HomeMy WebLinkAboutChange Order No 1 & PCA - Olive Street Station Office HVAC Upgrades Proj No. 119-077A - Ideal Consolidated, 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. Mick Rauch
Ideal Consolidated, Inc.
806 W. Sample St.
South Bend, IN 46613
RE: Change Order No. 1 (Final)/Project Completion Affidavit
Olive Street Station Office HVAC Upgrades — Project No. 119-077A
Dear Mr. Rauch:
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 an increase of $2,000. The new Contract sum is $58,500.
In addition, the Project Completion Affidavit for this project was approved in the amount of $58,500.
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
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS`
PROJECT CHANGE ORDER less "
DATE: 4/7/2020
PROJECT NO: 119-077A
PROJECT NAME: Olive Street Station Office HVAC Upgrades
CONTRACT DATE: 11/12/2019
CHANGE ORDER NO: 1 (Final)
SUBJECT OF CHANGE ORDER: PCR #1-Boiler/Breaker Remediation
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
.UNMCTOR
Contractor Sj nature
Mick Rauch, Vice President
Printed Name and Title
Ideal Consolidated, Inc.
Company Name
806 W. Sample St.
Address
South Bend, IN 46601
City, State, Zip
X Increased
❑ Decreased
12/27/2019
0 days
0 days
12/27/2019
56,500.00
0.00
56,500.00
$ 2,000.00
$ 58,500.00
3.54
3.54 %
RECOMMENDED FOR APPROVAL
CONSTRON MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date:
BOARD OR PUBLIC WORKS
0— A. Gib$,['—i&m
Elizabeth A. AL—dik, Member
Eh—'e 7 D.,au Member
Torn V. Gnth-,, Manbo
Joseph R. Ald—, M—bc,
Al IEST:
2,'uA o4fmm,
Lmd, M. M, dm, CIM
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT r
PROJECT NAME Olive Street Station Office HVAC Upgrades
PROJECT NO 119-077A FINAL COST $58.500.00
CONTRACT SIGNED 11/12/2019 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Emergency HVAC upgrades at the Olive WTP.
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 ctaims 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.
Execut s 3 st da
y of Marche, 20 20 Ideal Consolidated, Inc.
Company Name
ionature 806 W. Sample St.
Mick Rauch, Vice President Company Address
Printed Name
South Bend, IN 46601
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Mick Rauch and acknowledged his/her signature to the aboye Proiect Completion Affidavit on
the 31st day of March HN CARINA CRUZ
20 2 ``�P?! Notary Public, State of Ind
2'SEA . - St.Josepli County
Commission # 710388
Notary Signature ; • • Py CuuiiPr>DsaiEropireq,ire
February 12.2026
Carina Cruz
Printed Name County of Residence
02/12/26
St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
I, Jennifer M Martell certify that I am Secretary of the Corporation executing this release: that
Mick Rauch who signed this release on behalf of the contractor was then
Vice President of said Corporation; that said release was duly signed for and on behalf of said
Corrati gby Autrity 9f its,rvn-oA,,and is within the scope of corporate powers:
Corporate Seal
-r M Martell
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
Constructi Manager
BOARD OF PUBLIC WORKS APPROVAL Date:
--•� Grp=�-
Ir dm\ I lk ib�r
�oi,Mctin:vi
Project Number: 119-077A
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
Project Name: Change Order #:
Olive Street Station Office HVAC Upgrades 1
_
DATE INITIATED: 3-24-20 BPW DATE: 4-9-20
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Existing boiler hookup conditions were unknown at the time of rework. Once the original scope
was completed it was found that the boiler would continuously trip the breaker. Troubleshooting
and breaker upgrades were needed to fix the issue.
Attachments: (List documents support change — required)
Troubleshooting and added work is $2,000.00
Amount of DIncrease / El Decrease: $ 2,000.00
Previously approved Change Order(s): $ 0.00
Current Percent of Change: "
New Total Amount: $ 58,500.00
Total Percent of Change: 3.54
Funding Secured From:
(filled out by PM)
RECOMMENDED BY:
Dan Jones
Project Inspector (Print Name)
REVIEWED BY:
Toy Villa
Construction Manager (Print Name)
APPROVED BY:
Zach Hurst
Engineering Project Manager (Print Name)
APPROVED BY:
Kara Boyles
City Engineer (Print Name)
Categories (Pick One):
❑ Scope of Work
0 Differing Site Conditions, Changed Conditions
❑ Conflicted Specifications and Drawings
❑ Failed Materials
❑ Error
❑ Omission
❑ Final Quantity Adjustment
11
(Signature)
(Signature)
(Signature)
(Signature)
M • 1
(Date)
04/06/20
(Date)
04/06/2020
(Date)
04/07/2020
(Date)
State ofindiana, County of
Final Waiver of Lien
St.Joseph
SS:
Mick Rauch being dirty sworn that he/sheis the Vice -President
(Name ofofficer) (Title)
of Ideal Consolidated, Inc. having contracted with City of South Bend
(Contractor) (Owner)
to furnish certain materials and/or labor as follows: Labor & Material for HVAC Upgrades
(Description)
for a proj ect known as Olive Street Station Office HVAC Upgrades
(Name of Project)
located at 915 S Olive St, South Bend,IN
and owned by City of South Bend
(owner)
and does hereby further state on the bobalf of the aforementioned subcontractor/supplier:
(PAR.1 AL WAIVER) that there Is due from the Contractor the slam of
Dollars i
Q receipt of which is hereby acknowledged; or
the payment of which has been promised as the sole consideration for this Affidavit acid Final Waiver of Lien which is given
solely with respect to said anxount, and which waiver shall be effective only upon receipt ofpaymentthereofby the
undersigned;
(FINAL WA VEJ+ .tj thatthe final balance due from the contractor is the sum of
Two thousand & 00/100 ($2000.00 1
❑ receipt ofwhieh is hereby acknowledged; or
thepsyment of which has boon promised as the solo consideration foritds Affidavit and Final Waiver ofLien which shall
become offeotive only upon receipt o£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 properly 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 farther certified that no other party has any claim or right to a
lien on account of any work performed or material farnishedto the undersigned for project, within ope of this Affidavit
and Waiver ofLien
Ideal Consolidated, Inc: Ey
(Firm) ) AuthorizedRepresentative)
STATE OF IMIA14A
SS.
ST, JOSEIPH COUNTY )
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Mick Rauch
and aclorowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WITNESS WD EREOF, I have hereunto subscribed my name and affixed my official seal an the 31 st dray of
March 20 1 20
Notary Public Signature
My Commission Expires: 02/12/26
Residing in St. Joseph County, Indiana
Carina Cruz
Notary public Name
"„111Qj,, CARINA CRUZ
Pis'
t`�1�Y Notary
Public, State of Indiana
=: roE
z
St. Joseph County
* :SEAL.
Commission s 710398
My Commission Expires
February 12, 2026
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/07/2020
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 Ideal Consolidated, Inc.
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Yes ❑ If Yes, Approved by Purchasing
No
El MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Neos
Olive Street Station Office HVAC Upgrades (Emergency)
119-077A
Water Works Operating Fund
6200.640.606.36.01
Project Closeout.
For Change Orders Only
Amount of ® Increase $ 2,000.00
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
$ 56,500.00
Increase 3.54%
Decrease
$ 58,500.00
Increase 3.54%
Total Percent of Change: Decrease %
Time Extension Amount:
New Completion Date: