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HomeMy WebLinkAboutChange Order No 1 & PCA - Walnut Grove and North Riverside Dr. Traffic Calming Proj No. 119-074 - Premium Concrete Services, 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 27, 2020 Mr. Max Yeakey Premium Concrete Services, Inc. 712 Richmond St. Elkhart, IN 46516 max(a)�premiumconcreteonline. com PHoNE 574/235-9251 FAx 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit Walnut Grove and North Riverside Dr. Traffic Calming — Project No. 119-071 Dear Mr. Yeakey: The Board of Public Works, at its meeting held on October 27, 2020, approved the Final Change Order for this project, for an increase of $3,836. The new Contract sum is $81,336. In addition, the Project Completion Affidavit for this project was approved in the amount of $81,336. 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. Enclosures Sincerely, s/Linda M. Martin, Clerk October 27, 2020 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: 9/27/2019 PROJECT NO: 119-071 PROJECT NAME: Walnut Grove and North Riverside Drive Traffic Calmin CONTRACT DATE: 8/22/2019 CHANGE ORDER NO: 1 (Final) SUBJECT OF CHANGE ORDER: PCR #1-Concrete Pavement Removal and Backfill All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. 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 CONTRACTOR Contractor Signature M'HY*AKC-,-J V.P. Printed Name and Title Premium Concrete Service, Inc. Company Name 712 Richmond Street Address Elkhart, IN 46516 City, State, Zip XI Increased ❑ Decreased 10/15/2019 0 days 0 days 10/1512019 77,500.00 0.00 77. 500.00 $ 3,836.00 $ 81, 336.00 4.95 % 4.95 % RECOMMENDED FOR APPROVAL %e t1d& CONSTRLXTION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Approved Date: October 27, 2020 Gary A. Gilot, President Elizabeth A. Maradik, Member Joseph R. Molnar, Member Therese J. Doran, Member Jordan V. Gathers, Member ATTEST: -42111l,r C> 6727n Linda M. Martin, Clerk �'�yrre CITY OF SOUTH BEND, INDIANA 77 � al BOARD OF PUBLIC WORKS Y � PROJECT COMPLETION AFFIDAVIT PROJECT NAME Walnut Grove and North Riverside Drive Traffic Calming PROJECT NO 119-071 FINAL COST $81,336.00 CONTRACT SIGNED 8/22/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Installation of speed humps at various locations throughout the Citv. 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 part of theaboveContract, �C[ Executed this S day of t 201 � Premium Concrete Service, Inc. Company Name 4 ignature 712 Richmond Street 0 N ci MAx Company Address Printed Name Elkhart, IN 46516 Z City, State, Zip wU Zz O H^ W WITNESSESS: Before the Notary Q W me, undersigned Public in and for said country and state, personally appeared ry)FF1p,X EA jC and acknowledged his/her signature to the above Project Completion Affidavit on Wa u � LD the d 1 day of `PT 20'4 ac) Z O + 9 ¢z ZZ 002 Nota Signature My Commission Expires I �� , 0- �� tV)U � � �LoIJ �R 5o Printed Name County of Residence CL KA AR-7 v If the Contrar is a corporation, the following certificate will be executed. . I, ct KjE , certify that I am Secretary of the Corporation executing this release, that 1C who signed this release on behalf of the contractor was then 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 i nature Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Date: 09/30/2020 Constructia Manager BOARD OF PUBLIC WORKS Gary A. Gilot, President Elizabeth A. Maradik, Member 7- 7-1-Joseph R. Molnar, Member BOARD OF PUBLIC WORKS APPROVAL Date: October 27, 2020 �e_dytrr�.u- Therese J. Doran, Member Jordan V. Gathers, Member ATTEST: z iNAa ol(" Linda M. Martin, Clerk State oflndione, County of Final Waiver of Lien JANEE M TOWNER NOTARY PUBLIC SEAL ELKHART COUNTY, STATE OF INDIANA MY COMMISSION EXPIRES FEBRUARY 12, COMMISSION NO.710399 E(KNA& SS: /y� /J 1 ' A x Y �iik� being duly sworn That he/she is the �P, (Name of Officer) (Title) mlufh�huingcontractedwithof �City of South Bend (Contractor) (Owner) to famish certain materiels andlor labor as follows: £or a project known es located et and owned by �lAelouslaJc+��IoNsiFleDllc�Nou7 �l�C.(r� of South Bend and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is duo from the Contractor the sum of ❑ receipt of which is hereby actotowledged; or ❑ die payment of which has been promised as the sole considemtlon for this Affidavit and Final Waiver of Lienwhich is given solely with respect to said amount, and which weivcr shall bDo 0 only upon receipt of payment thereof by the undersigned; FINAL WAIVER that the final balance due from the contractor is the sum of ❑ receipt ofwhioh is herebyacknowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above•descxlbedproparty and improvements thereon an account of labor• or material or both, fmnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit and Waiver off Liem e�f� Tum lu ff kc T� ' Si Vt �I.Y By ,!�/ (Finn) (Authorized Representative) STATE OF INDIANA ) SS: &3BSEPH COUNTY ) Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared end aelatowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, Ihavc hereunto subscribed my name and affixed my official seal on the � day of y zoo sue_ �10 t m Qxokul taty Pu61ic Signaturo MyCanmissionEkpires: OoZIIaI x�� �� � ������ Residing in RA County, 7AJDIJglk3A Notary Public Name MAINTENANCE BOND Bond No. MNTzazozas KNOW ALL MEN BY THESE PRESENTS: Premium Concrete Services, Inc., 712 Richmond S[, Elkhart, IN a6s16 as Principal, hereinafter call Contractor, and Old Republic Insurance Con Brookfield, WI as Surety, hereinafter call Surety, are held and firmly bound unto City of South Bend Board of Public Works as Obligee, hereinafter called Owner, in the penal sum of for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors, and assigns, tly and severally, firmly by these presents. WHEREAS, Contractor has by written agreement, dated August 22, 2019 entered into a contract with Owner for Walnut Grove and North Riverside Traffic Calming , 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, 'd 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 (2 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 September 10, 2020 to September 10, 2023. PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness. SIGNED and sealed this 1 lth day of September 2020 Premium Concrete Services, Inc. Principal By � (Seal) Old Republic Insurance Company (Seal) Vfifer L. asznia OLD`REPLJBI;1(' Sl'Itll;rl N' COMPANY ,v * .*r POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLICSURETY COMPANY, a Wisconsin stock insurance; corporation, does make, constitute and appoint NICOLE L BICKNELL, MEGAN E RIESENBERG, MARK EDWARD WOBBE, BARBARA E PEARSON, JENNIFER L KASZNIA, SANDRA L JUNK, WILLIAM J CERNEY, III, WESLEY MANTOOTH, THERESA BURNS, JORDAN SCHEIBER, CHERYL E. ALKIRE, OF. SOUTH BEND, IN its tine and lawful Attorny(s)-in-Fact, with full power and authority, not exceeding $50,000,000, for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is requited), bonds, undertakings, recognizances or other written obligations in the nature thereof, p,i hct thou b:tl l imince w m kci:v WIN or black uni asfollows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed tnisd v.-- il�.oet W111d rilit sdl' iedoicolr Ibackr,mnirda d-, molitculocd. This appointment is made under and by authority ofthe board ofdirectors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed. by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982. RESOLVED that, the president; any vice-president, or assistant vicepresident, in conjunction with the secretary or any assistant secretary, may appoint atlomeys-in-Fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company, to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attomey-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by [he president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by anysecretary or assistant - secretary; or (if) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attomey-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more altomeys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney: issued by the company to such person or persons RESOLVED FURTHER, that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Powerof Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking; recognizance, or other suretyship obligations of the company, and such - signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and. its corporate. seal to 6e affixed this I ITH day of JUNEt 2019. Y y... i? 1.- OLD REPUBLIC SURETY COMPANY SEAL STATE OF WISCONSIN, COUNTY OF WAUKESHA-SS President On this I ITH day of JUNE, 2019 ,personally came before me, 'Alan Pavlic .and Jane E Chesney ,tome (mown to beYhe individuals andbfficers ol'the OLD REPUBLIC.SURETY COMPANY who executed the above. instrument, and they each acknowledged the execution of the same, and being by me duly swom, did severally depose and say; that they are the said officers 'of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the saidinstrument by the authority of the board of directors of said corporation..,. Notary Public My commission expires: 9/28/2022 CERTIFICATE (Expiration of notary commission does not invalidate this instrument) 1, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore; that the Resolutions of the board of directors. set forth in the Power of Attorney, are now in force. 45-5314 a �u avpe Signed and sealed at the City of Brookfield, WI this �( _ day of, � SEALGIBSON INSURANCE AGENICY� INC. AtfiliKk AS A COLORED BACKGROUND ANO IS MULTICOLORED ON THE FACE. THE COMPANY LOGO APPEARS 6N THE ,� ypti I H "e4;v 180 Project Number: 119-071 DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING Project Name: Walnut Grove and North Riverside Drive Traffic Calming Change Order #: 1 _ DATE INITIATED: 9/30/2020 BPW DATE: 10/13/2020 Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). There was concrete pavement underneath the existing asphalt along Riverside Dr. The concrete was removed and backfilled with stone to the proper grade. Attachments: (List documents support change — required) N/A Amount of Dlncrease / El Decrease: $ 3,836.00 Previously approved Change Order(s): $ 0.00 Current Percent of Change: 4.95 New Total Amount: $ 81 , 336.00 Total Percent of Change: 4.95 Funding Secured From: (filled out by PM) RECOMMENDED BY: Dan Jones Project Inspector (Print Name) REVIEWED BY: Toy Villa Construction Manager (Print Name) APPROVED BY: Theresa Harrison Engineering Project Manager (Print Name) APPROVED BY: Kara Boyles Categories (Pick One): ❑ Scope of Work 0 Differing Site Conditions, Changed Conditions ❑ Conflicted Specifications and Drawings ❑ Failed Materials ❑ Error ❑ Omission ❑ Final Quantity Adjustment G� (Signature) �1 WTI Will (L)ate) Z� j/4& 09/30/2020 (Signatu ) (Date) TA&rff0, e. HGLf"f^liSrU'f'li (Signature) (care) City Engineer (Print Name) (Signature) (care) Date 10/ 14/2020 Name Toy Villa Department Engineering BPW Date 10/27/2020 Phone Extension 5920 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Tvne — Reauired for All Submissions U Professional Services Agreement U Contract U Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ® C/O & PCA No. I (Final) ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Reauired Information Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Premium Concrete Services, Inc. ❑ Title Sheet U Yes U If Yes, Approved by Purchasing ® No ❑ MBE Completed E-Verify Form Attached ❑ Yes ❑ WBE ❑ No Walnut Grove and North Riverside Drive Traffic Calming 119-071 LRSA 251.0608.431.42.96 $81,336.00 Project Closeout For Change Orders Only Amount of ® Increase $ 3,836.00 ❑ Decrease ($ ) Previous Amount $ 77,500.00 Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount: Increase 4.95% Decrease ( %) $ 81,336.00 Increase 4.95% Decrease ( %) New Completion Date: