HomeMy WebLinkAboutChange Order No 1 - Gemini at Colfax Exterior Renovations, Div D Proj No. 119-103 - Ritschard Bros.
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
November 10, 2020
Ms. Rachelle L. Dolniak
Ritschard Bros., Inc.
1204 W. Sample St.
South Bend, IN 46619
rit1204@datacruz.com
RE: Change Order No. 1 – Gemini at Colfax Exterior Renovations, Division D
Project No. 119-103
Dear Ms. Dolniak:
The Board of Public Works, at its meeting held on November 10, 2020, approved the above
referenced Change Order for a decrease of $2,000, bringing the current contract amount to
$65,457.
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
November 10, 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 10/22/2020
Name Zach Hurst Department DPW
BPW Date 11/10/2020 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 – 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. 1 Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Ritschard Bros., Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Gemini at Colfax – Exterior Renovations
Project Number 119-103, Division D (Water Main)
Funding Source RWDA TIF
Account No. PO-0000713
Amount $2,000.00
Terms of Contract
Purpose/Description Change order covering reduced pavement patch area.
For Change Orders Only
Amount of
Increase
Decrease
$
($ 2,000.00)
Previous Amount $ 67,457.00
Current Percent of Change:
Increase
Decrease
%
(2.96%)
New Amount $ 65,457.00
Total Percent of Change:
Increase
Decrease
%
(2.96%)
Time Extension Amount:
New Completion Date: