HomeMy WebLinkAboutChange Order No 1 & PCA - El Campito Water Tap Quote Proj No. 121-017 - Selge Construction Co., 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. Justin Butler
Selge Construction Co., Inc.
2833 South 11TH St.
Niles, MI 49120
aswinehart@selgeconstruction.com
RE: Change Order No. 1 (Final)/Project Completion Affidavit
El Campito Water Tap Quote – Project No. 121-017
Dear Mr. Butler:
At its July 13, 2021 meeting, the Board of Public Works approved the Final Change
Order for this project, for a decrease of $2,400. The final contract amount is $15,325.
In addition, the Project Completion Affidavit for this project was approved in an amount
not to exceed $15,325. 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
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)
Finnian Cavanaugh 6/14/2021
PO-8426
7-13-2021
July 13, 2021
06/11/2021
July 13, 2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: June 14th, 2021
Name: Finnian Cavanaugh Department of Public Works – Engineering Division
BPW Date: July 13th, 2021
Phone Extension: 5961 or
fcavanau@southbendin.gov
Required Prior to Submittal to Board BPW Attorney X 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. 1 PCA
Chg. Order, No. Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Selge Construction Co., Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name El Campito Water Tap Quote
Project Number 121-017
Funding Source West Washington TIF
Account No. 422-10-102-121-431000—PROJ00000233
Amount $15,325.00 (decrease from $17,725.00)
Terms of Contract NTE
Purpose/Description Project close out of El Campito Water Tap Quote, overall deduct
change order.
For Change Orders Only
Amount of
Increase
Decrease
$
($ 2,400.00)
Previous Amount $ 17,725.00
Current Percent of Change:
Increase
Decrease
%
(-13.54%)
New Amount $ 15,325.00
Total Percent of Change:
Increase
Decrease
%
(-13.54%)
Time Extension Amount: 0
New Completion Date: 4/30/2021 (original)