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Home My WebLink AboutChange Order No 1 & PCA - 2017-2018 Traffic Detector Loops Proj No. 117-124 - Pemberton Davis Electric, 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 May 12, 2020 Mr. John Ferro Pemberton Davis Electric, Inc. 916 E. McKinley Ave. Mishawaka, IN 46545 (kn k.pgi1.. .r:t2t.i.„ avJs.cc�n1. ................................................................... RE: Change Order No. 1 (Final)/Project Completion Affidavit 2017-2018 Traffic Detector Loops — Project No. 117-124 Dear Mr. Ferro: PHONE 574/235-9251 FAx 574/ 235-9171 The Board of Public Works, at its meeting held on May 12, 2020, approved the Final Change Order for this project, for a decrease of $38,542. The new Contract sum is $16,858. In addition, the Project Completion Affidavit for this project was approved in the amount of $16,858. 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 PROJECTCITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS CHANGE ORDER The al off; sum The contract sum prior to this change order By this Change Order, I rn project amount This Change Order represents a total change of Total hange for entire Original contracted completion date/time Date/time extension by this change order completionNew date/time —CONTRACTOR Yrctor Si agars � = I'r, Company Name _ 916 E. MqnnLeAug.. Address 1 /1/2016 � CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member Joseph R. Molnar, Member Therese J. Doran, Member Jordan V. Gathers, Member ATTEST: �111(alCi GPTar2tn Linda M. Martin, Clerk CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC PROJECT COMPLETION AFFIDAVIT PROJECT NAME017-2018 Traffic Detector FINALPROJECT NO 117-124 $16,858.00 SIGNEDCONTRACT 12/21/2017 MAINTENANCE AGREEMENT PROJECT DESCRIPTION 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 tender 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. Execu d t ' 27th day of April , 20120 Pemberton Davis Electric, Inc. 7z Company Name nature 9t0 E. McKinley Ave. ag—;hn A. Ferro Company Address s M42EM Mishawaka, IN 46545 City, State, Zip lf the Contractor is a corporation, the following certificate will be executed. 1, certify that I am Secretary of the Corporation ri a release— who signed this behalfwasthen of said Corporation; that said release was duly signed for and on behalf of s Corporation � . boy wit + e of c r por powers: 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. %d !/C. a G, Date: 04/28/2020 Constru Manager BOARD OF PUBLIC WORKS APPROVAL Date: May 12, 2020 BOARD OF PUBLIC WORKS Gary A Gilol, President Therese J. ]).an, Member Elizabeth A. M,—dik, Member Jordan V. Gathers, Member ATTEST: Joseph R. Molnar, Member Linda M. Martin. Clerk BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/28/2020 Name Toy Villa Department Engineering BPW Date 05/12/2020 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 Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information Pemberton Davis Electric, Inc ❑ Yes❑ If Yes, Approved by Purchasing ® No ❑ WBE Completed E-Verify Form Attached ❑ Yes No 2017-2018 Traffic Loons 117-124 LRSA 251.0608.431.36.67 Project Closeout For Change Orders Only Amount of ❑ Increase $ ® Decrease ($ 38,542.00) Previous Amount $ 55,400.00 Increase % Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Decrease (69.57% $ 16,858.00 Increase % Decrease (69.57%