Loading...
HomeMy WebLinkAboutChange Order No 3 & PCA - Three Twenty at the Cascade Site Utilities Proj No. 118-074D - Indiana Earth, 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 July 28, 2020 Mr. Mark Osler Indiana Earth, Inc. 10343 McKinley Hwy. Osceola, IN 46561 j..W). , ..q:A::9.6f.Y.W1:.c�,c�,.,c,c c tl z �� i � c.. � sbc )J.211 a]....:.p:➢: �: PHONE 574/235-9251 FAX 574/ 235-9171 RE: Change Order No. 3 (Final) and Project Completion Affidavit —Three Twenty at the Cascade — Site Utilities - Project No. 118-074D (Division A&C) Dear Mr. Osler: The Board of Public Works, at its meeting held on July 28, 2020, approved the final Change Order No. 3 in the amount of $6,039,50 and the Project Completion Affidavit for this project in the amount of $195,222.50. A copy of the Change Order and the Project Completion Affidavit is 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 Enclosure GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR Project Number: 118-074D DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING Three Twenty at the Cascade - Site Utilities (Div. A & C) 3 Project Name: Change Order #: — DATE INITIATED: 6-15-20 BPW DATE: 7-14-20 Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). Soil was uncovered that was suspected to be contaminated. Testing was completed and came back negative. An additional catch basin was added to alleviate a noxious smell from a drywell area. Attachments: (List documents support change — required) Soil Testing: Add $313.50 Add Catch Basin: Add $2,100.00 Remove and Replace Rubble: Add $2,857.00 Final Quantity Adjustment: Add $769.00 Amount of DIncrease/ ❑Decrease: $ 6,039.50 Previously approved Change Order(s): $ 20,71 1.00 Current Percent of Change: 3.19 New Total Amount: $ 195,222.50 Total Percent of Change: 15.88 Funding Secured From: 429-10-102-121-442001 (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 0 Final Quantity Adjustment El Daniel Jones Dlgilally signed by Daniel Jones DN'. jDaniel Jones.. o=City of 5oulM1 Bend, IN Engineering, wPro�ecl Inspector. email�fones�gsoulbbendin_gw, .-US Dale 2g 0.g4 g615.15:29-04'gg' 6-22-20 (Signature) (Date) Toy Villa Digitally signed by Toy Villa 6�22�2020 Date: 2020.06.22 20:14:58-04'00' (Signature) (Date) Zachary Hurst 91alNsindby drz b, �E bb.d,NB�lale ,ery1,,r=' o,BaurbBnnd o DD 21nenl of Publlo Works. ertiaikzM1urst[}sou0rbandhi.gov. WSJ e - aa-0a'o9 6/24/2020 (Signature) (Date) Kara Boyles Digitally signed by Kara Bayles 7�21 �2020 Date: 2020.07.21 12:31:00-04'00' (Signature) (Date) CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 7/7/2020 PROJECT NO: PROJECT NAME: CONTRACT DATE: 118-074D (Division A&C) Three Twenty at the Cascade - Site Utilities 12/20/2018 CHANGE ORDER NO: 3 (Final) SUBJECT OF CHANGE ORDER: PCR #9-Soil Testing T&M PCR #10-Add CB PCR #11-Remove and Replace Rubble PCR #12-Final Quantities All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 168,472.00 Net change by previously authorized change orders $ 20,711.00 The contract sum prior to this change order $ 189,183.00 By this Change Order, the project amount is 0 Increased Decreased $ 6,039.50 The new contract sum including this change order $ 195,222.50 This Change Order represents a total change of 3.19 % Total change for entire project 15.88 % Original contracted completion date/time Extension of date/time by previous change orders Date/time extension by this change order New completion date/time �NTOR Contractor Sghature Printed Name and Title Indiana Earth, Inc. Company Name 10343 McKinley Highway Address 6/14/2019 0 days 0 days 6/14/2019 RECOMMENDED FOR APPROVAL CONSTRUCTION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Approved Date: July 28, 2020 BOARD OF PUBLIC WORKS Osceola, IN 46561 Gary A.Gilot,President Therese J.Doma,Member City, State, Zip Elizabeth A. Maradik, Member Jordan V. Gathers. Member 7Y ATTEST: �'-m z clt nns, Joseph R. Molnar, Member Linda M. Martin. Clerk PROJECT NAME PROJECT NO CONTRACT SIGNED PROJECT DESCRIPTION WITNESSETH: Y JJI11 R/cdjJ, CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS77 PROJECT COMPLETION AFFIDAVIT Three Twentv at the Cascade - Site Utilities 118-074D (Division A&C) FINAL COST $195,222.50 12/20/2018 MAINTENANCE AGREEMENT ENDS Installation of water main and storm sewer. The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which\uypre a part of the above Contract. Executed th' day of s'" . �` 20='' Indiana Earth, Inc. Company Name gnature /7 10343 McKinley Highway too�& 05 Lei- re-(( ` Company Address Printed Name Osceola, IN 46561 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared 0 vt and acknowledged his/her signature to the above Project Completion Affidavit on the day of J r-�`— 20$ Amanda Lynette Johnson n FNotary Public Seal State of Indiana St. Joseph County Commission Number NP0725748 NotarySignature My Commission Expires Commission Expires03110/2028 Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, (M certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then /��'SdOCiT of said Corporation; that said release was duly signed for and on behalf of said Corpo tivyfiozritro�ts e ning body,,andis within the scope of corporate powers: 77t „� Secretary's Signature Corporate Seal 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. Date: 07/16/2020 ConstructOn Manager BOARD OF PUBIAC W QRKS Clary A. Gilot, President Elizabeth A. Maradik, Member Joseph R. Molnar, Member BOARD OF PUBLIC WORKS APPROVAL Date: July 28, 2020 Therese J. Domia, Mein Tordan V. Gathers, Member Allr r: o ia:;fu CPfnns I i,,6 M. Martin_ Clerk Final Waiver of Lien State of Indiana, County of r\ SS: La f L L LN /� being duly sworn that he/she is the _ 1 eS� C� n I L (Name of Officer) (Title) of TCtA"Ar'r' C—CLA� Tn�. having contracted with City of South Bend (Contractor) (owner) to furnish certain materials and/or labor as follows; for a project known as -T h f -e f- ,_)res located at 6 G CC) l C ,�,l_dx�in fStr 1 I� and owned by City of South Bend _._._ (owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars ($ ) ❑ receipt of which is hereby acluiowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and. Final Waiver of Lien -which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; FINAL WAIVER) that the final balance due from the contractor is the sum of ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only uponreceipt of 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 property and improvements thereon an account of labor or material or both„ furnished b the undersigned thereto, subj ect to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the pe of this Affidavit and Waiver ofLien. P" ,, —' Dy utn (Autho 'zedRepres dative) STATE OF 1NDIANA ) ) Wit U SlQ r, � (Q SS: ST. IOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared kxo-rL and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the S'7 day of Notary Publie Signature My Commission Expires: 3 1 (d 1?yZ� Residing in 2-e h County, TryL ang\ Notary Public Name Amanda Lynette Johnson Notary Public Seal State of Indiana St. Joseph County BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/21/2020 Name Zach Hurst Department DPW BPW Date 07/28/2020 Phone Extension 3057 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer ❑ Officer Name BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Re uired 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 No. ❑ PCA ® Chg. Order, No. 3 ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Information Company or Vendor Name Indiana Earth, Inc. ❑ Yes ❑ If Yes, Approved by Purchasing New Vendor ® No MBE Yes MBE/WBE Contractor Completed E-Verify Form Attached ❑ ❑ No Project Name 320 at the Cascade — Site Utilities Project Number 118-074D Funding Source River East TIF Account No. 429-10-102-121-442001 Amount $6,039.50 Terms of Contract Purpose/Description Change order covering unforeseen conditions — contaminated soil. For Change Orders Only Amount of ® Increase $ 6,039.50 ❑ Decrease ($ ) Previous Amount $ 189,183.00 Increase Current Percent of Change: Decrease New Amount $ 195,222.50 Increase Total Percent of Change: Decrease Time Extension Amount: New Combletion Date: 3.19% 15.88% BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/17/2020 Department Name Toy Villa Engineering BPW Date 07/28/2020 Phone Extension 5920 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer ❑ Officer Name 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. ® PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Required Information Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Indiana Earth, Inc ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No ❑ WBE Completed E-Verify Form Attached Yes ❑ No 320 at the Cascade — Site Utilities 118-047D River East TIF 429.1050.460.42.02 $195,222.50 Project Closeout For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount $ Increase % Current Percent of Change: Decrease % New Amount $ Increase % Total Percent of Change: Decrease % Time Extension Amount: