HomeMy WebLinkAboutChange Order No 1 - Seitz Park Reconstruction, Phase I Proj No. 117-093A - 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
July 13, 2021
Mr. Bill Favors
Ziolkowski Construction, Inc.
4050 Ralph Jones Drive
South Bend, IN 46628
kkromer@zbuild.com
RE: Change Order No. 1 – Seitz Park Reconstruction, Phase I – Project No. 117-093A
Dear Mr. Favors:
At its July 13, 2021 meeting, the Board of Public Works approved the above referenced
Change Order for a decrease of $22,975.57, bringing the revised contract amount to
$7,115,429.78.
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
06/18/2021
06/22/2021
6/23/21
Project # 117-093A
Date: July 13, 2021
City of South Bend
Department of Administration & Finance
Change Order Request Form
Multiple PO lines:
Project POs:
PO Number PO-0006342
Line Number 6
Original Dollar Amount $2,209,535.27
New Dollar Amount
(For liquidation request, enter $0)$2,186,577.70
Reason Code (if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account)452-11-206-444000
Project Code (if applicable)PROJ00000079
Description of change (include
budget impact)Decrease Line 6 by $22,975.57
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)
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)
Description of change (include
budget impact)
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)
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 two lines 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.
CO PO-0006342 1 of 3
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 6/23/2021
Name Sue Ellen Doudrick Department DPW
BPW Date 7/13/2021 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. 1 PCA
Chg. Order, No. Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Ziolkowski Construction V:1875
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Seitz Park Reconstruction – Phase I
Project Number 117-093A
Funding Source REDA TIF, Park Bond (Deduct from Line 6 of PO)
Account No. PR-00004857; PO 6342
Amount ($22,957.57) Funds to be taken from Line 6 of PO.
Terms of Contract Line items
Purpose/Description Change Order #1: Geofill Material Change in Divisions A&B. Line Items
A18 & B15 Geofoam to change to A62 and B65 Geofill Cellular Concrete.
This change in material will result in a decrease and provide a better product
to backfill and prevent voids beneath the new Riverwalk. Funds to be taken
from Line 6 of PO.
For Change Orders Only
Amount of Increase
Decrease
$
($ 22,975.57)
Previous Amount $ 7,138,405.35
Current Percent of Change:
Increase
Decrease
%
(0.3218%)
New Amount $ 7,115,429.78
Total Percent of Change:
Increase
Decrease
%
(0.3218%)
Time Extension Amount: 0