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Home My WebLink AboutChange Order No 1 & PCA - 2022 Curb and Sidewalk, Round II Proj No. 122-044 - Premium Concrete1316 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 March 26, 2024 Mr. Max A. Yeakey Premium Concrete Services, Inc. 712 Richmond St. Elkhart, IN 46516 rbecker(kpremiumconcreteonline. com RE: Change Order No. 1 (Final)/Project Completion Affidavit 2022 Curb and Sidewalk, Round II - Project No. 122-044 Dear Mr. Yeakey: At its March 26, 2024 meeting, the Board of Public Works approved the Final Change Order for this project, be increased by $5,016.68 with an additional one hundred sixty-four (164) days. The final contract amount is $573,021.68 with a new completion date of November 27, 2023. In addition, the Project Completion Affidavit for this project was approved in the amount of $573,021.68 with a new completion date of November 27, 2023. 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 Hefner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Theresa Heffner, Clerk Board of Public Works FROM: Gemma Stanton, Project Engineer SUBJECT: Award Project No. 122-044 2022 Curb & Sidewalk Round 2 DATE: March 11, 2024 A final balancing change order is required for the project. The change order is an additional $5,016.68 which is an additional 0.88% of the original project amount. The project was divided into four divisions with five Purchase Orders. The change requested for each PO is summarized as follows: Division PO Total Invoiced Original Contract total Amount of Change Percent of Change 1 22455 $209,178.03 $211,175.00 -$1,996.97 -0.95% 2 22627 $64,536.35 $64,025.00 $511.35 0.80% 4 23298 $215,055.60 $210,405.00 $4,650.60 2.21 % 5 22628 $67,996.90 $67,996.90 $0.00 0.00% 5b 26678 $16,254.80 $14,403.10 $1,851.70 12.86% Total $573,021.68 $568,005.00 $5,016.68 0.88% Please call with your questions (9083 phone extension). CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 12/12/2023 PROJECT NO: 122-044 PROJECT NAME: 2022 Curb and Sidewalk Round 2 CONTRACT DATE: 12/13/2022 CHANGE ORDER NO: 1 SUBJECT OF CHANGE ORDER: Balancing CO for closeout; added days for tree planting in fall 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 Printed Name and Title Company Name Address City, State, Zip $ 568,005.00 $ 0.00 $ 568,00 5.00 �x Increased Decreased $ 5,016.68 $ 573,021.68 0.88 % 0.88 % 6/16/2023 0 days 164 days 11 /27/2023 RECOMMENDED FOR APPROVAL l�tJ- C TRUCTION MANAGER CITY OF SOUTH BEND CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A, Gilot, Member Murray L, Miller, Member e�'-fft Joseph R. Molnar, Vice President Breana N, Micou, Member Attest: Laura D. Hensley, Acting Clerk Date: March 26, 2024 CITY OF SOUTH BEND, INDIANA t BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME 2022 Curb and Sidewalk Round 2 PROJECT NO 122-044 FINAL COST $573,021.68 CONTRACT SIGNED 12/13/2022 MAINTENANCE AGREEMENT ENDS 12/13/2025 PROJECT DESCRIPTION Curb and siclewallc replacement and various locations W ITN ES S ETH: 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 demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Staff the City of So h Bend which were a part of the above Contract. Exec its ' y f _ �� 12023 Prtrftw Senids Company Name S'b ature7�"- 61" -+12 e ehnnord sk RI r l/u rn U e,,, Company Address Printed N buw +, to 4b516 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared T)M&� L-i , and acknowledged his/her signature to the above Project Completion Affidavit on the C Jay of , 202-3 -PLN— No ry Signature My Commission Expires I �n 0FCTW rJ�� Printed Name County of Residence CCNA AST If the Contractor is a corporation, the following certificate will be executed. h MGx VC'ILIN certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then Ybf' tf of said Corporation; that said release was duly signed for and on behalf of said Corporation by Author of its governing body, and is within the scope of corporate powers: Secretary's S iature Corporate Seal Ma Ve14w Printed Nam— e 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: 3/18/2024 —� IY Construction Manager 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 Breana N. Micou, Member 7�— Attest: Laura D. Hensley, Acting Clerk Date: March 26, 2024 N N B _ Z N Q T Z Q rn U- Cl) IY omp wo Z::i WWt` m F - LL OOaa(0WZ � Z Wa NZLU E — CL xCQ W t-- w co QZ OO2 I—FJ5O �cnU 2 � Y � w0 U State ofludiana, County of LK qLk� SS; IM &Y VMV44 being duty sworn Via t�i she is theyi u 'Raid to p (Name of Ofpeer) (Title) of rat, t n w4It tori� having contracted with Der 2 utA Penal (Contractor) (Owner) to furnish ce►taln materials and/or labor as follows; G r Corls%rur�e� rY� }triaq y P for a project known as locAted at D•r and does hereby fi►rther state on the behalf ofthe aforementioned subcontractor/supplier; (l'ARxIAL WATVBR) tl►at there is duo from the Contractor the corn of ❑ receipt of which is hereby acknowledged; or [a the payment of which has been promised as the sole consideration 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 thereof by the undersigned; that the final balance due S•o►n the contractor is the stun of ..r at 1 ❑ receipt of which is hereby aclrnowledged; or [U0the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only uponreccipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of sold premises, any and all liens or claims whatsoever en the above -described properly and improvements thereon au account of labor or material or both, furnished b We undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified thatno other party has any claim or right to a lion on account of any work performed or material furalshed to the undersigned for said project, and wlthin the scope of this Affidavit and Waiver of Lien. STATE OF • sst STo JOSEPH COUNTY ]Before me, the undersigned, a NowryK. and acknowledged the execution :.. in WITNESS WHEREOF,: .'d my name and affixed my officialon the day o 20213 lvly Commission fixpiras: awl �i � � �_� ��-� . Residing in L , County, . W Dl R �3j� JANEE M TOWNER NOTARY PUBLIC i SEAL I ELKHART COUNTY, STATE OF INDIANA MY COMMISSION EXPIRES FEBRdJARY 12, 2026 COMMISSION NO.710399 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date: Name March 11.2024 Gemma Stanton Department of Public Works — Engineering Division BPW Date: March 26, 2024 Phone Extension: 9083 Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing 0 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 ❑X C/O & PCA No. ® PCA ® Chg. Order, No. 1 ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description uired Information Premium Concrete ❑ Yes If Yes, Approved by Purchasing ® No F] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2022 Curb and Sidewalk Round 2 122-044 2022 Curb/SW Program: ARP Neighborhood Infrastructure 101-04-040-040-439001-ARP004-PROJ00000334 $573,021.68 Unit price Change Order #I and PCA for project closeout Amount of ® Increase $5,016.68 (total across all divisions ❑ Decrease ($ ) Previous Amount $ 568,005 Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase 0.88 % Decrease ( %) $ 573,021.68 Increase % Decrease ( %)