HomeMy WebLinkAboutChange Order No 1 & PCA - Miami Basin Control Valve Replacement Proj No. 116-082D - 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
November 10, 2020
Ms. Nancy Knapik
HRP Construction Inc.
5777 Cleveland Rd., PO Box 266
South Bend, IN 46624
j oej (a),hrpconstruction.com
RE: Change Order No. 1 (Final)/Project Completion Affidavit
Miami Basin Control Valve Replacement — Project No. 116-082D
Dear Ms. Knapik:
PHoNE 574/235-9251
FAx 574/235-9171
The Board of Public Works, at its meeting held on November 10, 2020, approved the Final
Change Order for this project, for a decrease of $740.52. The new Contract sum is $175,259.48.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$175,259.48.
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
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENVIRONMENTAL SERVICES
TO: Members of the Board of Public Works
Clara McDaniels, Assistant City Attorney Public Works
Linda M. Martin, Clerk
FROM: Jacob M. Klosinski, P.E., Assistant City Engineer
SUBJECT: 116-082D Miami Basin Control Valve Replacement
PROJ00000048; PO-256604 (Naviline); PO-0000306 (DFO)
Agenda Request — Change Order No. 1 and Project Completion Affidavit
DATE: November 3, 2020
The Division of Engineering requests the Board of Public Works approval of Change Order
No. 1 for Project No. 116-082D Miami Basin Control Valve Replacement.
Change Order No. 1
Summary
Original Contract Sum $176,000.00
Net change by previously authorized change orders $ 0.00
The contract sum prior to this change order $176,000.00
By this change order, the project amount is decreased ($ 740.52)
The new contract sum including this change order $175,259.48
This Change Order represents a total change of -0.42%
Total change for entire project -0.42%
The Final Cost of the project is $175,259.48.
All work is complete. All closeout documentation was submitted and determined to be
complete.
Original Naviline and DFO Account Numbers:
LRSA Capital 251.0608.431.42-96 (Naviline); 251-06-600-506-442001 (DFO)
South Side TIF 430.1050.460.42-01 (Naviline); 430-10-102-121-444000 (DFO)
For questions regarding the subject agenda request, contact Jacob M. Klosinski (Ext.
9496) at the Division of Engineering.
1965
Project Number: 116-082D
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
Project Name: Miami Basin Valve Replacement Change Order #: 1
DATE INITIATED: 10/1/2020 BPW DATE:
Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.).
Adjustment to final quantities.
Attachments: (List documents support change — required)
Amount of El Increase / ODecrease: $ 740.52
Previously approved Change Order(s): $ 0
Current Percent of Change: '42
New Total Amount: $ 175,259.48
Total Percent of Change: '42
Funding Secured From:
(filled out by PM)
RECOMMENDED BY:
Josh Ehmer
Project Inspector (Print Name)
REVIEWED BY:
Toy Villa
Construction Manager (Print Name)
APPROVED BY:
Jacob M. Klosinski
Engineering Project Manager (Print Name)
APPROVED BY:
Categories (Pick One):
❑ Scope of Work
❑ Differing Site Conditions, Changed Conditions
❑ Conflicted Specifications and Drawings
❑ Failed Materials
❑ Error
❑ Omission
*1 Final Quantity Adjustment
13
AL 10/1 /2020
(Signature) (Date)
7� Vd& 10/15/2020
(Signature) (Date)
(Signature)
10/15/20201
(care/
City Engineer (Print Name)
(Signature)
(uare)
CITY OF SOUTH BEND, 1NDIANA
DEPARTMENT OF PUBLIC WORKS\:
PROJECT CHANGE ORDER ���:•
DATE: 10/1/2020
PROJECT NO: 116-082D
PROJECT NAME: Miami Basin Valve Replacement
CONTRACT DATE: 1/19/2019
CHANGE ORDER NO: 1 Final
SUBJECT OF CHANGE ORDER: PCR #1-Adjustment to final q uantities.
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 dateltime
Extension of dateltime by previous change orders
Date/time extension by this change order
New completion dateltime
CONTRACTOR
E
Contractor Signature '�'
Matthew D. Cain
Printed Name and Title
HRP Construction Co., Inc.
Company Name
5777 Cleveland Road
Address
South Bend, IN 46624
City, State, Zip
$
Increased
F Decreased $
176,000.00
0.00
176,000.00
740.52
175,259.48 .j
-0.42
-0.42 %
5/1/2020
0 days
Des --
5/1/2020
RECOMMENDED FOR APPROVAL
CONSTRYCII�TiON MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date November 10, 2020
BOARD OF PUBLIC WORKS
�g jj��
Gary A. Gilot, President
Elizabeth A. Maradik, Member
7,
Joseph R Molnar, Member
Therese J. Doran, Member
Jordan V. Gathers, Member
ATTEST:
�Ii7�it C iRpzl
Linda M. Martin, Clerk
CITY OF SOUTH BEND, [ND8ANA
BOARD OFPUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME -Miami B i Valve
PROJECT NO 1
CONTRACT SIGNED 1U9/2018 MAINTENANCE AGREEMENT ENDS
Remove plug valve and actuator and replace with the specified actuator, flow sensor, level
PROJECT DESCRIPTION sensor, service pole, telemetry and p|upvalve atthe ouna||ofMiami basin.
VVITNE8SETH
The work under the above contract between the City of South Bend and the undersigned contractorhaving 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 opart ofthe above Contract.
E d hiset V5�o b e r x 2020 Construction Co., Inc.
�_______— H...
Company Name
Signature 5777 Cleveland Road
Matthew D. Cain, President Company Address
Printed Name
South Bend, IN 46624
City, State, Zip
WITNESSES:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Matthew D. Cain , and acknowledged his/her signature to t v Pro'ect Completion Affidavit on
the day of October 201
0. S. Notairy Public, State of Indiana
-SEAQ-��! St. Joseph County
motj�u/gnamra MyCommimsiIM
r—thi 1-12phesf-p mm_
Printed Ndmo County ofResidence St. Joseph
If the Contractor ioacorporation, the following certificate will beexecuted.
1 Nanry Knapik certify that |omSecretary ofthe Corporation executing this release; that
Matthew D. Cain - who signed this release onbehalf ofthe contractor was then
President 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:
Corporate Seal
Nancy Knapik
Printed Name
DEPARTMENT OFPUBLIC WORKS APPROVAL
This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so.
Construction Manager
BOARD OFPUBLIC WORKS APPROVAL Date: November ` 2020
BOARD OFPUBLIC WORKS
QL—
Gary A. Gilot, President
Therese J. Doran, Member
~93�'
Elizabeth A. Maradik, Member
Jordan V. Gathers, Member
^zTEor
EcAlk owlam/
Joseph R- Molnar, Member
Linda M. Martin,m*
Contractor: HRP Construction Co., Inc.
Work Completed from
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
PAYMENT APPLICATION
8/8/2020 to Final
Application No 4 (Final)
Project No. 116-082D
Project Name:
Miami Basin Valve
Replacement
No.
Description
QUANTITY
UNIT
UNIT PRICE
Dols. Cent
EXTENSION
Dols. Cent
Contract
This Est
Total
I
Mobilization and Demobilization
1
0
1
LS
$16,057.50
$16,057.50
2
Selective Clearing
1
0
1
LS
$13,000.00
$13,000.00
3
Tempora Silt Fence
40
0
40
LFT
$3.25
$130.00
4
Temporary Seeding
70
0
0
SYS
$5.00
$0.00
5
Bollard
4
0
1 4
EA
$465.00
$1,860.00
6
1 Erosion Control Blanket
70
0.002
57.302
SYS
$2.75
$157.58
7
Seedina. U
70
0
57.3
SYS
$28.00
$1,604A0
8
Service Pole
1
0
1
EA
$6,350.00
$6.350.00
9
Antenna
1
0
1
EA
$1,200.00
$1,200.00
10
G-Node
1
0
1
EA
$11,500.00
$11,500.00
11
Sensor, Level
1
0
1
EA
$2,000.00
$2,000.001
12
Plug Valve Assembly
1
0
1
EA
$26,000.00
$26,000.00
13
Control Cabinet Assembly
1
0
1
EA
$71,000.00
$71,000.00
14
Controller Cabinet Foundation, Type P-1
1
0
1
EA
$2,500.00
$2,500.00
15
Electrical Work
0
1
LS
$9,900.00
$9,900.00
16
Valve and Sensor Calibration
-1
0
1
LS
$12,000.00
$12,000.00
17
—1
0
0
$0.00
18
0
0
$0.00
19
0
0
$0.00
20
0
0
$0.00
Approved
Construction Manager - Toy Villa
orcX
Matthew D. CaCinni,aor Presi
Deductions Total $175,259.48
Deductions $0.00
Retainage $0.00 Sub Total $175,259.48
Liq.Dam. $0.00 Prev. Pmts $166,496.50
$0.00 AMOUNT DUE $8,762.98 33
Date
10/09/2020
Date
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
PROJECT CONSTRUCTION CHECKLIST
Project No. 116-082D NTP 1/14/2020
Project Name Miami Basin Valve Replacement Sub. Comp.
Contractor HRP Construction Co., Inc. Final Comp. 5/1/2020
Inspector JJE Today's Date 10/8/2020
PAY APPLICATIONS & CHANGE ORDERS CHART
Pay App Contract EVA
S150,000M
J $100,000.00
1 $50,000.00
3/1,/2020 5i1/2020 711 i2020 9/1/2020
PAYMENT APPLICATION SUMMARY
End Date
Total
Deductions
Sub Total
Prev. Parts
Amount
Prev Pmt Error
1
5/15/2020
$32,445.25
$1,622.26
$30,822.99
$0.00
$30,822.99
2
7/712020
$138,395.25
$6,919.76
$131,475.49
$30,822.99
$100,652.50
$0.00
3
8/7/2020
$175,259.48
$8,762.97
$166,496.50
$131,475.49
$35,021.01
4
10/1/2020
$175,259.48
$0.00
$175,259.48
$166,496.50
$8,762.98
51
1
1
1
1
1
1
S1
-
I
I
I I -
1 $166,496.50
1 $175,259.481
tHANGE�ORDER
POST -CONSTRUCTION DOCUMENT CHECKLIST
POST -CONSTRUCTION DOCUMENT CHECKLIST
Items
Notes
Date ReeD
I
Final Pay Application
2
Project Completion Affidavit
3
Final Waiver of Lien
4
Final Change Order
6
Complete Certified Payrolls
6
As -Built Documents
7
Testing Reports
Warranty Information
8
Signature: �A�� Date: 10/1/2020
State oflndiana, County of St. Joseph SS:
Nancy Knapik being duty sworn that he/she is the Vice President
(Name of Officer) (Title)
of HRP CONSTRUCTION INC. having contracted with City of South Bend, Board of Public Works
(Contractor) (Owner)
to furnish certain materials and/or labor as follows: Miami Basin Valve Replacement
(Description)
for a projectlmown as Miama Basin Valve Replacement, Project No. 116-082D
(Name of Project)
located at Maimi Street
and owned by City of South Bend, Board of Public Works
(Owner)
and does hereby further state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars ($ )
❑ receipt of which is hereby acknowledged; or
❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lfenwhich is given
solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
Eight Thousand Seven Hundred Sixty Two Dollars and Ninety Eight Cents ($ 8.762. 98 )
❑ receipt of which is hereby acknowledged; or
❑x 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, -described property and improvements thereon an account of labor or material or both, furnished b the undersigned
thereto, subject to limitations or conditions expressed heroin, if any; and farther certified that: no other party has any claim or right to a
lien on account of any work performed or material tarnished to the undersigned for said project, and within the scope of this Affidavit
and Waiver of Lien.
HRP CONSTRUCTION INC. BY
(Firm) (Authorized Representative)
STATEOFINDIANA ) Nancy Knapik, Vice President
SS:
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Nancy Knapik
and acknowledged the execution of the foregoing Affidavit and Waiver of Lion.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 12th day of
October 2020, t
N Public Signature
My Commission Expires: 03/06/2024
Cynthia L. Vanheste
Residhtgin St. Joseph county, Indiana
YNTHIA L. VANHESTE
Notary Public, State of Indiaw
�+= St. Joseph County
m Commission Number 681273
`I MY Commission Expired
March 06, 2024
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date October 30, 2020
Department
Name Jacob M. Klosinski EnOneerim/Utilities
BPW Date November 10, 2020 Phone Extension Ext. 9496
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer ❑ Officer Name Michael Patton
BPW Attorney ❑ Attorney Name
Dept. Attorney ❑
Purchasing ❑
Check the
Clara McDaniels
Attorney Name Clara McDaniels
Michael Schmidt
to Item Tvbe — 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 ❑ Title Sheet
❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes
❑ Proposal Opening ® C/O & PCA No. 1-Final ❑ PCA
❑ Chg. Order, No. 1 - Final ❑ 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
Information
Inc.
If Yes, Approved by Purchasing
❑ WBE Completed E-Verify Form Attached ❑❑ Nos
Miami Basin Control Valve Replacement
116-082D
LRSA Canital and South Side TIF
251-06-600-506-442001 and 430-10-102-121-444000
$ See Below
Terms of Contract LumD Sum and Unit Prices
Purpose/Description The Division of Engineering and Division of Utilities recommends the Board
of Public Works approve Change Order No. 1 and the Project Completion
Affidavit for the subject project. Refer to Memorandum for additional details.
� For Change Orders Only
Amount of ❑ Increase $
® Decrease ($ 740.52)
Previous Amount $ 176,000.00
Current Percent of Change
New Amount
Increase %
Decrease 0.42%
$ 175,259.48
Increase %
Total Percent of Change: Decrease 0.42%
Time Extension Amount: 0 Days
New Completion Date: No Change