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HomeMy WebLinkAboutChange Order No 2 & PCA - Northwest Elevated Tank Improvements Proj No. 122-018 - Viking Ind. Painting, LLC1316 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 25, 2023 Mr. Luan Ha Viking Industrial Painting, LLC 10905 Harrison St. La Vista, NE 68128 lhakviptanks.com RE: Change Order No. 2 (Final)/Project Completion Affidavit Northwest Elevated Tank Improvements - Project No. 122-018 Dear Mr. Ha: At its July 25, 2023 meeting, the Board of Public Works approved the Final Change Order for this project, be decreased by $35,500. The final contract amount is $1,185,155. In addition, the Project Completion Affidavit for this project was approved in the amount of $1,185,155. Copies of the Change Order and Project Completion Affidavit are enclosed 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 ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Theresa Heffner, Clerk Board of Public Works FROM: Rebecca Plantz, Project Engineer SUBJECT: Change Order 2, Project No. 122-018 Northwest Elevated Tank Rehabilitation Project DATE: July 14, 2023 Change Order 2 to the Northwest Elevated Tank is to decrease the contract amount by $35,500.00. This deduct is to cover estimates for the City to complete remaining punch list items and close out the contract with Viking Industrial Painting. Two options were proposed to the contractor; extend the contract time to complete punch list items to an acceptable, standard quality, or decrease the contract in the amount of remaining work for the City to complete the tasks. Punch list items include site restoration, valve vault hatch repair, valve vault insulative pipe coating failure repairs, and replacing the damaged FAA light. All parties agreed to proceed with the deductive change order and closing the contract out with Viking Painting. Please call with your questions (5998). CITY OF SOUTH BEND DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO. SUBJECT OF CHANGE ORDER: July 14, 2023 122-018 Northwest Elevated Tank Rehabilitation Project August 9, 2022 2 Deduct for the amount to close out the project and complete punch list items. The original contract sum Net change by previously authorized change orders The contract sum prior to this change order By this Change Order, the project amount is The new contract sum including this change order This Change Order represents a total change of Total change for entire project Original contracted completion date/time Extension of date/time by previous change orders Date/time extension by this change order New completion date/time CONTRACTOR Contractor Signature Luan Ha, Project Manager Printed Name and Title Viking Industrial Painting Company name 10905 Harrison Street Address La Vista, NE 68128 City, State, Zip ❑ Increased ® Decreased $ 1,228,400.00 $ 7,745.00 $ 1,220,655.00 $ 35,500.00 $ 1,185,155.00 2.89 % 3.52 % December 24, 2022 97 days March 31, 2023 RECOMMENDED FOR APPROVAL t j"- ' ff- V PROJECT MANAG R CITY OF SOUTH BEND BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member Joseph R. Molnar, Vice President Jordan V. Gathers, Member 4 Attest: Theresa M. Heffner, Clerk Date: July 25, 2023 CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME PROJECT NO. Northwest Elevated Tank Rehabilitation Project 122-018 FINAL COST $1, l 85,155.00 CONTRACT SIGNED August 9.2022 MAINTENANCE AGREEMENT ENDS PROJECT Install new coatings for the Northwest Elevated Storage Tank as well. as DESCRIPTION several minor site and structure improvements. WITNESSETH: The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and dernands Nvhatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Executed this 20th day of Ju1Y , 20 23 Sigrr , Serena Ee6 Stach Printed Frame VikinE Painting LLC Company Name PO Box 24162 Company Address Omaha, NE 68128 City/State/7ip WITNESS Before me, the undersigned Notary Public in and for said country and state, personally appeared and acknowledged his/her signature to the above Project Corn letion AF, (_1avit -)n the day o , 20�3 DOMINIC PEDERSEN General Notary - State of Nebraska -- My Commission Expires Se 11 2026 96 ary Signatu My Commission __ ires h4c�i._i- It xtt:SI L rintedName Countyof'Residence If the Contrac corporation, the following certificate will be executed. �l I _ certify that I am Secretary of the Corporation executing this release. that who this release on behalf of the contractor waS ,hen of said Corporation, aid release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is wr e scope of corporate powers: Secretary's Signature Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Date: Construction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS taLtk Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member Joseph ✓R. Molnar, Vice President JordanV. Gathers, Member Attest: Theresa M. Heffner, Clerk Date: July 25, 2023 AFFIDAVIT AND WAIVER OF LIEN State of ^,iAraska, County Of Douglas SS: Rory Sudbeck being duly sworn that he/she is the President (Name of Officer) (Title) of Viking Painting I.L.C_ _ having contracted with City of South Bend, IN (Subcontractor/Supplier) (Owner____ to furnish certain materials and/or labor as follows: Rehab Water Tank for a project lalown as Northwest. Elevated Tank Rehablitation Project (Name of Project) — - --- -- located at City of South Bend, IN and owned by City of South Bend, IN (owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL 'WAIVER) that there is due from the (Owner) the sum of Dollars ❑ receipt of which is hereby acknowledged; or ❑ the payment ofwhich has been promised as the sole considerations for this Affidavit and Final Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment there:af by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of Twenty Nine Thousand Five Hundred Fifty -Six Dollars and 00/100 0 9 556.Ot) ) ❑ receipt of which is hereby acknowledged; or th- payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien WEcw shall become effective only upon receipt of such payment. T{iF'REFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above-des;uibed property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, sul jest to limfMiuns or conditions expressed herein, if airy; and further certified that no other party has any claim or right to a Hen on account of any work performed; or material fumished to the undersigned for said project, and within the scope of this Affidavit and Waive~.- ofiLiwo. By (Fir (Authorized Representative) 1",P-1- STATE OF Nebraska ) SERENA L. STACH SS: General Notary - State of Nebraska g COUNTY . ) My Commission Expires Dec 20, 2023 Douglas #etcereme, the undersigned, allotan, Public, in a . forsaid Col:. it:, s ej State, personally appeared 5W(6cL and aclmow lodged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WfEREOF, I have hereunto subscribed my name and affixed my official seal on the � day of 20915 My Commmir -,'on Expires: Residing in _ a�rl2'��l �� County, „�� Notary Public Name 227 W.JEFFERSON BOULEVARD SUITE 1316 SOUTH BEND, IN 46601-1830 PHONE: 574/235-9251 FAx: 574/235-9171 CITY OF SOUTH BEND TAMES MUELLER, MAYOR DEPARTMENT OF PUBLIC WORKS ERIC HORVATH, DIRECTOR July 14, 2023 Mr. Luan Ha Viking Industrial Painting 10905 Harrison Street La Vista, NE 68128 Re: Northwest Elevated Tank Rehabilitation Project Project No. 122-018 Dear Mr. Ha: Attached please find Change Order 2 & Final and the Project Completion Affidavit for the above referenced project. Please return one executed copy of each along with the Final Waiver of Lien. Please submit all the necessary paperwork at the same time. A Final Pay Application with a release of the remaining dollars after Change Order 2 results in a total payment of $29,556.00. Please submit Pay Application 5 with the representation of Change Order 1 and Change Order 2 in the Change Order Summary, along with an `Amount Due This Application" of $29,556.00. This payment will release for processing after the Board of Public Works signs off on Change Order 2 and the Project Completion Affidavit on July 25, 2023. Thank You for your cooperation in this matter. Please contact me at 574-235- 5998 if you have any questions. Sincerely, Rebecca Plantz Project Manager City of South Bend Department of Administration & Finance Change Order Request Form 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. Multiple PO lines: 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. Project POs: For change orders on project -related POs, this form must be approved by the Project Accounting Team as described in Supplement 508. PO Number PO-0018335 Line Number 2 Original Dollar Amount $65,056.00 New Dollar Amount For liquidation request, enter $0 $29,556.00 Reason Code if changed) Financial Dimensions (fund-dept- division -subdivision -main account 622-06-604-620-442010 Project Code if applicable) PROJ-319 Description of change (include budget impact) Change Order 2: Deduct contract by $35,500 for Owner to cover punch list items and close the project out with Viking Painting. 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 Change Order Request Form P018335 - CO2 1 of 3 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/14/2023 Name Becca Plantz Department Public Works BPW Date 07/25/2023 Phone Extension 5998 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer ❑ Officer Name Cynthia Simmons BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Michael Scmidt 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. 2 ❑ PCA ❑ Chg. Order, No. 2 ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Information Company or Vendor Name Viking Painting, LLC New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of ❑ Previous Amount U YesU If Yes, Approved by Purchasing ❑ No ❑❑ WBE Completed E-Verify Form Attached ❑ Nos Northwest Elevated Tank Improvements 122-018 Water Works Capital — Distribution /Reservoirs PROJ 319 $1,228,400.00 Lump Sum Change order 2 to deduct the contract in the amount of remaining punch list items and project closeout. For Change Orders Only — Increase $ Decrease $1 ($ 35,500.00) 055.00 Increase % Current Percent of Change: Decrease (2.89%) New Amount $ 1,185,155.00 Increase % Total Percent of Change: Decrease (3.52%) Time Extension Amount: New Completion Date: