HomeMy WebLinkAboutChange Order No 2 - Fire Station Nos. 3 & 6 Renovations Proj No. 118-047 - Gibson-Lewis 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 28, 2020
Mr. Robert Lingenfelter
Gibson-Lewis LLC.
th
1001 W. 11. St.
Mishawaka, IN 46544
GHicks@gl.nceusa.com
Dear Mr. Lingenfelter:
The Board of Public Works, at its meeting held on April 28, 2020, approved the above referenced
Change Order for an increase of $28,560, bringing the current contract amount to $955,060.
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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229.1583
Project Number: _______________ Project Name: __________________________ Change Order #: ____
5.7.315.39.31
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)
Opof
39-671/11
Amount of Increase / Decrease: $____________________
Categories (Pick One):
.2:4-611/11
o
Scope of Work
Previously approved Change Order(s): $___________________
o
Differing Site Conditions, Changed Conditions
4/19
Current Percent of Change: ____________________ %
Conflicted Specifications and Drawings
Failed Materials
:66-171/11
New Total Amount: $____________________
Error
Omission
.25/84
Total Percent of Change: ____________________ %
Final Quantity Adjustment
_______________________
Funding Secured From: __________________________
(filled out by PM)
RECOMMENDEDBY:
EboKpoft5.32.31
Project Inspector (Print Name)(Signature)(Date)
REVIEWED BY:
1503203131
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Construction Manager (Print Name)(Signature)(Date)
APPROVED BY:
1503303131
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Engineering Project Manager (Print Name)(Signature)(Date)
APPROVED BY:
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City Engineer (Print Name)(Signature)(Date)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date04/22/2020
Department Engineering/Fire
NameAlicia Czarnecki
BPW Date04/28/2020Phone Extension5903
Required Prior to Submittal to Board
BPWAttorneyAttorney Name
Dept. AttorneyAttorney Name
Purchasing
Check the Appropriate Item Type Required for All Submissions
Professional Services AgreementContractProposal
Open Market ContractAmendment/Addendum Special Purchase, QPA
Bid OpeningBid AwardReq. to AdvertiseTitle Sheet
Quote OpeningQuote AwardReject Bids/Quotes
Proposal OpeningC/O & PCA No. PCA
Chg. Order, No. 2Traffic ControlResolution
Other: Ease./Encroach
Required Information
Company or Vendor NameGibson-Lewis, LLC
YesIf Yes, Approved by Purchasing
New Vendor
No
MBEYes
MBE/WBE ContractorCompleted E-Verify Form Attached
WBE No
Project NameFire Stations 3 & 6 Renovations
Project Number 118-047
Funding SourceFIRE CAPITAL IMPROVEMENTS / BUILDING IMPROVEMENT
Account No.287-0902-422.42-02
Amount
Terms of Contract
Purpose/DescriptionSouth Bend Fire Stations 3 and 6 Renovations.
_______________________________________________________
For Change Orders Only
$28,560.00
Increase
Amount of
Decrease
Previous Amount$926,500.00
3.08%
Increase
Decrease
Current Percent of Change:
New Amount$955,060.00
%
Increase
Decrease(-14.73%)
Total Percent of Change:
TimeExtensionAmount:
New Completion Date: