HomeMy WebLinkAboutChange Order No 1 - VPA Athletic Courts Renovations, Phase III Proj No. 123-040 - Milestone
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT ALEXANDRA DOLZ-LANE 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 14, 2023
Mr. Mike McDonald
Milestone Contractors North, Inc.
24358 State Road 23
South Bend, IN 46614
akrueger@milestonelp.com
RE: Change Order No. 1 – VPA Athletic Courts Renovations, Phase III
Project No. 123-040
Dear Mr. McDonald:
At its November 14, 2023 meeting, the Board of Public Works approved the above
referenced Change Order be increased by $44,212.50, bringing the revised contract amount to
$505,059.05.
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
November 14, 2023
Milestone Contractors North, Inc
1700 East Main Street
Griffith, IN 46319
USA
City of South Bend
Purchase Order
PO-0024691PO number:
Date:
Vendor account:
Project number:
7/3/2023
V-00001789
PROJ00000414
Vendor:Park Maintenance Facility
1020 High Street
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:1
Line number Quantity Unit Description Unit price Amount
1 450,000.00 EA Athletic Court Paving 1.00 450,000.00
Charges:$0.00
Total in USD:$450,000.00
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 24691
Line Number Add line #2
Original Dollar Amount $0.00
New Dollar Amount
(For liquidation request, enter $0)$10,846.55
Reason Code (if changed)SV-ES
Financial Dimensions (fund-dept-
division-subdivision-main account)201-11-206-273-445003--PROJ00000414
Project Code (if applicable)PROJ00000414: Project Category 201-445003
Description of change (include
budget impact)PR was not adjusted to the approved award amount prior to BPW award
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)(PAT member's name and date to be completed by PAT member)
PO Number 24691
Line Number Add line #3
Original Dollar Amount $0.00
New Dollar Amount
(For liquidation request, enter $0)$44,212.50
Reason Code (if changed)SV-ES
Financial Dimensions (fund-dept-
division-subdivision-main account)201-11-206-273-445003--PROJ00000414
Project Code (if applicable)PROJ00000414: Project Category 201-445003
Description of change (include
budget impact)Change Order #1. For alternate resurfacing for Keller athletic court.
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.
PO24691- Change Order Request Form 1 of 3
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/09/2023
Name Patrick Sherman Department Public Works
BPW Date 11/14/2023 Phone Extension 5601
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Michael Schmidt
Dept. Attorney Attorney Name
Purchasing Mickey Lovy
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. 1 Traffic Control Resolution
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 VPA Athletic Courts Renovations, Phase 3
Project Number 123-040
Funding Source PROJ00000414
Account No. 201-11-206-273-445003--PROJ00000414
Amount $44,212.50
Terms of Contract Public Bid
Purpose/Description Change order for alternate resurfacing scope for Keller Basketball Court
For Change Orders Only
Amount of
Increase
Decrease
$ 44,212.50
($ )
Previous Amount $ 460,846.55
Current Percent of Change:
Increase
Decrease
9.59%
( %)
New Amount $ 505,059.05
Total Percent of Change:
Increase
Decrease
9.59%
( %)
Time Extension Amount: 0
New Completion Date: 11/17/2023