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Home My WebLink AboutChange Order No 1 & PCA - Tutt Street Brick Recovery Proj No. 120-045 - Walsh & Kelly, 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 October 13, 2020 Mr. Dustin Hilary Walsh & Kelly, Inc. 24358 State Road 23 South Bend, IN 46614 RE: Change Order No. 1 (Final)/Project Completion Affidavit Tutt Street Brick Recovery — Project No. 120-045 Dear Mr. Hilary: PHONE 574/235-9251 FAx 574/ 235-9171 The Board of Public Works, at its meeting held on October 13, 2020, approved the Final Change Order for this project, for an increase of $2,894. The new Contract sum is $23,889. In addition, the Project Completion Affidavit for this project was approved in the amount of $23,889. Copies of the Change Order and Project Completion Affidavit are enclosed for your records. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, s/Linda M. Martin, Clerk Enclosures GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR :1 • 01:42i]'Wall, DATE: 8/21 /2020 mmm.._.... _...... _.....- -------------_ PROJECT NO: 1�-4�45 PROJECT NAME: Tutt Street Brick Recovery CONTRACT DATE. 9/4/2f�2'9 CHANGE ORDER NO. t ........ .... SUBJECT GE CHANGE ORDER: Landscaping Add -cart Ali items completed substantially as planned. Bee attached Comparison of Estimate for overruns and underruns, The ormginaI contract sung Net change by previously authorized change orders The contract sum prior to this change order By this Change Order, the project amount is Z increased Decreased The new contract sum including this change order This Change Order represents a total change of Total change for entire project Original contracted completion date/time Extension of date/time by previous change orders Date/dime extension by this change order New compiletion date/tirne o Printed Name and Ti I Walsh Kelly Inc. Company name 24358 SR 23 Address South Bend, IN 48814 City, State,Zip' 9/4,12020 2,894,00 23,889.00 13.78 Ufa 13 78 % RECOI' MEND,EIJ FOR APPROVAIL. Zachary Hurst °mad.. D,3ryH�,,t fP.bk ��thaedo-E9 oma�oo-oep3,o,�e�mf v�hi��wo,ks. 1],hu st*—hL-d,, 9w. -US Oata'. ]0]0.10.01 13:3143-D4'40' Project Manager BOARD OF PUBLIC WORKS Gary A. Cnlot, Presideennt� Therese J. Doran, Member Elizabeth A. Maradik, Member Jordan V. Gathers, Member ATTEST: O:. II'Ja c$(a7w/ Joseph R. Molnar, Member Linda M. Martin, Clerk � � a DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING 1865 Project Number: 120-045 Project Name: Tutt St. Brick Recovery Change Order #: 1 DATE INITIATED: 8/20/2020 BPW DATE: 9/8/2020 Brief Summary of Change Order-, (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). Added landscaping per request of MetroNet, who is purchasing the parcel upon removal of the bricks. Attachments: (List documents support change — required) Amount DIncrease/ ❑Decrease: 2,894.00 of $ Categories (Pick One): 0 Scope of Work Previously approved Change Order(s): $ El Differing Site Conditions, Changed Conditions 3'78 Current Percent of Change: % ❑ Conflicted Specifications and Drawings El Failed Materials New Total Amount: $ 23,889.00 ❑ Error ❑ Omission 13.78 Total Percent of Change: ❑ Final Quantity Adjustment Funding Secured From: 211-10-101-120-431000 (filled out by PM) RECOMMENDED BY: Zachary Hurst PE f Zachary Hurst ol�,G.,,,.yv�,o� �so,,,en.,a�E.,,n_,.�°=o - °eparo201 o Publlo works. enizlkxnurslLsouWbandln.9ov. W5 � ry ° '=aa rs` '" °a�.: zozo.m.m raoo oro1/2020 Project Inspector (Print Name) (Signature) (Date) REVIEWED BY: Construction Manager (Print Name) (Signature) (Date) APPROVED BY: Zachary Hurst, PE Zachary Hurst ,_.,,.'�H�br.'t °�' ry - °eoarm�em m f'nuoworks. aRatimrsresow�ode.ao, ws �oro�/2o20 Engineering Project Manager (Print Name) (Signature) (Date) APPROVED BY: City Engineer (Print Name) (Signature) (Date) FINAL \\,,'AIVER, OF' LIFN . ....... -- D . LISI i i - I - 'Efrf«ar --- - - ---- . ....... - ----- heim, duly sworn that lie,'she is the VP Of'SOUth Bend Area (Name oll"Officer) of' Walsh �&, Kelly, Inc ... .... . . . . . ............ havin- contracted with G1 � ol'South Bmd (contractor) (Owner) to ftimrsh ceilain materials and/or laboras 1'ollows: Recover, 1-�jlletize and deliverTuit St. bricls to C.,�jlvert Si Wit ........ ... (Description) f'or a project known as 120-045 Folit Street Brick Recovcj-�, - — ----- - -------- - -- . . ...... . . . ..... . . ..... .. (Name o!"ProJect) located at VaCdt0d TLJU Street, north of San le Street it Lal"a elte BOUlevard � -11111111,- -1--l-r— ...- . �1e 1 � - -- - - ------- . .. . ......... and owned by it) of South Beat] ........ . . --- . ........... .. . ..... (Owner) and does hereb), I'miller state on the behall'ot'llie aforeincritioneci coalraclor: F'INAL WAIVER that the f-mal balance due from the contractor is the SUM of E'"wwctatx three [f)(lusand cra LJ -Ln ( d 6 hiv-nine dollars (S 13,889.00) I . . .......... !��- . . ........ . . . .......... - (Amount Wrillen Oig) receipt of which is hereby ackjrj()wVledged: Or the payment ol"which has been promised as the sole considera6on Poor this Affidavit and Final Waiver ot'l,,Jen kNhich shaff become cf1cctive oilly upon receipt of such Payment, - I I HER EFOR E, file Uodef-SiOncd waives and releases unto) the )wner o I'said premises, am and al I liens or Claillis whatsoever on the above -described properly and improvements thereon aT, jc�c()u,jj of labor or material or both, ftu-nished b the Undersigned thereto, subject to limitations or conditions expressed herein, if'any ;bind I'La-ther cer-tified that no other I. has any claim or right to a Tien on account of art work performed or inaterial Furnished 10 file Undersigned for said proIect, and within die scope of'this Affidavit and Waiver of Lien. Date Walsh K, Kd��,,, hic. .............. .. — ..... . ..... (I, irm) B,N orized Representative) STATE' OF St Joseph CO U NTY SS: Before me, the undersi,med, as Notary Public. it) ano for. said and State. persomafly appeared and acknowledoed the execution o,)J'flje IN \\/I r FNE'SS WHERF'OF. I 11,1%IC IlUCUMO Subscribed ill) name and affixed my of'fickd seal on tile October 20 M\ Commission F\pires: Residin', in S1 Joseph County 04/03`2027 Notary Public Sionature Derek Allen . .............. . . . . Notary Public Name DILIStill I Man, 1 St da� of' CITY OF SOUTH BEND, INDIA NA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME Tint Street Brick Recovery PROJECT NO. 1210-045 CDlT 75� Q2.....00 .1T V 3,SS. 1 NCE At3REEIvIENT" I.,T SIGNED PROJE ESCRIPTION Boulevard, deliver to ChN w arrd on West Calvert Street" t ��a' yctt `k IT" ESSETH: 'Me 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 part of the above Contract. Execu d this day of....t e t rber , 2020 A w....:. . ..._......... �„alsh & I�eI Inc Signature� ompany Flame _i.Ynn ... Per ,,,........._ 243518 SR 23 Tinted Name ompany Address South Bend, III 414 WITNESSES City/State/Zip Before me, the undersigned Notary Public in and for said country and state, personally appeared I-ynnJ.., Bauer � � �eacknowledged his/her signature� t t1) � r Yrnpletion Affidavit on the th 'dayo ��e;,,SHA PubIf r,dmKc, ¢af Vn1 m, N�u9rrW�1 "' 5 7 e auar`rw Signature 3 �issaorr �t ' r; m� 16/5122 AtishaKru e M.n Printed Name ounty of Residence TAph If the Contractor is a corporation, the following certificate will be executed. I, Jamie,L, Tpopor certify that I am Secretary of the Corporation executing this release; that YN sued this release on behalf duly e oontracto en tell° t Vp mi sub emti + arer tleiros of said Corporation; that said release was signed for anc Co oration by Authority of its governing body, and is within the scope of corporate po. ........... m `.'11u....., a ..t i.. , CAT _. a ) Secretary's Signature � � a � .� F uraie L. Tns pn ratedNaune DEPARTMN ET OF PUBLICC�I.KS APPROVAL'''� / r'w w• ,� Able ,w�� "' This project is acceptable for final approval and we recommend to the Board of Public ortast � tit be ordained so, BOARD OF PUBLJC. WORKS (iaty A (plot, Presidmt blvabetb A Maradik, Member Date: Th—r J. D—, kl-uber Jordan V. Gathers, Member 111LSJ: Date. October 13, 2020 Joseph R. Molnar, Member Linda M. Martin, Clerk BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/01/2020 Name Zach Hurst Department LUr• BPW Date 10/13/2020 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. 1 ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Information Company or Vendor Name Walsh and Kelly, Inc. ❑ Yes ❑ If Yes, Approved by Purchasing New Vendor ® No MBE Yes MBE/WBE Contractor Completed E-Verify Form Attached ❑ ❑ No Project Name Tutt Street Brick Recovery Project Number 120-045 Funding Source DCI Admin — Other Prof Services Account No. 211-10-101-120-431000 Amount $2,894.00 Terms of Contract Purpose/Description This change order adds landscaping/site restoration for disturbed areas. For Change Orders Only Amount of ® Increase $ 2,894.00 ❑ Decrease ($ ) Previous Amount $ 20,995.00 Increase Current Percent of Change: Decrease New Amount $ 23,889.00 Increase Total Percent of Change: Decrease Time Extension Amount: New Combletion Date: 13.78% 13.78%