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Home My WebLink AboutChange Order No 1 & PCA - Raw Sewage Pump No. 2 Rehabilitation Proj No. 118-020 - Cornerstone Stewards, Inc.1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD irk SOUTH BEND, INDIANA 46601-1830 q�° CITY OF ! BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC March 24, 2020 Mr. Daniel Mason Cornerstone Stewards, Inc. 5720 Huguenard Rd. Fort Wayne, IN 46818 RE: Change Order No. 1 (Final)/Project Completion Affidavit Raw Sewage Pump No. 2 Rehabilitation — Project No. 118-020 Dear Mr. Mason: PHONE 574/235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on March 24, 2020, approved the Final Change Order for this project, for an increase of $10,833. The new Contract sum is $380,833. In addition, the Project Completion Affidavit for this project was approved in the amount of $380,833. 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 CITY OF SOUTH BEND DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 03/16/2020 PROJECT NO: 118-020 PROJECT NAME: WWTP Raw Sewage Pump No. 2 Rehabilitation CONTRACT DATE: 12/20/2018 CHANGE ORDER NO. 001 SUBJECT OF CHANGE ORDER: Change of scoLe,. PkLmp Base Flange Modification All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 370,000.00 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 370,000.00 By this Change Order, the project amount is Increased 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 Cornerstone Stewards, Inc. Company name 5720 Hu uenard Road Address Fort Wayne, Indiana 46818 El Decreased $ 10,833.00 $ 380,833.00 +2.93 % +2.93 % 11 /30/2019 0 days 0 Days 11 /30/2019 RECOMMENDED FOR APPROVAL ltil .' _ ' 03 • Z3 �Zozo Construction Manager CITY OF SOUTH BEND BOARD OF PUBLIC OR S Approved Date ,.m f�d )�)n Gary A. �ilot, Preside t Elizabeth A. Maradik, Member Jordan Gathers, Member City, State, Zip Joseph R. Molnar, Member Therese J. Dorau, Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME WWTP Raw Sewa Pum No. 2 Rehabilitation PROJECT NO. 118-020 FINAL COST $380,833.00 CONTRACT 12/20/2018 MAINTENANCE AGREEMENT ENDS 11/19/2022 SIGNED PROJECT Raw Sewage Pump No. 2 rehabilitate, new impeller, replacement parts DESCRIPTION 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. hxccute't Ills day of IVIA,VCk,20 �......._ Cornerstone Stewards, Inc. Signature Company Name Yl l t, ' Y 1 G�� ►/� S �(� 5720 Huguenard Road Printed Name Company Address Fort Wayne, Indiana 46818 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared 'Ux,o, a�A R Masz and acknowledged his/her signature to the above Project Completion Affidavit on th t't Iay of y ..._ 20X 40 -,Not4 Signature ` My Commission Expires I Z ZD 2( ., 1 %C Printed Name County of Residence A � ��►� If the Contractor is �1 eoa aor ration, the following certificate will be executed. 1, W itsSQ V „ certify that I am Secretary of the Corporation executing this release; that IT. „ fir,>„ ITIT who signed this release on behalf of the contractor was then y'k, of said Corporation; that said release was duly signed for and on behalf of said Corpoaatio i t, y Authority 1'ts governing body, and is within the scope of corporate poWcm ecact�ary's Sagnatara Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. ° n Date: 03, 23-ZcZo ConstructioManager BOARD OF PUBLIC WORKS APPROVAL Gary A. Gilot, President Joseph R. Molnar, Member Jordan Gathers, Member Date: Elizabeth A. qaradik,, Member Therese J. Dorau Member "° Linda M. Martin, MAINTENANCE BOND Bond No. 30053574 ornersto KNOW ALL PERSONS BY THESE PRESENTS, That we ne Stewards, Inc. ...............m.�.. of 5720 Road.,.y Fort Wayne, IN 46818 hereinafter ............... .....w __. referred to as the Principal, and �- m._..... any, South Dakota Corporation Western Surety Company, y, _. nm.._ r as Surety, are held and firmly bound unto City of South Bend, di p P c Works bll Indiana, Department of u of County -City Building Room 1316, 227 West Jefferson Street, South h Bend, IN 46601 hereinafter referred to as the Obligee, in the sum of Thirty-eight Thousand, Eighty-three and 30/100 - Dollars ($.38,083.30 ) for the payment of which we bind ourselves, our legal representatives, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the said Principal entered into a contract with the City of South Bend, Indiana, Department of Public Works dated epa .._...— ,,. _-_.,,.�.. m. ......... f g p o. 2 Rehabilitation December 20 2018 WWTP Raw - ..�„ ...�..�........ orw,,,_-_ ..... Sewage Pum.�.N. -_ .._. ._.m.,- ........ 3113 Riverside Drive, South Bend, Indiana 46628 WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee for the period of Three ( 3 ) year(s) after approval of the final estimate on said job, by the owner, against all defects in workmanship and materials which may become apparent during said period, and WHEREAS, the said contract has been completed, and was approved on. _—2019 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that, if the Principal shall indemnify the Obligee for all loss that the Obligee may sustain by reason of any defective materials or workmanship which become apparent during the period of .....,..Three ( 3 ) year(s) from and after November 19, 2019 ---- _..n. ...w_ then this obligation shall be void, otherwise to remain in full force and effect. SIGNED, SEALED AND DATED this March,,,,.,—, 2020, t.................-..... day of_................._,...........................�......�_.�_�-_.—. Cornerstone Stewards, Inc. (Principal) By .�......., .� �� m (Seal) 6 Western Surety Company F (5 ty�) ( ,$ By �..�..�a...: _ :�...m..� ..... .�..:� ��...�_ .. (Seal) rx Miller Attorney -in -Fact Form F4591 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Thomas J McGovern, Harold E Everett, Elaine K Miller, Thomas J Van Dyck, Jada M Karst, Melinda S Jagger, Tracie M McBride, Connie J Messer, Laura L Diver, Individually of Fort Wayne, IN, its true and lawful Atiomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of February, 2020. WESTERN SURETY COMPANY �+�t�frrn 0,k r L AV rut T. Bruflat, Vice v�arwe� ' ce President State of South Dakota 1 JT ss County of Minnehaha On this 27th day of February, 2020, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J. MOHR �ror�a�ra�raswa � ` June 23, 2021 .._ ate" ---------- La� ...... ___ . . . . . ........ J. Mohr, Notary'Puhfic;... CERTIFICATE I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this,,,,17„thday of March , 2020 . WESTERN SURETY COMPANY L. Nelson, Assistant Secretary Form F4280-7-2012 Go to www.cnasgrety comp > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity. Cornerstone Stewards, Inc. 5720HuguenondRoad Fort Wayne, |N40818 Phone: (20O)407-87O1 TO: City ofSouth Bend, Indiana DATE:3/20/2O2O 1310County-City Building ATTENTION: Jacob h3osinski 227VVJefferson Boulevard South Bend, |N400U1-183O WE ARE SENDING YOU: E] Attached L.M!& [] Under Separate Cover THE�0�LQ�| � MGubmittal O Request For Proposal O Request For Change ORequest For Information O O O O O O O O O n O O COPIES DATE DESCRIPTION 1 03/20/2020 Completion Affidavit, Change Order#1, Maintenance Bond ,WE ARE SENDING YOU: 11 0For Approval El For Your Use OApproved AsSubmitted OAaRequested 0 For Review O Revise And Resubmit O O O - The enclosed information iosubmitted for your review and approval. Please Note: Forward acopy for our records once fully executed. SIGNED: DATE: L- � _ JOB: South Bend VVVVTP Pump 2Rehab TRANSMITTAL: 007A1 OU�. Mail Omx, Total No. ofPages: F-1 Other OApproved AsNoted [] Rejected El BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date March 16 2020 Department Name Jacob M. Klosinski En incerin g/1.1tilities BPW Date March 24 2020 Phone Extension Ext. 9496 Review and A !oval Re uiq red Prior to Submittal to Board Diversity Compliance and Inclusion Officer Officer Name BPW Attorney Z Attorney Name Clara McDanicls Dept. Attorney ® Attorney Name Purchasing Z Michael Schmidt Check the A t1rooriate Item Twe Professional Services Agreement [...J Contract Clara McDaniels Open Market Contract El Amendment/Addendum [� Bid Opening Fl Bid Award Quote Opening ❑ Quote Award Proposal Opening ® C/O & PCA No. 1 Chg. Order, No. ❑ Traffic Control Other: Information ]br All Submissions [❑ Proposal ❑ Special Purchase, QPA El Req. to Advertise ❑ Title Sheet Reject Bids/Quotes PCA Resolution F� Ease./Encroach Company or Vendor Name Cornerstone Stewards, Inc. New Vendor EI Yes❑ If Yes, Approved by Purchasing ® No MBE/WBE Contractor MBE Completed E-Verify Form Attached No Project Name WWTP Raw Sewage Pump No. 2 Rehabilitation Project Number 118-020 ................. .W...........v _ .... _____ _--- 2018 Sewage Works Capital, Wastewater Treatment & Disposal Equip. & Funding Source 2020 'Sewage Works Oaerations Other Equip. Repair & Maint. Account No. 642-0630-415-43-66 and 641-0630-793-3605 for CO#1) Amount _$380.833.00 Final Cost, +2.93% Terms of Contract Lump Sum Purpose/Description The Division of"1 tilities requests, the Board of Public Works arwroval of Chan e Order 1 Final & the Project Completion Affidavit for 118-020. For Change Orders On Am. ... �.._ M_. ount of FA increase $ 10,833.00 Decrease Previous Amount $ 370,000.00 ...............................- Increase 2.93% Current Percent of Change: Decrease ( % New Amount $ 380,833.00 Increase 2.93% Total Percent of Change: Decrease (W % Time Extension Amount: 0 days