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Home My WebLink AboutChange Order No 1 - 2022 CCMG Road Rehabilitation Proj No 122-024R - Milestone Contractors North Inc (1)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 TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS November 28, 2023 Mr. Dustin Hilary Milestone Contractors North, Inc. 24358 State Road 23 South Bend, IN 46614 akrueger(kmilestonelp.com, dhilarykmilestonelp.com RE: Change Order No. 1 2022 CCMG Road Rehabilitation - Project No. 122-024R Dear Mr. Hilary: At its November 28, 2023 meeting, the Board of Public Works approved the Final Change Order for this project, be decreased by $403,604.26. 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 ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 9/26/2023 PROJECT NO: PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJECT OF CHANGE ORDER: 122-024R 2022 Community Crossings Roadway Rehabilitation 8/9/2022 1 (Final) PCR #1-Replace Division 2 & 3 Storm Sewer Pipe PCR #2-Replace Division 2 & 3 Storm Inlets PCR #3-Reduce Subgrade Prep PCR #4-Reduce Paving Items PCR #5-Jackson School Approach Revisions All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 4,970,000.00 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 4,970,000.00 By this Change Order, the project amount is ❑ Increased X❑ Decreased $ 403,604.26 The new contract sum including this change order $ 4,566,395.74 This Change Order represents a total change of -8.12 % Total change for entire project -8.12 % 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 Printed Name and Title Milestone Contractors North, Inc. Company Name 24358 State Road 23 Address South Bend, IN 46614 City, State, Zip 8/31 /2023 0 days 0 days 8/31 /2023 RECOMMENDED FOR APPROVAL l COY§TRUCTION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS 1*94 Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member /� 1 Joseph R. Molnar, Vice President Briana MMiicou, Member Attest: Theresa M. Heffner, Clerk Date: November 28, 2023 P,i,l Milestone AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA SS: COUNTY OF ST. JOSEPH FINAL Payment to Follow John Conway being duly sworn states that he is the Project Accountant of Milestone Contractors North, Inc. having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: ROADWAY REHABILITATION for a project known as COSB 2022 CCMG ROAD REHAB (MCLP Job# 229718) located at SOUTH BEND, IN and owned by CITY OF SOUTH BEND and does further state: FINAL WAIVER: that the final balance due from the owner is the sum of three hundred eighty thousand seven hundred sevenh• and 651100 Dollars the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the above -described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this affidavit and waiver. Milestone Contractors North, Inc. n Conway Project Accountant Subscribed and sworn to before me this: 22nd day of November, 2023 Notary Public: Alisha Krue r My Commission Expires: June 5, 2030 .... "�i ALISHA KRUEGER • `�; My Commission Expires County of Residence: La Porte 1*• SEAL :* June 5, 2030 Comrrdssion Number NP0653544 La Porte County BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/21/2023 Name Kvle Ludlow Department Public Works BPW Date 11/28/2023 Phone Extension 9157 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Re uired or 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. 1 ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution n Other: n Ease. /Encroach Required Information Company or Vendor Name Milestone Contractors North, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description U Yes U If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2022 CCMG Road Rehabilitation 122-024R GCMG, River West TIF, South Side Development TIF,Tax Incremental Development Fund. Council Appropriation PROJ- 00016955 PO-0018944 $4,566,395.74 Closeout For Change Orders Only Amount of ❑ Increase $ ® Decrease ($ 403,604.26) Previous Amount $ Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease 12% $ 4,566,395.74 Increase % Decrease (8.12%)