HomeMy WebLinkAboutChange Order No 4 - Fire Station Nos. 3 & 6 Renovations Proj No. 118-047 - Gibson-Lewis, LLC
GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR
1316 COUNTY-CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/ 235-9251
FAX 574/ 235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
October 27, 2020
Mr. Robert A. Lingenfelter
Gibson-Lewis, LLC.
1001 W. 11th. St.
Mishawaka, IN 46544
GHicks@gl.nceusa.com
RE: Change Order No. 4 – Fire Station Nos. 3 & 6 Renovations – Project No. 118-047
Dear Mr. Lingenfelter:
The Board of Public Works, at its meeting held on October 27, 2020, approved the above
referenced Change Order for an increase of $15,379, bringing the current contract amount to
$1,008,685.
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
October 27, 2020
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
Project Number: _______________ Project Name: __________________________ Change Order #: ____
DATE INITIATED: BPW DATE:
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Attachments: (List documents support change – required)
Amount of ☐Increase / ☐Decrease: $____________________ Categories (Pick One):
☐Scope of Work
☐Differing Site Conditions, Changed Conditions
☐Conflicted Specifications and Drawings
☐Failed Materials
☐Error
☐Omission
☐Final Quantity Adjustment
☐_______________________
Previously approved Change Order(s): $___________________
Current Percent of Change: ____________________ %
New Total Amount: $____________________
Total Percent of Change: ____________________ %
Funding Secured From: __________________________
(filled out by PM)
RECOMMENDED BY:
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)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/14/2020
Name Alicia Czarnecki Department Engineering/Fire
BPW Date 10/27/2020 Phone Extension 5903
Required Prior to Submittal to Board
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. 4 Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Gibson-Lewis, LLC
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Fire Stations 3 & 6 Renovations
Project Number 118-047
Funding Source Fire Department Capital
Account No. 287-09-090-098-443001--PROJ00000034
Amount
Terms of Contract
Purpose/Description South Bend Fire Stations 3 and 6 Renovations.
_______________________________________________________
For Change Orders Only
Amount of Increase
Decrease
$ 15,379.00
Previous Amount $ 993,306.00
Current Percent of Change:
Increase
Decrease
1.55%
New Amount $ 1,008,685.00
Total Percent of Change:
Increase
Decrease
%
(-9.94%)
Time Extension Amount:
New Completion Date: