HomeMy WebLinkAboutChange Order No 2 & PCA - COSB Wayfinding Signage Program Phase 1 Proj No. 119-052R - Geograph Industries, 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. George Freudiger
Geograph Industries, Inc.
475 Industrial Dr.
Harrison, OH 45030
i?1.tIPLaHz_ec_a �>,: , .Pi ..illd col-n
RE: Change Order No. 2 (Final)/Project Completion Affidavit
COSB Wayfinding Signage Program Phase 1 — Project No. 119-052R
Dear Mr. Freudiger:
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 $1,686. The new Contract sum is $137,471.
In addition, the Project Completion Affidavit for this project was approved in the amount of $137,471.
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 OFSOUTH INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
:,
IDATE: / /202
--------
PROJECT CT INO, 11 g-,5 J
PROJECT NAME: COSH a uindungS ugina --------
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CONTRACT TIE.:
_/2'V2.0,19
CHANGE I I IE NO: 2 �IFuinai�
SUBJECT OF CHANGE ORDER:, ;: IPCI 2'1 Deduct fcir lEiirninatirrg Break away Pole Eases
(- 2,0Ql0.00), added-INortlha Arrow Stickers, 11 Panel, & B.-
00.
a1111 uterns Completed substantlialky as planned.
Bee attached Comparison of Estilmate 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
Eterisiion of date/time by previous change orders
Date/time extension by this change order
Nees cornplefion date/time
IRAgm
Aonctor• Bignati�iire
� �&. WoMiReL
Printed Dame and Tittle
Ceograi,:)I i lindustdes, Inc.,I
Company (Name
75 Industrial IDrive
Address
Harrison, 01H 45030
City, State, Zip
t 9,15 ..gg
,00
Increased
Decreased..... ........
10110
._............................:i,6181 ..:...,,_
,,,,,.1 -7 t 1i . fl
..............................................
1.21
BOARD OF
Approved Date: May 12, 2020
1:1610 71Z•]01 110:30[fiex•]NW
Gary A. Gilot, President Therese J. Doran, Member
Elizabeth A. Maradik, Member
Joseph R. Molnar, Member
Jordan V. Gathers, Member
ATTEST:
eZ11aa cW7271/
Linda M. Martin, Clerk
CITYIP SOUTH BEND, IIINIDIIAINA. "
BOARD OF PUBLIC WORKS
PROJECT C01MIPILIETION AFFIDAVIT P°
PROJECT NAMECOSI[� Wa fiirndiiin SI na e Piro irarn _ Phase Lase If. t
PROJECT NO "119--0521R FINAL COST $137,471..00
CONTRACT SIGNED 827/20/9 MAINTENANCE CIE AGREEMENT IENDS
IFabi1cation and iirnstalllation of wayfiirndiing siignage iincludirng concrete footings, fourndaliions and
PROJECT DESCRIPTIONsiidewalll� ms air within the Cii of Soantln 13end ICI .
IT ES T:
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 the work within the scope of the Specifications and Standards of the City
of South Bend which were a part of the above Contract.
:.. .. ad ifnlius ,,,,,,, ,,„ dayti°.nf� ��, . , . ;�, Oeo graph Industries, Inc.
Company Name
........................
Siigniatu ire 475Industrial Drive
Company Address
... d::: II.:„;.':..........................................................................
r,Iidirnt td INarnre;n Harrison, OH 4503
City, State, Zip
;< WITNESSES:
Before me, the undersigned Notary PuD!ic in and for said coun" and s peared
" ,
[' , 4` j�� C%�?` At r
the
of rnr,, I S„x" of Oh
My �s;: ""., y .
9
NotarySigirm, My Commission Expire
County- dence . .............. . .. .
If the Contractor is a corporation, following
Secretary-oa
signedwho this release on behalf o, the contractor or + " then
6 of said Corporation; that said release was duly signed for and on behalf of said
jo.rporafi;,by Aulholrity of' its governing body, _an1 is within the scope of corporate powers:
Se t+
4ott in
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.
%� 1/� ate: 05/06/2020
m................. .................................................................................
I Ionstiru icC« 1lairnage11'
PUBLICBOARD OF L May 12, 2020
BOARD OF PLBLIC WORKS
Gary A. Gilot, President n _ T1,—se J. D—n, Member
Elmbeth A. Maredik, Member
Jordan V. Gathers, Member
AI" PEST:
Joseph IL Molnar, Member
eelmi CAO"ry t
Linda M. Martin, Clerk
Project Number: 119-052R
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
COSB Wayfinding Signage Program - Phase 1 2
Project Name: Change Order #: _
DATE INITIATED: 5/4/2020 BPW DATE:
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Cost Deduct for Eliminating Break Away Pole Bases (-$2,000.00).
Added 8-North Arrow Stickers, 1-Kiosk Panel, & 8-City-Center Stickers ($314.00).
Attachments: (List documents support change — required)
Contractor Cost.
Amount of El Increase / ODecrease: $-1 ,686.00
Previously approved Change Order(s): $ 0
Current Percent of Change: -1.21
New Total Amount: $ 137,471.00
Total Percent of Change: -1.21
Funding Secured From:
(filled out by PM)
RECOMMENDED BY:
Josh Ehmer
Project Inspector (Print Name)
REVIEWED BY:
Toy Villa
Construction Manager (Print Name)
APPROVED BY:
Engineering Project Manager (Print Name)
APPROVED BY:
Categories (Pick One):
0 Scope of Work
❑ Differing Site Conditions, Changed Conditions
❑ Conflicted Specifications and Drawings
❑ Failed Materials
❑ Error
❑ Omission
❑ Final Quantity Adjustment
11
(Signature)
(Signature)
(Signature)
5/6/2020
(Date)
5m6i2020
(ware)
(care)
City Engineer (Print Name)
(Signature)
(uate)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 05/06/2020
Name Toy Villa Department Engineering
BPW Date 05/012/2020 Phone Extension 5920
BPW Attorne,
Required Prior to Submittal to Board
Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
Check the Appropriate Item Type — Re wired or 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 ❑ PCA
No.2 Final
❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution
I-1 Other: I -I Ease./Encroach
Information
Company or Vendor Name Geograph Industries, Inc
New Vendor ❑ Yes ❑ If Yes, Approved by Purchasing
® No
MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑ Yes
No
Project Name City of South Bend Wayfinding Signage Program - Phase 1
Project Number 119-052R
West Washington TIF ($10,000.00)
River East TIF ($30,000.00)
River West TIF ($25,700.00)
Funding Source
Professional Services (rest of amount)
324-1050-460-42-03 ($10,000.00)
429-1050-460-42-03 ($30,000.00)
422-1050-460-42-03 ($25,700.00)
Account No.
217-0602-367-31-06 (rest of amount)
Amount
Terms of Contract
Purpose/Description
Project Closeout
For Change Orders Onlv
Amount of
Previous Amount
lei
Current Percent of Change:
New Amount
Increase $ 0
Decrease ($1,686.000
$ 139,157.00
Increase _
Decrease
$ 137,471.00
Increase
0%
1.21%
Total Percent of Change: Decrease (1.21%)
Time Extension Amount:
New Completion Date: 1/24/2020