HomeMy WebLinkAboutChange Order No 4 - Western Ave. Streetscape Phase III Proj No. 118-076 - Indiana Earth, 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
May 26, 2020
Mr. Mark Osler
Indiana Earth, Inc.
10343 McKinley Hwy.
Osceola, IN 46561
jkabelearth10@yahoo.com
earth92inc@sbcglobal.net
Dear Mr. Osler:
The Board of Public Works, at its meeting held on May 26, 2020, approved the above referenced
Change Order for an increase of $34,726.28, bringing the current contract amount to
$2,844,266.94.
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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229.1875
Project Number: _______________ Project Name: __________________________ Change Order #: ____
503603131
DATE INITIATED:BPW DATE:
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
.Beefedptugps3.TmjejohHbuftupCvtjofttft)EDJ*-,%34-195/92/
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Attachments: (List documents support changerequired)
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45-837/39
Amount of Increase / Decrease: $____________________
Categories (Pick One):
286-266/42
Scope of Work
Previously approved Change Order(s): $___________________
Differing Site Conditions, Changed Conditions
2/35
Current Percent of Change: ____________________ %
Conflicted Specifications and Drawings
Failed Materials
3-955-377/:5
New Total Amount: $____________________
Error
Omission
8/:8
Total Percent of Change: ____________________ %
Final Quantity Adjustment
_______________________
435.2161.571.53.14
Funding Secured From: __________________________
(filled out by PM)
RECOMMENDEDBY:
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Project Inspector (Print Name)(Signature)(Date)
REVIEWED BY:
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1601803131
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Construction Manager (Print Name)(Signature)(Date)
APPROVED BY:
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3131/16/2:!26;11;63!.15(11(
Engineering Project Manager (Print Name)(Signature)(Date)
APPROVED BY:
City Engineer (Print Name)(Signature)(Date)
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Date5/19/20DepartmentPublic Works
NameKyle SilveusDivision/BureauEngineering
BPW Date5/26/20Phone Extension9083
Required Prior to Submittal to Board
LegalAttorney Name:Clara McDaniels
Controller review is required for all Contracts $5,000.00 or more and
Controller
greater than one year in length per the City Purchasing Policy
PurchasingMichael Schmidt
Check the Appropriate Item Type –Required for All Submissions
AgreementContractProposalAddendum
Professional ServicesResolution
Bid OpeningBid AwardReq. to AdvertiseTitle Sheet
Quote OpeningQuote Award
ChangeOrder No. 4C/O & PCA No. PCA
Ease/Encroach.Traffic Control:
Other:
RequiredInformation
Company or Vendor NameIndiana Earth, Inc.
New VendorYesNoIf Yes, Approved by Purchasing
MBE/WBE ContractorMBEWBE
MBE/WBE Contractor RequestedNo Yes Name of Company
Project NameWestern Ave. Streetscape -Phase III
Project Number 118-076
Funding Source
RWDA TIF
Account No.324-1050-460-42-03
Amount$N/A
Terms of Contract
Purpose/Description
Additional cost for construction staking due to elevation conflicts,
added gates for adjacent businesses, additional punchlist items.
Required Contractor’s Certification FormsAttached(Non-
Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
$34,726.28
Increase
Amount of
Decrease$
Previous Amount$2,809,540.66
Current Percent of Change: 1.24%
New Amount$2,844,266.94
Total Percent of Change:7.97%
Dispersal After Approval
Copy Original