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Home My WebLink AboutChange Order No. 1(Final) & PCA - Snow Route Sign Proj No 123-077 - Demlon LLC1316 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 December 10, 2024 Mr. Marcus Ward Demlon LLC 201 E. Broadway Street South Bend, IN 46601 demlonllckgmail.com RE: Change Order No. 1 (Final)/Project Completion Affidavit Snow Route Sign Installation - Project No. 123-077 Dear Mr. Ward: At its December 10, 2024 meeting, the Board of Public Works approved the Final Change Order for this project, be decreased by $1,350. The final contract amount is $43,650. In addition, the Project Completion Affidavit for this project was approved in the amount of $43,650. 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/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou crry of SOUTH REND, INDIANA BOARD OF PUBLIC WORKS PROJECT' COMPLETION AFFIDAVIT P ROJECT NAME Snow Route Sign Installation PROJECT NO 1231-077 FINAL COST $43,650.00 CONTRACT SIGNED 5/31/2024 MAINTENANCH, AGREEMENT ENDS PROJECT DESCRIPTION Install snow mute signv in locations outlined in contract WnNE-iSSETH: i'he work under the above contact bOween the (:sty of South Heed and the undersigned contractor haviing been oompkted, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, end that the contractor performed the wank within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract FX this 3c) day Qr IJ WA evy) b e,r ,zoo Ll Vat A 1 SJ L Printed Name WITNESSESS: DeTnIon LLC company N e 201 E. Broadway Street Company Address South Bend, IN 46601 City, State, Zip ed Notary Public in and for said country and state, personally apt and acknowledged his/her signature to the above Project Completi Z y of Ac& : 2024 Notary Signature fis��;c�. Printed Name My Commission Expires County of residence 3 AffidavitCallefla Strickland Nourf Public Seal State of Indigiria t. Joseph County Comm' sort Numbef NP0739734 If the Conwacwr is a corporation, she fbIlowing certificate will be executed. ' ,certify that I am Secretary of the Corporation executing this release; that ,- who signed this release on behalf of the conumcor was then of said Corporation; that said release was duly sigaed for and an behalf of said Cou*mon by Authority of its goveming body, and is within the scope of corporate powers: Secretar/s Sipatm Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This PrOjed is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. � Dom; 12/3/2024 Com- Ocfion Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President 49�� 6T.5;7�� Gary A. Gilot, Member Joseph R. Molnar, Vice President Briana Micou, Member � _e�v Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: December 10, 2024 SOUTH BF+I CITY OF SOUTH BEND, INDIANA °4 DEPARTMENT OF PUBLIC WORKS _ PROJECT CHANGE ORDER DATE: 10/14/2024 PROJECT NO: 123-077 PROJECT NAME: Snow Route Sign Installation CONTRACT DATE: 5/31/2024 CHANGE ORDER NO: 1 (Final) SUBJECT OF CHANGE ORDER: PCR #1-3 Signs Could not be Installed due to Location All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 45,000.00 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 45,000.00 By this Change Order, the project amount is Increased Decreased $ 1,350.00 The new contract sum including this change order $ 43,650.00 This Change Order represents a total change of -3.00 % Total change for entire project -3.00 % Original contracted completion date/time Extension of date/time by previous change orders Date/time extension by this change order New completion date/time r Signature Printed Name and Title Demlon LLC Company Name 201 E. Broadway Street Address South Bend, IN 46601 City, State, Zip 9/28/2024 0 days 0 days 9/28/2024 RECOMMENDED FOR APPROVAL /1k& Z-aw Gtr CON )TRUCTION MANAGER CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS 1w� a Elizabeth A. Maradik, President Gary A. Gilot, Member P'2, .4 9�-� Murray L. Miller, Member M/, Joseph R. Molnar, Vice President Briana///Micou, Member �'4 Attest: Theresa M. Heffner, Clerk Date: December 10, 2024 of Indiana* Conly Of SSO lja�C� be� duly 6110f� tbat fWshe Is (he OWV1 -P � (Names of Ofaw)(rifle) Of 1-U 1U LP.-� laving cnatn*-d WfthftM (Contractor) (Owner) tD fWldMh candle ocVor labor as followtas 5►^r� i� C'oJ i'2. S rs Gt C V?��7i.t' -- A 0 e 1c, 123 �rr+�rne orr�o�� IG�i (4. V- I Ito L I-P4 tl P SeI 1-k2 VA (PARnAL WArnR) thst them is d Ue m tho Conlmctor 0 AqvjwMrd OVI& OjAf V*xt 4iAd P.vl4 l P+f" 1:1 rccoipt of which is herby aclaxowledgad; or 8 the a�m of Doll�ta ei2.1 71111q'�' 01?1 the paynw:,, of which fin bear promised as the sole consedecadon for this Affidavit aad Final Waiver of Lien which is given soidy with act to said amount, and which waiver aball be affective only upmn receipt of peymmt thereof by the tmdasigned; (FINAL WAIVER) that the bnel tx1anco due from the wi3traccor h the awn of j (S q3 ❑ receipt ofwhiaL is hmby acknowledged; or *e paymeat of which bew m the sole cmsidarati A. be affeefive o* upzi =6MPT Of Swh payment for thin Affidavit and Final Wiflvwp of Uen which shnli I - {*Al } y ■y 3■ 4 * I ■` � y` ai AL Wlview� ��?Ld1J LAC, My co=issioa Expires; R"Ming In _ dars for said project, and within tho scope of this Affidavit By (Authozi Reprosrntative) SS#P JVM, e Notary POW, In er►d for asid Counly teed Slat% penwally appeared ' -- Notay Public Signatum 0 Notary Public Nasm Caderia Strick1snd jljgjSIj' Publici t JOh County $%MA;k6fOf1 NOMUff PG?4 7 4 r i BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/03/2024 Name Kvle Ludlow Department Public Works BPW Date 12/10/2024 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 New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Information Demlon LLC U Yes U If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Snow Route Sign Installation 123-077 Local Road & Street PR-00033189 & 00033186 PO-0032222 & 0032223 $43,650.00 Purpose/Description _Project Closeout and Deduct Change Order For Change Orders Only Amount of Increase $ Previous Amount ® Decrease ($ 1,350. $ 45,000.00 Increase % Current Percent of Change: Decrease New Amount $ 43,650.00 Increase Total Percent of Change: Decrease Time Extension Amount: 0 Days New Completion Date: 9/28/2024 .00% .00%