HomeMy WebLinkAboutChange Order No 4 - Beacon Health Parking Lot Proj No 123-076A - Indiana EarthCITY HALL
215 S. MARTIN LUTHER KING JR. BLVD.,
SUITE 400
SOUTH BEND, INDIANA46601-1830
PHONE 574/235-9251
FAX 574/ 235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
November 25, 2025
Mr. Mark Osler
Indiana Earth, Inc.
10343 McKinley Hwy.
Osceola, IN 46561
estimatorindianaearth@yahoo.com
RE: Change Order No. 4 - Beacon Health Parking Lot - Project No.123-076
Dear Mr. Osler:
At its November 25, 2025 meeting, the Board of Public Works approved the above
referenced Change Order be increased by $28,446, bringing the revised contract amount
to $2,679,067.97.
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/ Hillary Horvath
Hillary Horvath, Clerk
Enclosures
HH
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARYA. GILOT MURRAY L. MILLER BREANA N. MICOU
CITY OF SOUTH BEND, INDIANA _
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE:
11 /4/2025
PROJECT NO:
123-076A
PROJECT NAME:
Beacon Health Parking Lot
CONTRACT DATE:
1/28/2025
CHANGE ORDE i
SUBJECT OF CHANGE ORDER:
4
PCR #9-Additonal work PCR #10-Added Light Pole
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 co.m.pletlion dateWtirn
Contractor Signature
M% UL 6)5iOp{jbi'r�
Printed Name and Title
Indiana Earth
Compa y Name
10343 McKinley Hwy
Address
Osceola, 1-N46561
City, State, Zip
RX Increased
Decreased
7/3/2025
36 days
0 days
/sa/2g25
$ 2,367,090.00 ° 1/
$ 283,531.W
$ 2,650,621.9.
J
$ 28,446.00 '�2c
2,679,067.97- I
1.07 %
13.18 %
RECOMMENDED FOR APPROVAL
CONSTRUCTION MANAGER
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
r, i
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
" Vf L
Joseph R. Molnar, Vice President
Breana Micou, Member
Attest: Hillary R. Horvath, Clerk
Date: November 25, 2025
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/17/2025
Name Zach Hurst Department DPW
BPW Date 11/25/2025 Phone Extension 3057
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 — 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. ❑ PCA
® Chg. Order, No. 4 ❑ 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
Information
Indiana Earth
❑ Yes ❑ If Yes, Approved by Purchasing
® No
❑❑ ❑
MBE Completed E-Verify Form Attached ❑ Yes
No
Beacon Health Parking Lot
123-076A
River West DA TIF
PO-0036234
This change: $28,446; Revised Amount: $2,679,067.97
Change Order #4 adds an additional light pole ($22,891) and sawcutting and
concrete removal at a utility vault on the parcel ($5,555).
For Chance Orders Onl
Amount of ® Increase $ 28,446
❑ Decrease ($ )
Previous Amount $ 2,650,621.97
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase 1.07%
Decrease ( %)
$ 2,679,067.97
Increase 13.18%
Decrease ( %)