HomeMy WebLinkAboutChange Order No 4 - Pulaski Park Improvements Proj No. 118-056 - Larson-Danielson Construction Co., 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
September 22, 2020
Mr. Timothy Larson
Larson-Danielson Construction Co., Inc.
302 Tyler St.
LaPorte, IN 46350
mcd@ldconstruction.com
Dear Mr. Larson:
The Board of Public Works, at its meeting held on September 22, 2020, approved the above
referenced Change Order for an increase of $2,001 and one-hundred, ninety (190) days, bringing
the current contract amount to $898,527.75 and a new completion date of June 27, 2020.
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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229.1675
Project Number: _______________ Project Name: __________________________ Change Order #: ____
705031
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)
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3-112/11
Amount of Increase / Decrease: $____________________
Categories (Pick One):
28-951/61
ScopeofWork
Previously approved Change Order(s): $___________________
DifferingSite Conditions, ChangedConditions
/33
Current Percent of Change: ____________________ %
ConflictedSpecificationsandDrawings
FailedMaterials
9:9-638/86
New Total Amount: $____________________
Error
Omission
3/37
Total Percent of Change: ____________________ %
FinalQuantityAdjustment
______________________
Funding Secured From: __________________________
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RECOMMENDEDBY:
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Project Inspector (Print Name)(Signature)(Date)
REVIEWED BY:
Construction Manager (Print Name)(Signature)(Date)
APPROVED BY:
Engineering Project Manager (Print Name)(Signature)(Date)
APPROVED BY:
City Engineer (Print Name)(Signature)(Date)
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date7/17/20
Department
NameKyle SilveusEngineering
BPW Date7/28/20Phone Extension9083
Required Prior to Submittal to Board
LegalAttorney NameClara 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 Name Larson Danielson Construction Co., Inc._____________
New Vendor YesNoIf Yes, Approved by Purchasing
MBE/WBE Contractor MBEWBE
MBE/WBE ContractorRequestedNoYes Name of Company
Project NamePulaski Park Improvements
Project Number 118-056
Funding SourcePark Bond Series I
Account No.471-11-206-286-444000
Amount$2,001.00
Terms of Contract
Purpose/DescriptionAdded text to entrance sign and installed door lock covers on
restroom
Required Contractor’s Certification Form Attached(Non-
Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
$$2,001
Increase
Amount of
Decrease$
Previous Amount$896,526.75
Current Percent of Change: 0.22%
New Amount$898,527.75
Total Percent of Change:2.26%
Dispersal After Approval
Copy Original