HomeMy WebLinkAboutChange Order No 1 & PCA - Pure Green Farms Site Improvements Proj No. 121-056 - C&E Excavating1316 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
August 13, 2024
Mr. Thad Bessinger
C&E Excavating, Inc.
53767 CR 9
Elkhart, IN 46514
timbkcandeexcavating com
RE: Change Order No. 1 (Final)/Project Completion Affidavit
Pure Green Farms Site Improvements - Project No. 121-056
Dear Mr. Bessinger:
At its August 13, 2024 meeting, the Board of Public Works approved the Final Change
Order for this project, be decreased by $64,145.50. The final contract amount is $314,655.50.
In addition, the Project Completion Affidavit for this project was approved in the amount
of $314,655.50. 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,
Is/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou
rr n
CITY OF SOUTH BEND, INDIANA `
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE: 6/25/2024
PROJECT NO: 121-056
PROJECT NAME: Pure Green Farms Site Improvements
CONTRACT DATE: 7/25/2023
CHANGE ORDER NO: 1 (Final)
SUBJECT OF CHANGE ORDER: PCR #1-Final Quantities
All items completed substantially as planned.
See attached Comparison of Estimate for overruns and underruns.
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
$
378,801.00
$
0.00
$
378,801.00
[] Increased
XJ Decreased
$
64,145.50
$
314, 655.50
-16.93 %
-16.93 %
11 /1 /2023
0 days
0 days
11 /1 /2023
RECOMMENDED FOR APPROVAL
�5r"& ! fife'
CQJiSTRUCTION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
C&E Excavating, Inc.
Company Name
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
53767 CR 9
Address
Elizabeth A. Maradik, President
Elkhart, IN 46514
City, State, Zip
Gary A. Gilot, Member
a 7',-4
Murray L. Miller, Member
�7�t
Joseph R. Molnar, Vice President
Briiaa�naa Micou, Member
Attest: Theresa M. Heffner, Clerk
Date: August 13, 2024
ysKi�
CITY OF SOUTH BEND, INDIANA.
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Pure Green Farms Site Improvements
PROJECT NO 121-056 FINAL COST $314,655.50
CONTRACT SIGNED 7/25/2023 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Site improvements and lot development at Pure Green Farms.
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 day of 1202
nature
bcgar-, SItAA-
Printed Name
C&E Excavating,Inc.
Company Name
53767 CR 9
Company Address
Elkhart, IN 46514
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
rtbir and acknowledg his/her signature to the above Project Completion Affidavit on
the , — day of 202
N •Signal e , a-[�e My Commission Expires
Printed Name County of Residence
`ribk=pVLV�
If the Contractor isa corporation, the following certificate will be executed.
I ! _ 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 A thority of its governing body, and is within the scope of corporate powers:
CRISTOL MELODY VALDEZ
l8= Notary Public, State of Indiana
Secretary's Signa'b re Elkhart County Co orate Seal
Commission # 696906
-� � ^F� �c<z �—• �3ln�s Der 'LS My Commission Expires
Printed d am February 20, 2025
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: 8/2/2024
Co ruction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
VIL4
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Briana Micou, Member
�4
Attest: Theresa M. Heffner, Clerk
Date: August 13, 2024
Final Waiver of Lien
State ofIndiana, County of _ 7E 1K1-1014- SS:
being duly sworn that he/she is they t c_e_. �t e.S► er
(Name of Officer) (Title)
Of (L LE EY AVATT-m1-, ZMc having contracted with City of South Bend
(Contractor) (Owner)
to furnish certain materials andlor labor as follows-,
(Description)
for a project known as _ Pier o;,r
(Name of Project)
located at R 2 o W . C c kVe.,e-L �X ►ye, 5v�,4- -& ,-A
and owned by City of South Bend
(Owner)
and does hereby further state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars
❑ 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 is given
solely with respect to said amount, and which waiver sball be effective only upon receipt of payment thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
AAsnclru4 1]rnz,�-e 41,reo �1rDD ($74te 3.qx)
❑ 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 sbali
become effective only upon receipt of such payment.
THBREFORE, 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 as account of labor or material or both, famished 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.
E 1E�(G4Vta.�tin ANC..
(F I_ M E L D A L D E L Authorized Representative)
STATBOFINDIANA ) �blic. Stale of Indiana
�; i +khartCounty
SS: , . ,-ission#696906
ST. JOSEPH COUNTY ) emission Expires
Before me, the undersigned, a N Public In and for said Ala lly appeared
and acknowledged the execution of the fbragoffg—A]TkfaviFaff d. Waiver of Lien.
INIWHMSS WkI1;1tEOF, I have hereunto subscribed my ame and affixed my o cial seal on the r day of
Z82( I i I �4h wz�) -
bllc Si
My Commission Expires: d-` a V
Residing in fA-lw�- County, Notary Public Name
MAINTENANCE BOND
Bond No. $12109
KNOW ALL MEN BY THESE PRESENTS:
C & E Excavating, Inc.
That 53767 County Road 9 N Elkhart IN 46514
as Principal, hereinafter called Contractor, and Em to ers Mutual Casualty Company
P.D. Box 712 . Des Moines. IA 5030E-0712 , as Surety, hereinafter called Surety, are held
and firmly bound unto city Of South Bend- QoaWJQf-PWbIic--W-Q[�s
227 W Jefferson Blvd South Bend, IN 46601 , as Obligee, hereinafter
called Owner, in the penal sum of TNE!y One Thousand Four Hundred Sixty Six Dollars and 001100
Dollars for payment whereof Contractor
and Surety bind themselves, their heirs, executors, administrators, successors, and assigns,
jointly and severally, firmly by these presents.
WHEREAS, Contractor has constructed various public improvements:
Pure Grs PN: 121-056
in accordance with the General Conditions, the Drawings and Specifications, which Plans are by
reference incorporated herein, and made a part hereof, and is referred to as the Plans.
NOW, THEREFORE, the condition of this obligation is such that, if Contractor shall remedy any
defects due to faulty materials or workmanship, and pay for any damage to other work resulting
therefrom, which shall appear within a period of (3) Three I1< from the date of substantial
completion of the work provided for in the Plans, then this obligation to be void; otherwise to
remain in full force and effect,
PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed
defects with reasonable promptness.
SIGNED and scaled this 14th day of June 12024
In the presence of:
f
C & E Excavating, Inc.
Principal (Seal)
By: -
el -1 i 5 c- 7 e'? 6-A . Title
,..•`;;;uaL'', •,
Employers Mutual Casualty Company
`�p40RgTi�•:
Surety
o *
SEAL
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y:
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Trade House Attomey-in-Fact
P.O. Box 712 - Des Moines, Iowa 50306-0712
CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY -IN -FACT
KNOW ALL MEN BY THESE PRESENTS, that:
1. Employers Mutual Casualty Company, an Iowa Corporation
2. EKASCO Insurance Company. an Iowa Corporation
3. Union Insurance Company of Providence, an Iowa Corporation
%emc
INSURANCE
4. Illinois EMCASCO Insurance Company, an Iowa Corporation
5. Dakota Fire Insurance Company, a North Dakota Corporation
6. EMC Property & Casualty Company, an Iowa Corporation
hereinafter referred to severally as 'Company' and collectively as 'Companies", each does, by these presents, make, constitute and appoint;
Tracie House
its true and lawful attorney -in -fact, with full power and authority conferred to sign, seal, and execute the following Surety Bond:
Surety Bond Number: S012109
Principal C & E Excavating, Inc.
Obligee City Of South Bend, Board of Public Works
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company, and all
of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
AUTHORITY FOR POWER OF ATTORNEY
This Power-of-Attomey is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at the
first regularly scheduled meeting of each company duly called and held in 1999:
AESOLVED: The President and Chief Executive Officer, any Vice President, the Treasurer and the Secretary of Employers Mutual Casualty Company shall have
power and authority to (I y appoint attorneys -in -fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto, bonds
and undertakings, reeognizances, contracts of indemnity and other virdings obligatory in the nature thereof; and (2) to remove any such atto rn ey-n -fact at any time
and revoke the pourer and authority given to him or her. Attorneys -in -fact shall have power and authority, subject to the terms and fimitations of the power-of-attomey
issued to them, to execute and deliver on behalf of the Company, and to attach the seal of the Company thereto, bonds and u n derlakings. recognizances, contracts of
indemnity and other writings obligatory in the nature thereof, and any such instrument executed by any such attomey-in-fact shall be fully and in all respects binding upon
the Company. Certification as to the validity of any power -of -attorney authorized herein made by an officer of 'Employers Mutual Casualty Company shall be fully and in all
respects binding upon this Company- The facsimile or mecMnically reproduced signature of such offer, whether made heretofore or hereafter, wherever appearing upon
a cenified copy of any power-of•anomey of the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed.
IN WITNESS THEREOF, the Companies have caused these presents to be signed for each by their officers as shown, and the Corporate seals to be hereto affixed this
1911 day of September, 2022. f
f
Seals --
,.,
it R. Jean, sident & CEO Todd Strother,Executive Vice President
"" '' •: , `cauP,rr•;. �:� + `{a ;. of Company 1 airman, President Chief Legal Officer &Secretary of
& CEO of Co anies 2, 3, 4, 5 & 6 Companies 1, 2, 3, 4, 5 & 6
s��•SEAL-=� ��1803.=a'=;,i 1853�'�'
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qq KATHY LAYFAIDGE
>�``` IcorrmiF"Nmtw790?49
k�
On this 19, day of 5epember, 2022 before me a Notary Public 0 and for the State of Iowa,
personally appeared Scott R. Jean and Todd Strotfter, who, being by me duly sworn, did
say that they are, and are known to me to be the CEO, Chairman, President, Executive Vice
President, Chief Legal Officer andlor Secretary, respectively, of each of the Companies
above: that the seals affixed to this instrument are the seals of said corporations, that said
Instrument was signed and sealed on behalf of each of the Companies by authority of their
respective Boards of Directors: and that the said Scott R. Jean and Todd Strother, as such
officers, acknowledged the exec ulion of said instrument to be their voluntary act and deed,
and the voluntary act and deed of each of the Companies.
My Commission Expires October 10, 2025.
Notary Vublic in and for the State dr Iowa
CERTIFICATE
I, Ryan J. Springer, Vice President of the Companies, do hereby certily that the foregoing resolution of the Boards of Directors by each of the Companies, and
this Power of Attorney issued pursuant thereto on 19" day of September, 2022. are true and correct and are still in full force and effect.
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 14th day of June 2024
Vice President
7853 (9-22) 0000000-NA 00000 000 SSS 000000 "For verification of the authenticity of the Power of Attorney you may call (515) 345-7548."
CONSENT OF SURETY
OWNER
❑
TO FINAL PAYMENT
ARCMTrCT
D
CONTRACTOR
❑
AIA Document G707
SURETY
K)
OTHER
❑
TO OWNER: ARCHITECT'S PROJECT NO.:
(Name arrd address)
City Of South Bend, Board of Public Works CONTRACT FOR Pure Green Farms Site
227 W Jefferson Blvd Improvements PN: 121-056
South Bend, IN 46601
PROJECT. CONTRACT DATED: July 25, 2023
(Name and addrrrsq
Pure Green Farms Site Improvements PN: 121-056
In accordance with the provisions of the Contract between the Owner and the Contracax as indimted above, the
flilwd name and addhm QfSN"!j
Employers Mutual Casualty Company
P.O. Box 712
Des Moines, IA 50306-0712
SURETY,
on bond of
()nsen nine and addreiq of Corvmuw)
C & E Excavating, Inc.
53767 County Road 9 N
Elkhart, IN 46514
CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that Mal payment to the Contractor shali not relieve the Surety of
any of its obligations to
(Hrsen newe and addrw of owner)
City Of South Bend, Board of Public Works
227 W Jefferson Blvd
South Bend, IN 46601
OWNER,
as set forth in said Surery's bond.
IN WITNESS WREREOF, the Surety has hereunto set its hand on this date: June 14, 2024
()rtueri fn ugirfjWT1 a nronrb jo)fourd kr && manerk dare anrl tear.i
n4? cpnvoq�f� .�
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Attest:
(Seal):
Employers Mutual Casualty Company
(Srar{r) J" f aFt7 .
(S�¢rratrt,�r prr� r.i�s : AAd rrprwxnrafirr)
Tracie House, Attorney -in -Fact
(hYnied game and fire)
G707--1994
P.O. Box 712 • Des Moines, Iowa 50306-0712
CERTIFICATE OF AUTHORITY INDIVIDUAL ATTORNEY -IN -FACT
KNOW ALL MEN BY THESE PRESENTS, that:
1. Employers Mutual Casualty Company, an Iowa Corporation
2. EMCASCO Insurance Company, an Iowa Corporation
3. Union insurance Company of Providence, an Iowa Corporation
%emc
INSURANCE
4. Illinois EMCASCO Insurance Company, an Iowa Corporation
5. Dakota Fire Insurance Company, a North Dakota Corporation
6. EMC Property & Casualty Company, an Iowa Corporation
hereinafter referred to severally as 'Company' and collectively as "Companies", each does, by these presents, make, constitute and appoint:
Tracie House
its true and lawful afforney-in-fact, with full power and authority conferred to sign, seal, and execute the following Surety Bond:
Surety Bond Number: SO12109
Principal C & E Excavating, Inc.
Obligee City Of South Bend, Board of Public Works
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company, and all
of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
AUTHORITY FOR POWER OF ATTORNEY
Tips Power-of•Altomey is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at the
first regularly scheduled meeting of each company duly called and held in 1999:
RESOLVED: The President and Chief Executive Officer, any Vice President, the Treasurer and the Secretary of Employers Mutual Casualty Company shall have
power and authority to (i ) appoint attorneys -in -fact and authorize them to execute on behalf of each Company and attach the seat of the Company thereto, hands
and undertakings, reoognizances. contracts of indemnity and other writings obligatory in the nature thereof: and (2) to remove any such attomey-m-fact at any lime
and revoke the pourer and authority given to him or her. Attomeys-in-fact stulI have power and authority, suNect to the terms and limitations of the power -of -attorney
issued to them, to execute and deliver on behalf cf the Company, and to attach the seat of the Company thereto, bonds and undertakings, recognizances, contracts of
indemnity and other writings obligatory in the nature thereof, and any such instrument executed by any such atto mey-i n-fact shall be fully and in all respects binding upon
the Company. Certification as to the validity of any power -of -attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all
respects Minding upon this Company. The Iacsimile or mechanically reproduced signalufe of such officer, whether made heretofore or hereafter, wherever appearing upon
a certified copy of any power-of-attomey of the Company, shall be vatfd and binding upon the Company with the same force and effect as though manualk affixed.
IN WITNESS THEREOF, the Companies have caused these presents to be signed for each by their officers as shown, and the Corporate seals to be hereto affixed this
1911 day of September, 2022.
Seals
colt R. Jean, sident & CEO Todd Strother, Executive Vice President
........... of Company 1 airman, President Chief Legal Officer & Secretary of
_.q L,�% ; t : ����°•.,,• = 6; : w°°� ry : & CEO of Co n€es 2, 3, 4, 5 & 8 Companies 1, 2, 3, 4, 5 & 6
;SEAL_ c- 1863 =e19536=Y
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'�,IiDWi.'i . '��h�'� j7�A` . * RYA %.•.
SEAL SEAL g SEAL '2
y : : A
Y,
KATHY LAVERIDGE
Ccommem wants 790769
a* October 10,�zvfs
On this 1 g" day of September, 2022 before me a Notary Pubiic in ar(i for the State of Iowa,
personally appeared Scots R. Jean and Todd Strother, who, being by me duly swom, did
say that they are, and are knmvn to me to be the CEO. Chairman, President, Executive Vice
President, Chief Legal officer and/or Secretary, respectively, of each of the Companies
above; that the seats affixed to this instrument are the seals of said corporations: Ihat said
instrumerfl was signed and sealed on behalf of each of the Companies by authority of their
respective Boards of Directors: and that the said Scott R. Jean and Todd Strcther, as such
officers. acknowledged the execution of said instrument to be their votuntary act and deed,
and the voluntary act and deed of each of the Companies.
My Commission Expires October 10, 2025.
Notary ublic in and for the State Iowa
CERTIFICATE
I, Ryan J. Springer, Vice President of the Companies, do hereby celify that the foregoing resolution of the Boards of Directors by each of the Companies, and
this Power of Attorrey issued pursuant thereto on 19" day of September, 2022, are true and correct and are still in lull force and effect.
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 14th day of June 2024
Z.
Vice President
7853 (9-22) 0000000-NA 00000 000 SSS 000000 "For verification of the authenticity of the Power of Attorney you may call (515) 345-7548."
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 08/02/2024
Name Kvle Ludlow Department Public Works
BPW Date 08/13/2024 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
Company or Vendor Name C&E E.
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Information
U Yes U If Yes, Approved by Purchasing
® No
MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos
Pure Green Farms Site Improvements
121-056
River West DA TIF
PR-00021363 PO-0025184
$314,655.50
Purpose/Description _Project Closeout and Change Order
For Change Orders Only
Amount of ❑ Increase $
® Decrease ($ 64,145.50)
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
$ 378,801.00
Increase %
Decrease
$ 314,655.50
Increase
Decrease
0 Days
ll/l/2023
16.93%
16.93%