HomeMy WebLinkAboutChange Order No 1 - Washington Street Improvements Proj No. 118-105 - Walsh & Kelly, Inc.
ELIZABETH A. MARADIK GARY A. GILOT 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
March 9, 2021
Mr. Dustin Hilary
Walsh & Kelly, Inc.
24358 State Road 23
South Bend, IN 46614
akrueger@walshkelly.com
RE: Change Order No. 1 – Washington Street Improvements Project – Project No. 118-105
Dear Mr. Hilary:
At its March 9, 2021 meeting, the Board of Public Works approved the above referenced
Change Order for an increase of $42,100, bringing the revised contract amount to $420,000.
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/ Anne Fuchs
Anne Fuchs, Clerk
Enclosures
AF/lh
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)
tureeeeeee)))))))eeeeee
2/12/21Kyle W. Silveus
324-442001
118-105 Washington Street Improvements 1
11/19/2020
Borrow Material Cost.
42,100.00
0
11.14
420,000.00
11.14
Josh Ehmer 1/28/2021
Toy Villa
02/01/2021
Borrow Material ($6,000.13).
Adjustment to Final Quantities ($36,099.87).
March 9, 2021
Walsh & Kelly, Inc.Bill To:Customer Company
24358 State Road 23 Customer Address
South Bend, IN 46614 Customer City, State, Zip
Date: 7/23/2020
Job # : 204709
Job Name : Washington St Improvements Borrow
Regular Hours Overtime Hours Total
Per Hour Per Hour
Laborer (2 ea.)$78.00 24.00 $115.00 1,872.00$
Equipment Operator $98.00 $145.00 -$
Foreman $103.00 $148.00 -$
Teamster $85.00 $123.00 -$
Cement Finisher $87.00 $128.00 -$
Cement Finisher Foreman $92.00 $136.00 -$
Regular Hours Overtime Hours Total
Per Hour Per Hour
1/2 Ton Pick-Up 25.00$ -$
1 Ton Crew Truck 30.00$ -$
Lowboy Tractor & Trailer w/ Teamster 250.00$ -$
2 Ton Flatbed - Concrete Form Truck 75.00$ -$
Water Wagon 75.00$ -$
Distributor w/ Teamster 210.00$ -$
Tri-Axle w/ Teamster 135.00$ 8.00 1,080.00$
Quad-axle w/ Teamster 145.00$ -$
3-5 T. Vib Roller w/ Operator 165.00$ -$
10 T. Vib Roller w/ Operator 175.00$ -$
10'-16' Asphalt Paver w/ Operator 250.00$ -$
Road Widener w/ Operator 245.00$ -$
Chip Spreader w/ Operator 250.00$ -$
Grader w/ Operator 235.00$ -$
Rubber Tire Loader w/ Operator 235.00$ -$
Combination Machine w/ Operator 235.00$ -$
Dozer w/ Operator 235.00$ -$
Power Pull Broom 65.00$ -$
Vacuum Sweeper w/ Teamster 185.00$ -$
Asphalt Grinder-Wirtgen w/ Crew 700.00$ -$
Bobcat w/ Grinder Attachment w/ Operator 185.00$ -$
Hitachi Excavator w/ Operator 250.00$ 12.00 3,000.00$
Grad-All w/ Operator 250.00$ -$
Air-Compressor 20.00$ -$
Arrow-Board 20.00$ -$
Material Used on Job Price per Unit Units Total
Borrow 5.60$ 282.25 cys 1,580.60$
-$
7,532.60$
Unit Price: 26.69$ per cys
TOTAL PRICE
2020 Time & Material Invoice Breakdown
Labor Rates
Equipment Rates Per Hour
City of South Bend
Department of Administration & Finance
Change Order Request Form
Multiple PO lines:
Project POs:
PO Number PO-0003046
Line Number 0
Original Dollar Amount $377,900.00
New Dollar Amount
(For liquidation request, enter $0)$420,000.00
Reason Code (if changed)not changed
Financial Dimensions (fund-dept-
division-subdivision-main account)324-10-102-121-442001-PROJ00000090 (TIF River West Development)
Project Code (if applicable)PROJ00000090
Description of change (include
budget impact)Addition of Borrow material and adjustment to final quantities; $42,100
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)Amanda Pietsch 2/12/21 - use project category 324-442001
PO Number
Line Number
Original Dollar Amount
New Dollar Amount
(For liquidation request, enter $0)
Reason Code (if changed)Not Changed
Financial Dimensions (fund-dept-
division-subdivision-main account)
Project Code (if applicable)
Description of change (include
budget impact)
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)(PAT member's name and date to be completed by PAT member)
PO Number
Line Number
Original Dollar Amount
Changing the line amount:
You can only change a line amount if it has NOT been invoiced against.
• If the line has NOT been invoiced – reduce the line amount to equal what it should be.
• If the line has been invoiced – cancel the delivery remainder and finalize the individual line, then add a new line for the
amount that should be remaining.
If you have changes to more than one line on the same PO, fill out a separate section for each line affected by the change
order.
For change orders on project-related POs, this form must be approved by the Project Accounting Team as described in
Supplement 508.
118-105 - Change Order Request Form 1 of 3
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 2/12/21
Name Kyle Silveus Department Engineering
BPW Date 2/23/21 Phone Extension 9083
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Clara McDaniels
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 Walsh and Kelly, Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Washington Street Improvement Project
Project Number 118-105
Funding Source RWDA
Account No. 324-442001
Amount
Terms of Contract
Purpose/Description
For Change Orders Only
Amount of
Increase
Decrease
$ 42,100
($ )
Previous Amount $ 377,900
Current Percent of Change:
Increase
Decrease
11.14%
( %)
New Amount $ 420,000
Total Percent of Change:
Increase
Decrease
11.14%
( %)
Time Extension Amount:
New Completion Date: