HomeMy WebLinkAboutChange Order No 2 - City of SB Wayfinding Signage Program - Phase II Proj No. 120-020 - Geograph Industries, 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
October 26, 2021
Mr. Greg Freudiger
Geograph Industries, Inc.
475 Industrial Dr.
Harrison, OH 45030
gregfreudiger@geograph-ind.com
RE: Change Order No. 2 – City of South Bend Wayfinding Signage Program - Phase II
Project No. 120-020
Dear Mr. Freudiger:
At its October 26, 2021 meeting, the Board of Public Works approved the above
referenced Change Order for a decrease of $2,900, bringing the revised contract amount to
$146,411.
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
INTER-OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENVIRONMENTAL SERVICES
TO: Board of Public Works
Anne Fuchs, Clerk
FROM: Leslie Biek, P.E., Assistant City Engineer
SUBJECT: Change Order #2 (Final)
City of South Bend Wayfinding Signage Program- Phase 2 (120-020)
DATE: October 1, 2021
Attached is Change Order #2 & Final for the above-mentioned project. This change order includes
final adjustments to quantities.
The cost for this change order is for a decrease of $2,900.00 to the contract bringing the final
contract price to $146,411.00 which is a 0.11% decrease from the original contract price.
It is requested the Board of Public Works approved change order #2 and Final for the City
of South Bend Wayfinding Signage Program – Phase 2 (PN 120-020) for a decrease of $2,900
bringing the final contract price to $146,411.00
Thank you for your consideration of this request.
October 26, 2021
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)
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City of South Bend
Department of Administration & Finance
Change Order Request Form
Multiple PO lines:
Project POs:
PO Number 7174
Line Number 7
Original Dollar Amount $0.00
New Dollar Amount
(For liquidation request, enter $0)$32,379.17
Reason Code (if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account)
Project Code (if applicable)PROJ00000184
Description of change (include
budget impact)
Liquidate lines 3, 4 and 6. Add remaining balance, minus decrease of $2900, as line
7 for change order #2 & final.
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)
$30,000 project category 429-442001, $2,379.17 project category 422-442001.
A.Pietsch 10/4
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.
PO 7174 Change Order Request Form 1 of 3
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/1/2021
Name Leslie Biek, PE Department PW
BPW Date 10/12/2021 Phone Extension 9323
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 Amanda Pietsch
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 (Final) Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name Geograph Industries, Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name City of South Bend Wayfinding Signage Program- Phase 2
Project Number 120-020; PROJ 184
Funding Source
Account No. PO 7174
Amount $2,900 deduct
Terms of Contract
Purpose/Description Final adjustment to quantities.
For Change Orders Only
Amount of
Increase
Decrease
$
($ 2,900.00)
Previous Amount $ 149,311.00
Current Percent of Change:
Increase
Decrease
1.87%
( %)
New Amount $ 146,411.00
Total Percent of Change:
Increase
Decrease
%
(-0.11%)
Time Extension Amount:
New Completion Date: