HomeMy WebLinkAboutChange Order No 1 - Ewing Avenue and Fellows Street Traffic Signal Replacement Proj No. 118-097 - Martell Electric, LLC
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
September 8, 2020
Mr. John Martell
Martell Electric, LLC
4601 Cleveland Rd.
South Bend, IN 46628
areeves@martellelectric.com
nd Fellows St. Traffic Signal Replacement
Project No. 118-097
Dear Mr. Martell:
The Board of Public Works, at its meeting held on September 8, 2020, approved the above
referenced Change Order for a decrease of $5,745.96, bringing the current contract amount to
$188,858.54.
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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229.1:82
Project Number: _______________ Project Name: __________________________ Change Order #: ____
8.31.319.36.31
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)
O0B
6-856/:7
Amount of Increase / Decrease: $____________________
Categories (Pick One):
1/11
Scope of Work
Previously approved Change Order(s): $___________________
Differing Site Conditions, Changed Conditions
.3/:6
Current Percent of Change: ____________________ %
Conflicted Specifications and Drawings
Failed Materials
299-969/65
New Total Amount: $____________________
Error
Omission
.3/:6
Total Percent of Change: ____________________ %
Final Quantity Adjustment
_______________________
Funding Secured From: __________________________
(filled out by PM)
RECOMMENDEDBY:
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Project Inspector (Print Name)(Signature)(Date)
REVIEWED BY:
1902103131
UpzWjmmb
Construction Manager (Print Name)(Signature)(Date)
APPROVED BY:
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9028031
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
Date8/17/20DepartmentPublic Works
NameKyle SilveusDivision/BureauEngineering
BPW Date8/25/20Phone Extension5932
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
Purchasing
Check the Appropriate Item Type –Required for All Submissions
AgreementContractProposalAddendum
Professional ServicesResolution
Bid OpeningBid AwardReq. to AdvertiseTitle Sheet
Quote OpeningQuote Award
ChangeOrder No. 1C/O & PCA No. PCA
Ease/Encroach.Traffic Control:
Other:
RequiredInformation
Company or Vendor NameMartell Electric, LLC
YesNoIf Yes, Approved by
New VendorPurchasing
MBE/WBE ContractorMBEWBE
MBE/WBE Contractor RequestedNo Yes Name of Company
Project NameEwing Avenue and Fellows Street Traffic Signal Replacement
Project Number 118-097
Funding SourceLRSA Traffic Signal Maintenance
Account No.251.0608.431.36-67
Amount-$5,745.96
Terms of Contract
Purpose/Description
Final quantity adjustments resulting in an overall underrun.
Required Contractor’s Certification FormsAttached(Non-
Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
$
Increase
Amount of
Decrease$$5,745.96
Previous Amount$194,604.50
Current Percent of Change: -2.95%
New Amount$188,858.54
Total Percent of Change:-2.95%
Dispersal After Approval
Copy Original