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Change Order No 1 & PCA - WWTP Admin. Building Masonry Improvements Proj No. 118-087 - Ziolkowski Construction, Inc.
ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER 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 June 22, 2021 Mr. Bill Favors Ziolkowski Construction, Inc. 4050 Ralph Jones Dr. South Bend, IN 46628 kkromer@zbuild.com RE: Change Order No. 1 (Final)/Project Completion Affidavit Wastewater Treatment Plant Administration Building Masonry Improvements Project No. 118-087 Dear Mr. Favors: At its June 22, 2021 meeting, the Board of Public Works approved the Final Change Order for this project, for a decrease of $1,889 with an additional two-hundred thirty-five (235) days. The final contract amount is $461,491 with a new completion date of April 30, 2020. In addition, the Project Completion Affidavit for this project was approved in the amount of $461,491. 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/ Anne Fuchs Anne Fuchs, Clerk Enclosures AF/lh INTER-OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF UTILITIES TO: Members of the Board of Public Works Eric Horvath, Director of Public Works Clara McDaniels, Board of Public Works Attorney Al Greek, Director of Utilities FROM: Jacob M. Klosinski, Assistant City Engineer SUBJECT: Agenda Request Form – Final Completion Affidavit and Change Order No. 1 118-087 WWTP Administration Building Masonry Improvements PO-0000086 DATE: June 11, 2021 The Department of Public Works Division of Engineering and Division of Utilities are requesting the Board of Public Works approval of Change Order No. 1 (deduct) and the Project Completion Affidavit for Project No. 118-087 Wastewater Treatment Plant Administration Building Masonry Improvements at its Board Meeting on June 22, 2021. Description of Change Order No. 1: Change Order No. 1 includes a reduction of the total cost for the Contingency items for this project. The resulting cost savings resulted in a deduct change order of $1,889.00. The change order also recognizes a time extension of 235 days to the project to accommodate the procurement of materials and coordination of labor installation for contingency items that were not part of the requirements for substantial completion. The blinds for this project were backordered which resulted in materials delays and installation delays. COVID-19 in early March 2020 also caused labor delays due to subcontractor travel restrictions. That said, all masonry work, roofing work, and interior improvements were substantially complete on-time. The Division of Engineering and Division of Utilities are recommending approval of Change Order No. 1 and the Project Completion Affidavit. DFO Information Vendor No.: V-00001875 Purchase Order: PO-0000086 Account No.: 641-06-605-514-436001 Account Name: Utilities, Sewage Works Operations, Service and Charges, Building Maintenance, Building Repair & Maintenance Account. If there are any questions regarding the subject project, please contact Al Greek (Ext. 4210) at the Division of Utilities or Jacob M. Klosinski (Ext. 9496) at the Division of Engineering. 06-11-2021June 22, 2021 06-11-2021June 22, 2021 XXX 008 JMK •5" Al.A Document G702 ® - 1992 Application and Certificate for Payment TO OWNER: Board of Public Works City of South Bend 227 East Jefferson Blvd. South Bend, IN 46601 PROJECT: 17848 -SB = WWTP Admin WWTP Administration Building Masonry Improvements APPLICATION NO: 009 PERIOD TO: November 30, 2020 Distribution to: OWNER: [8l ARCHITECT: [8l CONTRACTOR: 0 FIELD: 0 OTHER: 0 FROM VIA CONTRACTOR: Ziolkowski Construction, Inc. 4050 Ralph Jones Dr. ARCHITECT: Kil Architecture I Planning CONTRACT FOR: General Construction CONTRACT DATE: December 20, 2018 PROJECT NOS: 118 / 087 I South Bend, IN 46628 CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. AIA Document G703®, Continuation Sheet, is attached. 1. ORIGINAL CONTRACT SUM ............................................................................... . 2.NET CHANGE BY CHANGE ORDERS ................................................................ . 3.CONTRACT SUM TO DATE (Line 1 ± 2) ........................................................... . 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) ................ . 5. RETAINAGE: a.2.:QQ.__% of Completed Work (Column D +E on G703) b.0.00 % of Stored Material (Column F on G703) $0.00 $0.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and $463,380.00 payments received from the Owner, and that current payment shown herein is now due. -$1_,_889.00 CONTRACTOa,: $461,491 .00 By: /[f.�'C... �� $461_,_491.00 Subscribed and sworn to bef.ore .,,,0� d :,T ,H ,tJ '"'· ,::,,. Jennifer Wiest Date: December 04_,_ 2020 ' ,, .... .,,,,,, JENNIFER WIE ST '-''\'-TEO� i' ;.•· · ·•.; i Notary Public. State of Indiana �.:•�•:•i St. Joseph County ; •• SEA� : i Commission # 663344 � ;• •••• ·; $My Commission Expires ,,,,:;r,;�.�,,,,� January 28, 2023 Total Retainage (Lines Sa+ Sb or Total in Column I of G703) ............... .. $0.00 My Commission expires: January 28, 2023 -----�;..;:_:_ 6.TOTAL EARNED LESS RETAINAGE ................................................................. .. (Line 4 Less Line S Total) 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT .......................................... .. (Line 6 from prior Certificate) $461,491 .00 ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data $438,416.4 S 8.CURRENT PAYMENT DUE .......................................................................... 1 $23,074.551 comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) CHANGE ORDER SUMMARY ADDITIONS Total changes approved in previous months by Owner $0.00 Total approved this Month $0.00 TOTALS $0.00 NET CHANGES by Change Order $0.00 DEDUCTIONS $1,889.00 $0.00 $1,889.00 -$1,889.00 AMOUNT CERTIFIED .................................................................................... .. $23_,_074.55 (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) ARCHITECT: By:--------Date: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA Document G702ll> -1992. Copyright© 1953, 1963, 1965. 1971, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. The "American Institute of Arch itec ts," "A IA," the AIA Logo, "G702," and "AIA Co ntrac t Documents" are registered tr ademarks and may not be used without permission . This document was produced by AIA software at 13:35:17 ET on 12/04/2020 under Order No.6002723076 1 which expires on 07/04/2021, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org. User Notes: (3B9ADA48) December 16, 2020 XX 008 -JMK 03-30-2021 XXX 008 - JMK XXX 008 City of South Bend Department of Administration & Finance Change Order Request Form Multiple PO lines: PO Number PO-0000086 Line Number 1 Original Dollar Amount $41,724.00 New Dollar Amount (For liquidation request, enter $0)$39,835.00 Reason Code (if changed) Financial Dimensions (fund-dept- division-subdivision-main account)641-06-605-514-436001 Project Code (if applicable) Description of change (include budget impact) Final deductive change order, credit of $1,889.00. Reduction of cost is a result of unused contingency allowance budget. Change Order will be issued to BPW for approval at the June 22, 2021 Meeting. PO Number Line Number Original Dollar Amount New Dollar Amount (For liquidation request, enter $0) Reason Code (if changed) Financial Dimensions (fund-dept- division-subdivision-main account) Project Code (if applicable) 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 two lines on the same PO, fill out a separate section for each line affected by the change order. PO CHANGE FORM 1 of 5 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date: June 11, 2021 Name: Jacob M. Klosinski, P.E.Department of Public Works – Engineering Division BPW Date: June 22, 2021 Phone Extension: 9496 Required Prior to Submittal to Board BPW Attorney X Attorney Name Clara McDaniels Dept. Attorney Attorney Name Clara McDaniels Purchasing Michael Schmidt 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. 1 PCA Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach Required Information Company or Vendor Name Ziolkowski Construction, Inc. New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name WWTP Administration Building Masonry Improvements Project Number 118-087 Funding Source 641-06-605-514-436001 Account No. PR/PO #0000086 Amount *Change Order, See Below* Terms of Contract Lump Sum Purpose/Description The Division of Engineering requests the approval of deductive Change Order No. 1 and the Project Completion Affidavit for the subject project. Now that all documentation is in hand, we can closeout the project. For Change Orders Only Amount of Increase Decrease $ ($ 1,889.00) Previous Amount $ 463,380.00 Current Percent of Change: Increase Decrease % (-0.41%) New Amount $ 461,491.00 Total Percent of Change: Increase Decrease % (-0.41%) Time Extension Amount: 235 days (Due to Material Backorder, COVID-19) New Completion Date: 04/30/2020