HomeMy WebLinkAboutChange Order No 1 & PCA - Jackson Road Sanitary Sewer Extension Proj No. 119-072 - HRP Construction, Inc.1316 COUNTY —CITY BUILDING Gb{
�13 PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
i F k'f"' 'ri;` FAX 574/ 235-9171
SOUTH BEND_ INDIANA 46601-1 830 � �
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186
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARDLIC WORKS
January 14, 2020
Mr. Matthew D. Cain
HRP Construction, Inc.
5777 Cleveland Rd.
PO. Box 266
South Bend, IN 46624-0266
RE: Change Order No. 1 (Final)/Project Completion Affidavit for Jackson Road Sanitary Sewer
Extension —Project No. 119-072
Dear Mr. Cain:
The Board of Public Works, at its meeting held on January 14, 2020, approved the Final Change
Order for this project, for a decrease of $4,833. The new Contract sum is $110,987.
In addition, the Project Completion Affidavit for this project was approved in the amount of $110,987.
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 ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
1 /9/2020
119-072
Jackson Road Sanitary Sewer Extension
9/10/2019
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
Date/time extension by this change order
New completion date/time
Contractor• a ure"
Matthew D. Cain, President
Printed Name and Title
HRP Construction, Inc.
Company Name
5777 Cleveland Road, P.O. Box 266
Address
South Bend, IN 46624-0266
City, State, Zip
F] Increased
Z Decreased
10/15/2019
0 days
0 days
10/15/2019
$ 115„820.00
0.00
$ 115,820.00
$ 4,833.00
$ 110,987.00
-4.17 %
-4.17 %
RECOMMENDED FOR APPROVAL
r
CONST ON MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date: dw o?o -20
Gary A. Gilt, President
b 4 UY mb e-r
Elizabeth A. Maradik, Member
.-w e,.,.,...
411
-Theres u, ber
iwrl ii r
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVITw,,`
PROJECT NAME Jackson Road Sanitary Sewer Extension
PROJECT NO 119-072 FINAL COST $110,987.00
CONTRACT SIGNED 9/10/2019 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Installation of a sanitary sewer extension along Jackson Road.
WITNESSETH:
The work under the above contract between the City of South Bend and the undersigned contractor having been completed,
the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or
by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City
of South Bend which were a part of the above Contract.
E d N d T" 2019 HRP Construction, Inc.
Company Name
..
ignature _ 5777 Cleveland Road, P.O. Box 266
Matthew D. Cain, President
Printed Name
Company Address
South Bend„ IN 46624-0266
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Matthew D. Cain , and acknowledged his/her signature to the above Project Completion Affidavit on
tl e 17th day of December 2019
ley
�Nary Signature M Commission Expires 03/06/24
,; CYNTHIA L. VANHESTE
Cynthia L Vanheste � "c b; po�/"
e of nn,dse p St. Joseph
Printed Name r St. Joseph C lVty of eside ca p
SEAL;
ar ' gmmrm N mrwbe 1
If the Contractor is a corpop�t�wM ►' I � u'ted.
1, Nancy Knapik °'"" ao,x"'"' Md� h V �dm Se etary of the Corporation executing this release; that
Matthew D. Cain who signe is release on behalf of the contractor was then
President 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:
Secreta s Signatur
Nancy Knapik, Secretary
Printed Name
Corporate Seal
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for fpproval and we recommend to the Board of Public Works that it be ordained so.
Date:
Construction r J/
�^A MM ^17 n1..IVII I!• LALPWIP?I V A. 1'SI"5'171P11. C A I n_a_. /. //,.J. i.,�S .�..,»a"'h::.✓
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Final Waiver of Lien
State of Indiana, County of St. Joseph SS:
Matthew D. Cain being duly sworn that he/she is the President
(Name of Officer) (Title)
of HRP CONSTRUCTION INC. having contracted with City of South Bend
(Contractor) (owner)
to furnish certain materials and/or labor as follows; Installation of a sanitary sewer extension along Jackson Road
(Description)
for a project known as Jackson Road Sanitary Sewer Extension
(Name, of Project)
located at Jackson Road, South Bend, IN, St. Joseph County
and owned by —City of South Bend
(Oster)
and does hereby further state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the suns of
Dollars �$ a
❑ receipt of which is hereby acknowledged; or
❑ the payment of which lies been promised as the sole consideration for this Affidavit and Firtal Waiver of Lien which is given
solely with respect to said amount, and which waiver shall be effective only upon receipt ofpayntent thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
ix ousan Nine Hundred Sixt
y Two Dollars and Ninety Five Cents 6,962.95
❑ receipt ofwhieh is hereby acknowledged; or
® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall
become effective onlyupon receipt of such payment.
'IUHREFORE, tho undersigted waives and releases unto the Owner of said promises ,any and all liens or claims whatsoever
on the above-dese rlbed property and improventents thereon an account of labor or material or both, furnished b the undersigned
thereto, subject to limitations or conditions expressed hercin, if any, and firrtber oertifled that no outer p has any claim or right ht to it
lien, on account of any work performed or material f imished to the undersigned for ,tad project a e scope of this Affidavit
and Waiver of Lien.
HRP CONSTRUCTION INC.
Irtri _.. JJ
(Firm) _. ...W (Authoti d.. sentative)
STATE OF INDIANA ) Matthew D. Cain President
SS:
ST. JOSEPH COUNTY )
]Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Matthew D. Cain
and acknowledged the execution of the foregoing Affidavit and Waiver of Lion.
IN WITNESS WHEREOF, Ihave hereunto subscribed my name and affixed my official seal on the 17th day of
December 2019
4N#ub le Slgn
My Commission Expires; 03/06/24
Residing in St. Joseph County, _ Indiana
L. Vanheste
"t" lit .i 0- A Lr i•i E S T
Notaty f iAblir„, SWO rat htdiane
SF 0" �
6t. Joseph County
-Alt
.M
COMMissian Number 681273
,"
My Corm mission Expires
March 06, 2024
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
0� 1 /02/2020
'cap° Villa
Department Engineering
BPW Date 01/14/2020 Phone Extension 5920
NMI
Required Prior to Submittal to Board
BPW Attorney ❑ Attorney Name
Dept. Attorney R Attorney Name
Purchasing
Check the Appropriate Item Type —Required,lbr All Submissions
Professional Services Agreement ❑ Contract
❑ Open Market Contract
0
Amendment/Addendum
❑ Bid Opening
F-1
Bid Award
Quote Opening
E]
Quote Award
Proposal Opening
®
C/O & PCA No. I(final)
[� Chg. Order, No.
❑
Traffic Control
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
uired Information
H Proposal
Special Purchase, QPA
❑ Req. to Advertise
Reject Bids/Quotes
PCA
Resolution
Ease./Encroach
❑ Title Sheet
HRP Construction, Inc.
Yes If Yes, Approved b
❑ Pp .-y...... Purchasing
No
F] MBE MBE Completed E-Verify Form Attached Nos
Jackson Road Sanitary Sewer Extension
119-072
Sewer Contractual
641.0621.792.63.35
..... _—..
.�.. For Change Orders Otal ����......._..._
_ .___......
Amount of F Increase $
..._.
Z Decrease _. $ 4,.833 0 ...__ .............a
Previous Amount $ 115,820,00
........-._.. ......................-... _M....................................
Increase %
Current Percent of Change: Decrease 0.17%)
New Amount $ 110,987.00
__............ .... .... _.-............ _. �.�..............�.
Increase %
Total Percent of Change: Decrease 4 17%......_.__ ...
Time Extension Amount:
. ...........................
New Completion Date: