HomeMy WebLinkAboutChange Order No 2 - Riverside Drive Bank Stabilization Proj No. 118-005B - Milestone Contractors North, Inc.
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS 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
December 13, 2022
Mr. Dustin Hilary
Milestone Contractors North, Inc.
24358 State Road 23
South Bend, IN 46614
akrueger@milestonelp.com
RE: Change Order No. 2 (Final) – Riverside Drive Bank Stabilization
Project No. 118-005B
Dear Mr. Hilary:
At its December 13, 2022 meeting, the Board of Public Works approved the above
referenced Change Order be increased by $11,633.91, bringing the revised contract amount to
$845,057.61.
Enclosed is a copy of the Change Order for your records.
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
/s/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
December 13, 2022
Milestone Contractors North, Inc
1700 East Main Street
Griffith, IN 46319
USA
City of South Bend
Purchase Order
PO-0014105PO number:
Date:
Vendor account:
Project number:
11/9/2022
V-00001789
PROJ00000301
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:2
Line number Quantity Unit Description Unit price Amount
1 816,305.00 EA Bank Stabilization 1.00 816,305.00
2 17,118.70 EA Change Order #1 1.00 17,118.70
Charges:$0.00
Total in USD:$833,423.70
Mickey Lovy, Director of Purchasing
Phone: (574) 235-9977
Email: mlovy@southbendin.gov
City of South Bend
Department of Administration & Finance
Change Order Request Form
Multiple PO lines:
Project POs:
PO Number PO-14105
Line Number 3
Original Dollar Amount $0.00
New Dollar Amount
(For liquidation request, enter $0)$11,633.91
Reason Code (if changed)na
Financial Dimensions (fund-dept-
division-subdivision-main account)Stormwater Capital 667-06-605-517-442002
Project Code (if applicable)
Description of change (include
budget impact)
Change order 2 and final as a result of increased of rip rap to fill void when piles
restricting the river were removed at the end of the project.
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)
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-14105 Change Order Request Form 2 1 of 3
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/6/2022
Name Becca Plantz Department Public Works
BPW Date 12/13/2022 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name Michael Patton
BPW Attorney Attorney Name Michael Schmidt
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 Award Reject Bids/Quotes
C/O & PCA No. PCA
Traffic Control Resolution
Quote Opening
Proposal Opening
Chg. Order, No. 2
Other: Ease./Encroach
Required Information
Company or Vendor Name Milestone Contractors North, Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Riverside Drive Bank Stabilization
Project Number 118-005B
Funding Source Stormwater Capital
Account No. 667-06-605-517-442002
Amount Orig: $816,305.00, CO1 Total: $833,423.70, New Total: $845,057.61
Terms of Contract Unit Prices
Purpose/Description Change order for an increase in use of rip rap to fill remaining void left
by piles at the end of the project.
For Change Orders Only
Amount of Increase
Decrease
$ 11,633.91
($ )
Previous Amount $ 833,423.70
Current Percent of Change:
Increase 1.40%
( %)
New Amount
Decrease
Total Percent of Change:
Increase
Decrease
3.52%
( %)
Time Extension Amount:
New Completion Date:
$ 845,057.61