HomeMy WebLinkAboutAmendment No 1 to PSA - Design Svcs. Studebaker Fountain Water Supply Modifications – Jones Petrie Rafinski Corp.
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
January 11, 2022
Mr. Chris Chockley
Jones Petrie Rafinski Corporation
325 S. Lafayette Blvd.
South Bend, IN 46601
cchockley@jpr1source.com
RE: Amendment No. 1 to Professional Services Agreement
Dear Mr. Chockley:
At its January 11, 2022 meeting, the Board of Public Works approved the above
referenced amendment for design services for the Studebaker Fountain Water Supply
Modifications, Project No. 121-032 in the amount of $4,000.
Enclosed please find the original of the amendment for your signature. Please sign and
return the original amendment to lhensley@southbendin.gov. Please retain a copy for your
records.
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
/s/ Laura Hensley/Acting
Clerk
Enclosures
January 11, 2022
City of South Bend
Department of Administration & Finance
Change Order Request Form
Multiple PO lines:
Project POs:
PO Number 8428
Line Number
Original Dollar Amount $9,600.00
New Dollar Amount
(For liquidation request, enter $0)$13,350.00
Reason Code (if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account)Project category 201-273-443001
Project Code (if applicable)PROJ00000250
Description of change (include
budget impact)Additional elements discussed and designed
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)Amy Shirk 12/22/2021
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
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 one line 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 Studebaker Fountain Softener 1 of 3