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Change Order No 6 & PCA - Liberty Tower Exterior Renovations Proj No. 118-086R - Environmental Glass, Inc.
1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS March 24, 2020 Mr. Donald Vainer Environmental Glass, Inc. 12675 Marlin Dr. Redford, MI 48239 RE: Change Order No. 6 (Final)/Project Completion Affidavit Liberty Tower Exterior Renovations — Project No. 118-086R Dear Mr. Vainer; 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 a decrease of $5,000. The new Contract sum is $306,817.08. In addition, the Project Completion Affidavit for this project was approved in the amount of $306,817.08. 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, P Linda M. Martin, Clerk Enclosures GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR CITY OF SOUTH BEND, INDIANAV �,w4 DEPARTMENT OF PUBLIC WORKS" u ?� PROJECT CHANGE ORDER DATE: 3/4/2020 PROJECT NO: 118-086R Liberty Tower Improvements DivC - Storefront and Vestibule PROJECT NAME: Entrance CONTRACT DATE: 2/12/2019 CHANGE ORDER NO: 6 (Final) SUBJECT OF CHANGE ORDER: PCR #6-Adjustment to Final Quantities All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 304,000.00 Net change by previously authorized change orders $ 7,817.08 The contract sum prior to this change order $ 311,817.08 By this Change Order, the project amount is Increased Decreased $ 5,000.00 The new contract sum including this change order $ 306,817.08 This Change Order represents a total change of -1.60 % Total change for entire project 0.93 % Original contracted completion date/time Extension of date/time by previous change orders Date/time extension by this change order New completion date/time CONTRAC R d Contractor Signature hold VAe�11r Printed Name and Title Environmental Glass„ Inc. Company Name 12675 Marlin Drive Address Redford, MI 48239 City, State, Zip 7/19/2019 63�_ 0 days 9/20/2019 E—ECOMMENDED.: , A P��ION MANAGER—— CITY OF SOUTH BEND BOARD OF PUBLIC m WORKS a ApprovedDate Gary A. Gilot, President ...................... Jordan athers„ M mber �Iabeth arad,Member Therese J. Dorau, Member Joseph Molnar, Member CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT ar PROJECT NAME Liberty Tower Improvements DivC - Storefront and Vestibule Entrance PROJECT NO 118-086R FINAL COST $306„817.08 CONTRACT SIGNED 2/12/2019 MAINTENANCE AGREEMENT ENDS Provide and install Exterior Improvements as outlined in three separate Divisions Improvements PROJECT DESCRIPTION -according to the intent of the plans, and specifications, 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 apart of the above Contract. Executed s,r I day of 1 AIt � 't'• .0 Environmental Glass, Inc. Company Name Signatt a 12675 Marlin Drive Company Address Printed Name Redford, MI 48239 City, State, Zip WITNESSESS: Bfore me,, the undersigned Notary Public in and for said country and state, personally appeared and acknowledged his/her signature to the above Project Completion Affidavit on the day pf°Atr .w 01 ,�rtd9, IENNIFER M DUPUIF e � ." ��•� t �� ����, ���,�p,,�� Nornrty Public Notary natUL- My Commission Expires `AYNE COUNTY, STATE OF MICHIGAN rvly (( K11 Cyr 01.26-2021 Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. L. ��� •� certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then t r a ,pf-sad'^corporation; that said release was duly signed for and on behalf of said Corporat el y Authori ,w'of i ov"r Ol body, and is within the scope of corporate powers: ecr nary s wgnatur r Corporate Sea! 1-4 -r," s Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable fo approval and we recommend to the Board of Public Works that it be ordained so. Date: (. • Z6 Constructi ager.. Gary A. Gilot, President Therese J. Dorau, Member BOARD OF PUBLIC WORKS APPROVAL Jordan Gathers, Member Date: Elizabeth A.Iradbik,tember Final Waiver of Lien State oflndfana, County of 4 0SS: v6pikfter" being duty sworn thathe/she is the e i (Name of Officer) (Title) of Envy io„ rvtavttal Glass Inc. having contracted with of 5otf+, (Contractor) (Owner) to famish certain materials and/or labor as follows; rcor er aid a b�t� (Description) for a project known as L, bteourtr ce,,',r V.,,." (Name ofProjeot) located at Z 13 V✓a56' rt for, and owned by 13era A (Owner) 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 ❑ receipt of which is hereby aclatowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Wever of Lien whlch is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; ( )� FINAL WAl VCR I � at the final balance due from the contractor is the sum of "��G=� ��" ��/ a ❑ receipt of which 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 only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above-deserlbed property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certifl that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned fors roject, and within the scope of this Affidavit and Waiver of Li en. (Firm), (Authorized Representative) STATE OF RqDIA14A, RYA la II ) ) SS: jr,, ' ST. 0SEPItCOUNTY Before me, the undersigned, a Not Public, in and for said County and State, personally appeared and acimowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of I A4(°,V 200, r a N nary blic Signa�� My Commission Expires: Residing in a°: County, M W+K'^J owy Public Name JENNIFEP M ©UPUIE NOTARY Public WAYNE COUNTY, STATE OF MICHIGAN MY COMMISSION ExpiRES 01.26.2021 MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS, That we f-tivir me!1tpj,Gla'q's Inc-- WHEREAS'UmuaidPhncipalonteredintoacontractvith the -City of Works�� dated rep,wo . 3019 ,hor Libe�yTower Exterior RunovoUono'D��ionC'Storefrontalass WHEREAS, said contract pnovideothat the Principal will furnish obond conditioned Voguaoanteohor the —period of/nree � __')yaar(n)ofterappnovsJoftheOna|oohmoteonoad]ob'bythanor.ugainsted| defects in workmanship and materials which may become apparent during said period, and WHEREAS, the said contract has been completed, and was approved on ...... . .... __ NOW, THEREFORE, THE CONDITION OBLIGATION SU��Hthat, �the Phnnipo|shall indemnih/the C>kd'e for all loss that the Obfigee may sustain by vmemmn of any dehectve materials or workmanship which become azpanandcludmg the period of__�_—)Vear(a)from and afterX /20�0,_ then this obligation shall be void, otherwise to remain in full force and eff:ect, SIGNED, SEALED AND DATED this __12th Form F4591 day of March ^ 21020----^ Environm at Glass Inc By (Seal) International / STATE OF NEW JERSEY STATE OF ILLINOIS County of Essex County of Cook Kenneth Chapman „ Executive Vice President, Harco National Insurance Company and International Fidelity Insurance Company POWER OF ATTORNEY Bond # CMIFSU0750845 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group, Headquartered: 702 Oberlin Road, Raleigh, North Carolina 27605 KNOWN ALL MEN BY THESE PRESENTS That HARCO NATIONAL INSURANCE COMPANY, a corporation organized and existing tinder the laws of the State of Illinois and INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Jersey, and having their principal offices located respectively In the cities of Rolling Meadows, Illinois and Newark, New Jersey, do hereby constitute and appoint T.L. YOUNG, KATHLEEN M. IRELAN, WENDY L. HINGSON, IAN J. DONALD, ROBERT TROBEC, ALAN P. CHANDLER, T.J. GRIFFIN, JEFFREY A. CHANDLER, TERENCE J. GRIFFIN, JOHN L. BUDDE, SUSAN L. SMALL, PATRICK E. WILLIAMS Troy, MI their true and lawful attorneytsj-en-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings„ contracts of Indemnity and other writings obligatory in the nature thereof„ which are or may be allowed„ required or permitted by law, statute rule, regulation contract or otherwise, and the execution of such instrurnentls;p in pursuance of these presents, shalt be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply„ to all intents and purposes„ as if the sarne had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed and may be revoked pursuant to and by authority of the By -Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the fallowing, resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duty field on the 13th day of December, 2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December, 201 S„ "RESOLVED, that lv''tj the Chief Executive Officer President, Executive Vice President„ Senior Vice President Vice President, or Secretary of the Corporation shall have the power to appoint„ and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seat thereto„ bonds, undertakings, recognizances contracts of indemnity and other written obligations in the nature thereof or related thereto° and j2j any such Officers of the Corporation may appoint and revoke the appointments of joint -control Cueustodians, agents for acceptance of process„ and Attorneys -in -fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any ,power of attorney or certification given for the execuation of any bend, undertaking, recognizancecontract of indemnity or other written obligafion era the nature thereof or related thereto, such signature and seats when so used whether heretofore or hereafter" being hereby adopted by the Corporation as the original sl,gnalure of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed," IN WITNESS WHEREOF, HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December, 2019 �to.pso ;0 ortirtrt�a^.w SEAL m 0 tnea ajr x „Y ,r9 On this 31st day of December, 2019 , before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies; that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. t,e00 IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written. trs� ter.. 62 �� vs 5hirelle A. Ouutey a Notary Public of New Jersey CERTIFICATION My Commission Expires April 4, 2023 I, the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify affidavit, and the copy of the Sections of the By of said Companies as set that I have compared the foregoing copy of the Power of Attorney and forth it', said Power of Attorney„ with the originals on file in the home offu x4 „ef vatd companies, and that the same are correct transcripts thereof, and ofthe whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand oir This day ,',112/2020 A00502 Irene Martins, Assistant Secretary BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 03/16/2020 Name To Villa Department Engineering _............... ......... . BPW Date 03/24/2020 Phone Extension 5920 WW Rec Ord Prior to�Submittal to Board _www _��IT mITITIT BPW Attorney Attorney Name Dept. Attorney [I Attorney Name Purchasing Check the Appropriate Item Tvve ❑ Professional Services Agreement ❑ Contract Open Market Contract EJ Amendment/Addendum ❑ Bid Opening ❑ Bid Award Quote Opening F-1 Quote Award ❑ Proposal Opening ® C/O & PCA No.6 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 Information All Submissions LJ Proposal R Special Purchase, QPA [l Req. to Advertise Reject Bids/Quotes ❑� PCA EJ Resolution Ease./Encroach L' YesLJ If Yes, Approved by Purchasing No [:] MBE Completed E-Verify Form Attached F] WBE Liberty Tower Exterior Renovations 118-086R m......._. .. — RWDA TIF ............ ..... ._....�...ww...........__-_ 324.1050.460.42.02 $306,817.08 Project Closeout ❑ Title Sheet For Chan c Orders 9illy ................w „_ ......... Amount of Increase $ _. __................... __ ...... ...... ® Decrease ($ 5,000.00) Previous Amount $ 311,817.08 Current Percent of Change New Amount Increase % Decrease (1 $ 306,817.08 Increase % 60% Total Percent of Change: Decrease (0.93%o) m. mmmmµw Time Extension Amount: New Completion Date: Yes No