HomeMy WebLinkAboutChange Order No 1 & PCA - Privet Lane Culvert Replacement Proj No. 118-013B - HRP Construction, 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
September 22, 2020
Ms. Nancy Knapik
HRP Construction Inc.
5777 Cleveland Rd., PO Box 266
South Bend, IN 46624
i2eLj tlhr CoflSt:ruct:ic -COII
RE: Change Order No. 1 (Final)/Project Completion Affidavit
Privet Lane Culvert Replacement Proj ect — Proj ect No. 118-013B
Dear Ms. Knapik:
PHONE 574/235-9251
FAx 574/ 235-9171
The Board of Public Works, at its meeting held on September 22, 2020, approved the Final
Change Order for this project, for a decrease of $3,883.22 and an additional ninety (90) days.
The new Contract sum is $260,587.78 with a completion date of June 30, 2020.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$260,587.78.
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 OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE:
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
6/23/2020
118-013B
Privet Lane Culvert Replacement Proiect
12/19/2019
PCR #1-HMA Pavement & NIPSCO Gas Line
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
Extension of date/time by previous change orders
Date/time extension by this change order
New completion date/time
11"EM&A
Contracto Signature
D. ra;
Printed Name and Title
HRP Construction. Inc.
Company Name
5777 Cleveland Road, P.O. Box 266
Address
$ 264,471.00
$ 0.00
$ 264,471.00
Increased
.Decreased $ 3,883.22
$ 260,587.78
1.47 %
1.47 %
4/1 /2020
0 days
90 days
6/30/2020
! AID
�CTION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date: September 22, 2020
BOARD OF PUBLIC WORKS
Gary A. Gilot, President
South Bend, IN 46624-0266
City, State, Zip,,
Elizabeth A. Maradik, Member
—�� Y�-
Joseph R. Molnar, Member
Therese J. Doran, Member
Jordan V. Gathers, Member
ATTEST:
�2111 l 0�(a72111
Linda M. Martin, Clerk
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Privet Lane Culvert Replacement Project
PROJECT NO 118-013B FINAL COST $260,587.78
CONTRACT SIGNED 12/19/2019 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Realace and upgrade the culvert on Privet Lane.
WITNESSETH:
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 art of the above Contract.
Exe d thi 6 ust 281( 2020 HRP Construction, Inc.
Company Name
Signature 5777 Cleveland Road, P.O. Box 266
MatthewD . Cain Company Address
Printed Name South Bend, IN 46624-0266
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Matthew D . C a in and acknowledged his/her signature to the above Project Completion Affidavit on
the 19 thday of August >2;04 2020 Mw�w„ r" �� CYNTHIA L. VANHESTE
Notary Public, State of Indiana
M w"L* w
: St. Joseph County
*: y
Commission Number 681273
`•; ,
ltilota o
igrature My Commissi d �X .y Co Expires
Cvnthia L. Vanheste WIN
Printed Name
County of Residence
St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
I, KI A n r K n a n i 1� certify that I am Secretary of the Corporation executing this release; that
Matthew D . Cain who signed this release on behalf of the contractor was then
Presidpmt of said Corporation; that said release was duly signed for and on behalf of said
Corporation by Authority of its governing body, and is within the scope of corporate powers:
Secretary's Si ature
Nangy Knapik
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
Corporate Seal
This project is acceptabl f final approval and we recommend to the Board of Public Works that it be ordained so.
Date: 8 Z S' z o
ConstrutZT anager
BOARD OF PUBLIC WORKS APPROVAL Date: September 22, 2020
BOARD OF PUBLIC WORKS
Gary A. Gilot, President n
Elizabeth A. Maradik, Member
�'Y L
Joseph R. Molnar, Member
Therese J. Doran, Member
Jordan V. Gathers, Member
AITEST:
Er,,:aa
Linda M. Martin. Clerk
sp41N 1`i6 qy,,.
DEPARTMENT OF PUBLIC WORKS
a DIVISION OF ENGINEERING
Project Number: 118-013B Project Name: Privet Lane Culvert Replacement Change Order #: 1
DATE INITIATED: August 13, 2020 BPW DATE: September 8, 2020
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Deduct for material usage, time extension for delay on gas line relocation in April/May 2020
Attachments: (List documents support change — required)
Final Pay Estimate
/
.. .___........ ...
Amount of ❑Increase/ BDecrease: $ (3,883.22)
Categories (Pick One):
Previously approved Change Order(s): $ 0 ❑ Scope of Work
❑ Differing Site Conditions, Changed Conditions
Current Percent of Change: m� 1 .47)
❑ Conflicted Specifications and Drawings
New Total Amount:$ 26__................. �..............
0, 587.7$ .......... El Failed Materials
- ❑ Error
❑ Omission
Total Percent of Change: (1.47^) ITITIT
8 Final Quantity Adjustment
Funding Secured From: LRSA Major Projects 2019 0
(filled out by PM)
RECOMMENDED BY:
Rebecca Plantz
Project Inspector (Print Name) (Signature) (Date)
REVIEWED BY:
Toy Villa $ . �q , Z.,
Construction Manager (Print Name) (Signature) (Date)
APPROVED BY:
Rebecca Plantz
pB zo
Engineering Project Manager (Print Name) (Signature) (Date)
APPROVED BY:
Kara Boyles �c Cie 8.21.2020
City Engineer (Print Name) (Signature) (Date)
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
Bond No. MNT9356153
That HRP Construction Inc., PO Box 266, South fiend, IN 46624-0266
as Principal, hereinafter call Contractor, and _Fidelity and Deposit Company of Ma land
Chicago, IL as Surety, hereinafter call Surety, are held and firmly bound unto
CL of South Bend Board of Public Works , as Obligee, hereinafter called Owner, in the penal sum of
10-5- .7.a--, for the payment whereof Contractor and Surety bind themselves, their heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement, dated December 19, 2019
entered into a contract with Owner for Privet Lane Culvert Replacement Pro'ect, I I8-013B
in accordance with the General Conditions, the Drawings and Specifications, which contract is by reference incorporated herein,
and made a part hereof, and is referred to as the Contract.
NOW, THEREFORE, the condition of this obligation is such that, if Contractor shall remedy any defects due to faulty materials or
workmanship, and pay for any damage to other work resulting therefrom, which shall appear within a period of three (3) year(s)
from the date of substantial completion of the work provided for in the Contract, then this obligation to be void; otherwise to
remain in full force and effect.
Bond shall be effective from July 7, 2020 to July 7, 2023.
PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness
SIGNED and sealed this 20th day of August 2020
RP C nstru7 n
By Matthew D. Cain, President (Seal)
Fidelity and Deposit Company of Maryland
B� (Seal)
1 if r L. Kaszma
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENT'S: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vise President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute,
and appoint Barbara E. PEA SON, Nicole L. BICKNELL, Mark E. WOBBE, Cheryl E. AL I E, Jennifer L. KASZNIA,
William J. CE NE, III, Teresa M. BURNS and Megan Ea RIESENBERG, all of South Bend, Indiana, EACH, its true and
lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all
bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
Z11RlC1I AMERICAN INSURANCE COMPANY, COLONIAL, AMERICAN N CASUALTY AND SURETY COMPANY, and
FIDIM LITY AND I°IEPOSIT COMPANY OF NIAR"YLAND, this 28'h day tt,(".lune, A.D. 2019.
��WIdYpIM X � a. dRT.T0
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert I}, Murray
Dice President
By. Dawn E. Brawn
Secretary
State of Maryland
County of Baltimore
On this 25th day of June, A.D 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D.
Murray, Vise President and Dawn E. grown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who
executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of
the Company aforesaid, and that the seats affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TES"fIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seat the day and year first above written.
r le
r "w ""�w
Constance A, Duren, Notary Public
err r�r........+:
My Commission Expires: July 9, 2023
Yp to;I O'
T inaf Waiver of Lien
STATE OF INDIANA, as:
Whereas, the undersigned HRP CONSTRUCTION INC. has been heretofore em-
ployed by City of South Bend to furnish certain material and labor, to -wit: Privet Lane Culvert
Replacement, Project No. 118-013B
for the property owned by Citv of South Benda and located on
Privet Lane
City of South Bend. , County of St. Jose h , State of Indiana.
Now THEREFORE, KNow YE, That the wwl r"si ned, for and in consideration of
$4Z657.10 Dollars, the receipt of which is hereby acknowledged, hereby and now waives and releases
unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever
kind of character on the above described building and real estate, TOANDFOR SAIDAMOUNT, on account of any and
all labor material, or both, furnished for or incorporated into said building by the undersigned, up to this date,
and they further certify that the consideration moving to the undersigned for executing this FINAL
WAIVE OF LIEN has been mutually given and accepted as a partpayment to or on account of the said
Owner for said building and real estate.
Signed sealed and delivered this 24th day of August , 20 20
Signed
Nancy Knapik
Personally rVpeared before me this 24th day of August , 20 20,
Nance+ Iona i.I who, being duly sworn on oath, says: That she
is Vice President of the I-IR:P CONSTRUCTION INC. and that she hereby
acknowledges the execution of the foregoing instrument for and on behalf of said _
Co oration and at their special instance and request.
My Commission Expires
This instrument prepared by: Nancy Knapik
Notary Public
Cynthia L. Vanheste
CYNTHIA L. VANHESTE
Commission Number 681273
/' My Commission Expires
"'r,�„"ifr3r �+'��,�,�w',"'"�� March 06, 2024
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 08/25/2020
Name Becca Plantz Department Public Works
BPW Date 09/08/2020 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer ❑ Officer Name Michael Patton
BPW Attorney ❑ Attorney Name Clara McDaniels
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. 1 ❑ PCA
❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution
n Other: n Ease./Encroach
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Information
HRP Construction, Inc
❑ Yes ❑ If Yes, Approved by Purchasing
❑ No
E] MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes
❑
Privet Lane Culvert Reblacement Project
118-013B
LRSA Mai or Proiects
251-00608-431.42-96, DFO PO-0000302
Original: $264,471.00, Final: $260,587.78
Unit Prices
—Completion of removing and replacing failing, existing culvert on Privet
Lane.
For Change Orders Only
Amount of ❑ Increase $
® Decrease ($ 3,883.22)
Previous Amount
$ 264,471.00
Increase
Current Percent of Change:
Decrease
New Amount
$ 260,587.78
Increase
Total Percent of Change:
Decrease
Time Extension Amount:
90 days
New Completion Date:
6/30/2020