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Home My WebLink AboutChange Order No 1 & PCA - Vietnam Veterans Memorial Relocation Proj No. 117-047A - Slatile Roofing & Sheet Metal Co., 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 April 14, 2020 Mr. Gerald Longerot Slatile Roofing and Sheet Metal Co., Inc. 1703 S. Ironwood Dr. South Bend, IN 46613 I ` ::::..:...2p:➢, =cr cat: 1.. �J:.:...:.c.2rI . RE: Change Order No. 1 (Final)/Project Completion Affidavit Vietnam Veterans Memorial Relocation — Project No. 117-047A Dear Mr. Longerot: PHONE 574/235-9251 FAx 574/ 235-9171 The Board of Public Works, at its meeting held on April 14, 2020, approved the Final Change Order for this project, for a decrease of $3,000. The new Contract sum is $149,850. In addition, the Project Completion Affidavit for this project was approved in the amount of $149,850. 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, s/Linda M. Martin, Clerk Enclosures GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR Q4,�pli"9l1 Idp�Ij ,. CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 11 /26/2019 PROJECT NO: 117-047A PROJECT NAME: Vietnam Veterans Memorial Relocation CONTRACT DATE: 5/22/2018 CHANGE ORDER NO: 1 (Final) SUBJECT OF CHANGE ORDER: PCR #1-Liquidated Damages 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 • a- 'Contractor- Gerald Longerot - President Printed Name and Title Slatile Roofing and Sheet Metal Co., Inc. Company Name 1703 S. Ironwood Dr Address South Bend, IN 46613 City, State, Zip ❑ Increased XQ Decreased $ $ 152,850.00 0.00 152,850.00 $ 3,000.00 $ 149,850.00 -1.96 % -1.96 % 9/11 /2018 0 days 0 days 9/11 /2018 RECOMMENDED FOR APPROVAL CONSTRIXTION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS U.vy A. Oilol, President Elizabeth A, Mmradik, Member 'Therese J. Do—, Member Jord V. (alhen, Member Joseph R. Moliur, Member AITES'l': iar" c4i-;ie Linda M. Madiv, Clerk O"�*U"XXX Np r� CITY OF SOUTH BEND, INDIANAn BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT H� PROJECT NAME _Vietnam Veterans Memorial Relocation PROJECT NO 117-047A FINAL COST $149,850.00 CONTRACT SIGNED 5/22/2018 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Relocation of the Vietnam Veterans Memorial at Howard Park. 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\tki6\QrkWi`M0 the scope of the Specifications and Standards of the City of South Bend which were a part of the above C� iji rrgot ...... (y-Al"I"� �edis 1st ,may f AprilJ.• 20 2 Signature G ald Lang of - President 0 Printed Name %,S -( `. WITNESSESS: Before me, the undersigned Notary Public in a Gerald Langerot , and acknowledged hi; the _ .......1st........_ day s� o��fpp Ap it 20 20 o��l.- �4.�� Notary Signature Slatile Roofing and Sheet Metal Co., Inc. Company Name 1703 S. Ironwood Dr Company Address South Bend IN 46613 City, State, Zip ner sigffARA LORIERNMARDTroject NOTARY PUBLIC SEAL MY CC1ili STATE O.F INN IANA R 18 , COMMISSION NUMBER NP0724157 Printed Name County of Residence appeared fletion Affidavit on If the Contractor is a corporation, the following certificate will be executed. Ann Langerot certify that I am Secretary of the Corporation executing this release; that Gerald Longgrot who signed this release on behalf of the contractor was then President of said Corporation; that said release was duly signed for and on behalf of said Co pa ation by A,,thority of its governing body, and is within the scope of corporate powers: S reta 's Signa re Ann Lan rat -Secretary 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. Date: 04/03/2020 Construe n Manager BOARD OF PUBLIC WORKS APPROVAL Date: State of Indiana, County of Final Waiver of Lien St. Jospeh Gerald Longerot, (Name of Officer) Slatile Roofing and of Sheet Metal CO.. INC. (Contractor) to furnish certain materials and/or labor as follows: for a project known as located at SS: being duly sworn that he/she is the President (Title) having contracted with City of South Bend (Owner) Masonry (Description) Vietnam Memorial (Name of Project) South Bend and owned by City of South Bend (Owner) _ and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars _($ ) 01 receipt of which is hereby ael mowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien -which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of Fourteen thousand one hundred forty two dollars and fifty cents $14,142.50 ❑ receipt of which is hereby aclmowledged; or El 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 -described property and improvements thereon an account of labor or material or both, furnished b the u�qslgm�ii� thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has a i� i lien on account of any work performed or material furnished to the undersigned for said project, and within. the Scb ego WIS A da4,, and Waiver of Lien. C11- d Slatile Roofing and Sheet Metal CO., INC. ----'" : Z (Auth riz rest CD ve) STATE OF INDIAN(Firm) ) SS: ' ST. JOSEPH COUNTY ) '?•,�� S TA T .. F C7<" Before me, the undersigned, a Notary public, in and for said County and State, personally appeared and aclaiowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITH SS WHEREOF, I have hereunto subscribed my name and affixed 7- My Commission Expires: Residing in ::rrIA U 0_r-%- .J County, Public STATE OF INDIANA MY COMMISSION EXPIRES DECEMBER 18, 2027 COMMISSION NUMBER NP0724157 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/03/2020 Department Public Name Toy Villa Works BPW Date 04/14/2020 Phone Extension 5920 Required Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Required. for All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ® C/O & PCA No. l Final ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Information Company or Vendor Name Slatile Roofing and Sheet Metal Co., Inc. ❑ Yes ❑ If Yes, Approved by Purchasing New Vendor ® No Yes MBE MBE/WBE Contractor Completed E-Verify Form Attached ❑ ❑ No Project Name Vietnam Veterans Memorial Relocation Project Number 117-047A Funding Source Regional Cities Grant Account No. 201.1111.452.31.06 Amount $ Terms of Contract Purpose/Description Project Closeout. For Change Orders Only Amount of ❑ Increase $ ® Decrease ($ 3,000.00) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: $ 152,850.00 Increase % Decrease (1.96%) $ 149,850.00 Increase % Decrease (1.96%)