1050-460-42.02
Base Bid
Unforeseen roof and structural conditions.
F or Chad e'Ord (Jnl
Amount of
Increase IT$IT21,288ww10
El
Decrease$ )
Previous Amount
$ 226,800.00
_._._.. ...............
Increase 9.39%
Current Percent of Change:
Decrease ( %)
New Amount
$ 248,088.10
_............. .........w
...._....._............. _.
Increase 9.39%..._........
Total Percent of Change:
Decrease ( % ............ .....
Time Extension Amount:
New Completion Date:
_................ .._...._ ............ ....... _...... _.