HomeMy WebLinkAboutChange Order No 2 - Eagle Way Sewer Extension Proj No. 119-095 - Indiana Earth, 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. Mark Osler
Indiana Earth, Inc.
10343 McKinley Hwy.
Osceola, IN 46561
jimmyindianaearth@yahoo.com; earth92inc@sbcglobal.net
RE: Change Order No. 2 – Eagle Way Sewer Extension – Project No. 119-095
Dear Mr. Osler:
At its July 13, 2021 meeting, the Board of Public Works approved the above referenced
Change Order for a decrease of $14,477.33, bringing the revised contract amount to $253,704.23.
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:
July 13, 2021
INDIANA EARTH
10343 MCKINLEY HWY
OSCEOLA, IN 46561
USA
City of South Bend
Purchase Order
PO-0006601PO number:
Date:
Vendor account:
Project number:
1/6/2021
V-00000822
PROJ00000025
Vendor:City of South Bend
227 West Jefferson Blvd.
Suite 1200N
South Bend, IN 46601
USA
Ship to:
Notice and Instructions to Vendor:
1.This Purchase Order is governed by the City of South Bend Standard Purchasing Terms and Conditions, which are set forth at
http://www.southbendin.gov/potc and incorporated herein by reference.
2.The City's Indiana sales tax exemption number is 0003122131-001.
3.The City's federal identification number is 35-6001201.
4.All payment and performance obligations of the City are subject to the appropriation and availability of funds.
5.If a cash discount is available, please indicate the applicable discount terms on each invoice.
6.All shipments must include an itemized packing slip detailing the items shipped.
7.The PO number stated above must appear on all invoices, claims, packages, packing slips, and correspondence.
8.For most efficient processing, please submit invoices in PDF or other electronic format by email to accountspayable@southbendin.gov.
PO version:1
Line number Quantity Unit Description Unit price Amount
1 124,759.48 EA Eagle Way Sewer Extension 1.00 124,759.48
2 28,737.00 EA Eagle Way Sewer Extension 1.00 28,737.00
Charges:$0.00
Total in USD:$153,496.48
Michael Schmidt, Director of Purchasing
Phone: (574) 235-9977
Email: mschmidt@southbendin.gov
INDIANA EARTH
10343 MCKINLEY HWY
OSCEOLA, IN 46561
USA
City of South Bend
Purchase Order
PO-0001014PO number:
Date:
Vendor account:
Project number:
1/5/2021
V-00000822
PROJ00000025
Vendor:Engineering Division
227 West Jefferson Blvd, Suite 1300
N
South Bend, IN 46601
USA
Ship to:
Notice and Instructions to Vendor:
1.This Purchase Order is governed by the City of South Bend Standard Purchasing Terms and Conditions, which are set forth at
http://www.southbendin.gov/potc and incorporated herein by reference.
2.The City's Indiana sales tax exemption number is 0003122131-001.
3.The City's federal identification number is 35-6001201.
4.All payment and performance obligations of the City are subject to the appropriation and availability of funds.
5.If a cash discount is available, please indicate the applicable discount terms on each invoice.
6.All shipments must include an itemized packing slip detailing the items shipped.
7.The PO number stated above must appear on all invoices, claims, packages, packing slips, and correspondence.
8.For most efficient processing, please submit invoices in PDF or other electronic format by email to accountspayable@southbendin.gov.
PO version:3
Line number Quantity Unit Description Unit price Amount
1 239,444.56 EA EAGLE WAY SEWER EXTENSION 1.00 239,444.56
2 28,737.00 EA Change Order #1 1.00 28,737.00
Charges:$0.00
Total in USD:$268,181.56
Michael Schmidt, Director of Purchasing
Phone: (574) 235-9977
Email: mschmidt@southbendin.gov
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 7/1/21
Name Kyle Silveus
Department
Engineering
BPW Date 7/13/21 Phone Extension 9083
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney Attorney Name
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award Reject Bids/Quotes
Proposal Opening C/O & PCA No. PCA
Chg. Order, No. 2 Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Indiana Earth, Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Eagle Way Sewer Extension
Project Number 119-095
Funding Source RWDA TIF
Account No. 324-1050-460-31.02
Amount
Terms of Contract
Purpose/Description Final Quantity Adjustment
For Change Orders Only
Amount of
Increase
Decrease
($ 14,477.33)
Previous Amount $ 268,181.56
Current Percent of Change:
Increase
Decrease
%
(-5.40%)
New Amount $253,704.23
Total Percent of Change:
Increase
Decrease
(5.96%)
Time Extension Amount:
New Completion Date: