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Home My WebLink AboutChange Order No 1 & PCA - SRTS - Our Lady of Hungary Neighborhood Tree Removal Proj No. 122-007B - K&R Tree Service1316 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 April 23, 2024 Mr. Kevin J. Kenney K&R Tree Service LLC 1724 S. Grant St. South Bend, IN 46613 treecutterkevkyahoo. com RE: Change Order No. 1 (Final)/Project Completion Affidavit Safe Routes to School - Our Lady of Hungary Neighborhood Tree Removal Project No. 122-007B Dear Mr. Kenney: At its April 23, 2024 meeting, the Board of Public Works approved the Final Change Order for this project, be decreased by $1,419. The final contract amount is $27,390. In addition, the Project Completion Affidavit for this project was approved in the amount of $27,390. 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 MURRAY L. MILLER BRIANA N. MIcou CITY OF SOUTH BEND, INDIANA DEPARTMENT OF PUBLIC WORKS PROJECT CHANGE ORDER DATE: 3/22/2024 PROJECT NO: 122-007B PROJECT NAME: CONTRACT DATE: CHANGE ORDER NO: SUBJECT OF CHANGE ORDER: Our Lady of Hungary Tree Removal 2/13/2024 1 _ _ Balancing change order; one tree was taken down prior to project The original contract sum $ 28,809.00 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 28,80 9.00 By this Change Order, the project amount is Increased 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 ntract i ature T� Ot "'? `S , k-f-VI J1 e 4 U rinted Name and Title K&R Tree Service LL Company Name iJ�L\ s crck(AS . Address LLc,13 City, State, Zip XJDecreased $ 1,419.00 $ 27,390.00 -4.93 % -4.93 % 3/12/2024 0 days 6 days 3/18/2024 RECOMMENDED FOR APPROVA= CONSTRUCTION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS lw,0 Elizabeth A. Maradik, President ,ag, at� Gary A. Gilot, Member pz". ' 4 m-'r-" Murray L. Miller, Member �� 1 Joseph R. Molnar, Vice President Briana Micou, Member Attest: Theresa M. Heffner, Clerk Date: April 23, 2024 FINAL WAIVER OF LIEN being duly sworn that he/she is the t5 u> ri C-V, (Name of Officer) (Title) of Pe5, _%C,piQ�Aptr.esdeC� having contracted with 0 SUA (Subcontractor/Suppllier) (Contractor) to furnish certain materials and/or labor as follows: e dQ a (ides ription) for a project known as i!>m .r located at and owned by (Nameof Prdect) (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: FINAL WAIVER that the final balance due from the contractor is the sum of / �Sy ($ �• et r^cam Bert S C� f+[ �.� t Ldrt.L ivcr •— �„��,� .ajC� } (Amount Written Out) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a lien on account of any work performed or material famished to the undersigned for said project, and within the scope of this Affidavit and Waiver of Lien. "5�n)j r_ Date �r By ized Representat' e} STATE OF t� } ) SS: 5( ��COVNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared 41 aI o Ka? and acknowledged the execution of the foregoing Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my offi al seal onthe �� day of M rc In"_ 2 y . " Y_. .. _ h\ ) �. . A' A My Commission Expires: NotaJy Public Signature LL � _ Residing in J' - . for "'Ph �� 414 I LAURA D. HENSLEY Notary Public Name Notary Public - Seal St Joseph County - State of Indiana Commission Number NP0732150 My Commission Expires Mar 3, 2029 CITY OF SOUTH BEND, IND.IANA �y BOARD OF PUBLIC WORKS - PROJECT COMPLETION AFFIDAVIT PROJECT NAME Our :Lady of Hungary Tree Removal PROJECT NO 122-007B FINAL COST $27,390.00 CONTRACT SIGNED 2/13/2024 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Tree removal in Our Lady of Hungary neighborhood 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 demands whatsoever 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 �2 4 day of rJA 12024 K&R Tree Service Company Name L gna a 1124 a j:'J's ' Compa Address jr Printed Name 'Sc' L-4pek I i City, State, Zip WITNESSESS: _Aare me, a uncle i ed Notary Public in and for said country and state, personally appeared `[�[�1j'("wj and acknowledged his/her signature to the above Project Completion Affidavit on Mdbw the 01 day of 202_HANGIE WRIGHT Notary Public - Seal St J sa County - State of Indiana Not Signa&re My Commission Expires umber NP0746217 031 Printed NarAe County of Residence , , If the Contractor is a corporation, the following certificate will be executed. certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Printed Name Corporate Seal 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 vl�a Elizabeth A. Maradik, President Gary A. Gilot, Member q 4 7-11- Joseph R. Molnar, Vice President Briana Micou, Member Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: April 23, 2024 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date: Name 4/l/2024 Gemma Stanton Department of Public Works — Engineering Division BPW Date: April 23, 2024 Phone Extension: 9083 Required Prior to Submittal to Board BPW Attorney Attorney Name 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 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 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 ❑ Yes❑ If Yes, Approved by Purchasing ❑ No E] MBE ❑ WBE Completed E-Verify Form Attached El Yes n No Safe Routes to School — Our Lady of Hungary Neighborhood Tree Removal 122-007B PO-0029610 324-10-102-121-442001—PROJ00000339 Project closeout and balancing change order. Amount of Increase $ ® Decrease ($ 1419) Previous Amount $ 28,809 Increase % Current Percent of Change: Decrease (4.93%) New Amount $ 27390 Increase % Total Percent of Change: Decrease (4.93%) Time Extension Amount: New Completion Date: