HomeMy WebLinkAboutChange Order No 4 - 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
November 9, 2021
Mr. Bill Favors
Ziolkowski Construction, Inc.
4050 Ralph Jones Dr.
South Bend, IN 46628
kkromer@zbuild.com
RE: Change Order No. 4 – Seitz Park Reconstruction, Phase I – Project No. 117-093A
Dear Mr. Favors:
At its November 9, 2021 meeting, the Board of Public Works approved the above
referenced Change Order for an increase of $20,817, bringing the revised contract amount to
$7,413,524.78.
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/ Laura Hensley/Acting
Clerk
Enclosures
November 9, 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)$2,186,559.70
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)Change Order #1 Decrease Line 6 by $22,975.57
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)Ron O'Connor
PO Number PO 6342
Line Number 7
Original Dollar Amount $0.00
New Dollar Amount
(For liquidation request, enter $0)$31,820.00
Reason Code (if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account)201-11-206-273-444000
Project Code (if applicable)
Description of change (include
budget impact)
Change Order #2. Replace existing failing CMP storm sewer located beneath
Riverwalk in Division B. Cost includes sewer televising to determine the repair
required and replacement.
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)
PO Number PO 6342
Line Number 8
Original Dollar Amount $0.00
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#4 PO-0006342 Ziolkowski CO#4 1 of 3
City of South Bend
Department of Administration & Finance
Change Order Request Form
New Dollar Amount
(For liquidation request, enter $0)$245,458.00
Reason Code (if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account)PROJ00000087 and project category 429-443001
Project Code (if applicable)PROJ00000087 and project category 429-443001
Description of change (include
budget impact)Change Order #3: Earth Retention System for Cascades Phase II
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)(PAT member's name and date to be completed by PAT member)
PO Number PO 6342
Line Number 9
Original Dollar Amount $0.00
New Dollar Amount
(For liquidation request, enter $0)$20,817.00
Reason Code (if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account)201-11-206-273-444000--PROJ00000079
Project Code (if applicable)
Description of change (include
budget impact)
Change Order #4. Pavillion - Hardware upgrade, credit on FRP, and additional stain
and finish on all Accoya Wood.
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)Amy Shirk 10/15/2021
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)(PAT member's name and date to be completed by PAT member)
PO Number
Line Number
Original Dollar Amount
New Dollar Amount
(For liquidation request, enter $0)
Reason Code (if changed)
CO#4 PO-0006342 Ziolkowski CO#4 2 of 3