HomeMy WebLinkAboutChange Order No 3 - Pulaski Park Improvements Proj No. 118-056 - Larson Danielson Construction Co., Inc.
P HONE 574/ 235-9251
1316 C OUNTY-C ITY B UILDING
F AX 574/ 235-9171
227 W. J EFFERSON B OULEVARD
S OUTH B END,I NDIANA 46601-1830
C ITY OF S OUTH B END J AMES M UELLER,M AYOR
B OARD OF P UBLIC W ORKS
April 14, 2020
Mr. Darin Meyer
Larson-Danielson Construction Co., Inc.
302 Tyler St.
LaPorte, IN 46350
dmeyer@ldconstruction.com
Dear Mr. Meyer:
The Board of Public Works, at its meeting held on April 14, 2020, approved the above
referenced Change Order for an increase of $15,556.50, bringing the current amount to
$896,526.75.
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,
s/Linda M. Martin, Clerk
Enclosure
G ARY A. G ILOT E LIZABETH A. M ARADIK T HERESE J. D ORAU J ORDAN V. G ATHERS J OSEPH R. M OLNAR
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
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229.1674
Project Number: _______________ Project Name: __________________________ Change Order #: ____
302103131
DATE INITIATED:BPW DATE:
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
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Attachments: (List documents support changerequired)
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Amount of Increase / Decrease: $____________________
Categories (Pick One):
3-395/11
ScopeofWork
Previously approved Change Order(s): $___________________
DifferingSiteConditions,ChangedConditions
2/88
Current Percent of Change: ____________________ %
ConflictedSpecificationsandDrawings
FailedMaterials
9:7-637/86
New Total Amount: $____________________
Error
Omission
3/14
Total Percent of Change: ____________________ %
FinalQuantityAdjustment
______________________
563.2212.563/42.17
Funding Secured From: __________________________
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RECOMMENDEDBY:
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Project Inspector (Print Name)(Signature)(Date)
REVIEWED BY:
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Construction Manager (Print Name)(Signature)(Date)
APPROVED BY:
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Engineering Project Manager (Print Name)(Signature)(Date)
APPROVED BY:
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City Engineer (Print Name)(Signature)(Date)
main269 327-2322
8132 Merchant Place
Portage, MI 49002
pros atwork.com
Date: 11/15/2019
Subject: Notice of Change Order Request for additional labor / materials and extension of schedule
Change Order: 2
Attachments: 0
Owner: City of South Bend
Attention: Jeff Jensen
jjensen@ldconstruction.com
Mr. Jensen:
Please be advised that this is a notification of change and or delay resulting from:
Provide and install insulation on water main entering building
Larson Danielson Construction Company Inc. agrees to and approves said change for the labor and
materials used to install insulation on the water main entering the building to approximately 1 above
isolation valve. Pro Services will work with Larson Danielson Construction Company Inc. to help reduce
schedule and cost impacts caused by above mentioned. Please see the attached documents.
Subcontractor (insulation): $551.00
Total Cost for change to scope $551.00
At this time, the full schedule impact of this change cannot be ascertained. Therefore, Pro Services
reserves the right for an extension to our schedule and associate costs.
Sincerely,
Jeff Jagnecki
Project Manager
Pro Services
Plymouth, IN Branch
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date4/6/2020
Department
NameKyle SilveusEngineering
BPW Date4/14/20Phone Extension9083
Required Prior to Submittal to Board
LegalAttorney NameClara McDaniels
Controller review is required for all Contracts $5,000.00 or more and
Controller
greater than one year in length per the City Purchasing Policy
PurchasingMichael Schmidt
Check the Appropriate Item Type –Required for All Submissions
AgreementContractProposalAddendum
Professional ServicesResolution
Bid OpeningBid AwardReq. to AdvertiseTitle Sheet
Quote OpeningQuote Award
ChangeOrder No. 3C/O & PCA No. PCA
Ease/Encroach.Traffic Control
Other:
RequiredInformation
Company or Vendor Name Larson Danielson Construction Co., Inc._____________
New Vendor YesNoIf Yes, Approved by Purchasing
MBE/WBE Contractor MBEWBE
MBE/WBE ContractorRequestedNoYes Name of Company
Project NamePulaski Park Improvements
Project Number 118-056
Funding SourceRW TIFBond
Account No.452-1101-452.31-06
Amount$15,556.50
Terms of Contract
Purpose/DescriptionMiscellaneous expenses due to unforeseen conditions and scope
changes.
Required Contractor’s Certification Form Attached(Non-
Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
$$15,556.50
Increase
Amount of
Decrease$
Previous Amount$880,970.25
Current Percent of Change: 0.26%
New Amount$896,526.75
Total Percent of Change:2.03%
Dispersal After Approval
Copy Original