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Home My WebLink AboutChange Order No 1 (Final) PCA - Colfax Avenue and Hill Street Improvements Div A - TGB Unlimited1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 5HoUTB 01 d U t J865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS July 12, 2016 Mr. Gene Mann TGB Unlimited dba S/T Bancroft Electric 25020 State Road 2 South Bend, IN 46619 PHONE 574/235-9251 FAX 574/235-9171 RE: Change Order No. 1 (Final)/Project Completion Affidavit Colfax Avenue and Hill Street Improvements, Division A — Project No. 114-018A Dear Mr. Mann: The Board of Public Works, at its meeting held on July 12, 2016, approved the Final Change Order for this project, for a decrease of$13,342.25. The new Contract sum is $124,181.43. In addition, the Project Completion Affidavit for this project was approved in the amount of $124,181.43. Copies of the Change Order and Project Completion Affidavit are enclosed for your records. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Enclosures Sincerely, *A-71r� Linda M. Martin, Clerk GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU CITY OF SOUTH BEND, INDIANA SOIITN&F DEPARTMENT OF PUBLIC WORKS77 PROJECT CHANGE ORDER'�'�'�' 1865 DATE: 6/6/2016 PROJECT NO: 114-018A PROJECT NAME: Colfax Avenue and Hill Street Street Improvements CONTRACT DATE: 3/8/2016 CHANGE ORDER NO: 1 (Final) SUBJECT OF CHANGE ORDER: PCR #1-Quantity Adjustments All items completed substantially as planned. See attached Comparison of Estimate for overruns and underruns. The original contract sum $ 137,523.68 Net change by previously authorized change orders $ 0.00 The contract sum prior to this change order $ 137,523.68 By this Change Order, the project amount is ❑ Increased XD Decreased $ 13,342.25 The new contract sum including this change order $ 124,181.43 This Change Order represents a total change of -g 70 % Total change for entire project -9.70 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 UeMractor Si nature ( .840- �kA-AJ(Q Printed Name and Title TGB Unlimited d/b/a S/T Bancroft Electric Company Name 25020 State Road 2 Address South Bend, IN 46619 City, State, Zip 6/30/2016 0 days 0 days 6/30/2016 RECOMMENDED FOR APPROVAL CONST TION MANAGER CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Approved Date:' Gary A. Gi , Presi ent ThereseLJ. D^or u, Mmber l v Ja es A. Mueller, Member City of South Bend Project No. 114-118A OWNER: City of South Bend ENGINEER: Abonmarche Consultants, Inc. Daryl S. Knip, P.E. Professional Engineer No. 19900163 CONTRACTOR: TGB Unlimited d/b/a S/T Bancroft. PROJECT: Colfax Avenue and Hill Street Street Improvements Project No. 114-018 SUBJECT: Clarifications and Revisions to Contract Documents ISSUE DATE: May 14, 2016 Change Order No. 1 - 06/28/16 This Change Order to the Contract document shall supplement, amend, and shall become a part of, and be incorporated as an Addendum to the Contract. The following is a summary and description of the revisions to the Contract by this Change Order: 1. Reduction in final project cost. The following sections of the Contract Documents are revised as a result of the above changes: SPECIFICATIONS: XXXV. Light Pole and Luminaire, Light Pole Foundation B. Additions.: "Eliminated two light poles and one single light luminaire and one double light luminaire and including the two concrete bases. Ver. 3/16/2015 Contractor's Quote For Public Works-7 450UT g CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME Colfax Avi PROJECT NO 114-018A CONTRACT SIGNED 3/8/2016 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Install new street lighting, paint existing traffic lights, and re -stripe W ITN ESSETH: 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 22 ncj day of U n e 201 62 i Printed Name TGB Unlimited d/b/a S/T Bancroft Electric Company Name 25020 State Road 2 Company Address South Bend, IN 46619 City, State, Zip me, the undersigned Notary Public in and for said country and state, personally appeared )&. ""1111 , and acknowledged his/her signature to the above Project Completion Affidavit on the ' d d, �'v 201_[Q Lyw wt Notary igndpvMy Commissio Expir s S I 2-3� Lit l� Vl n it t rotary Laks Coemy Printed N me County of Resi y commission,ExpaL,4d#8- 2023 If the Contractor is a corporation, the following certificate will be executed. I, SC.CrN �cV)CV C certify that I am Secretary of the Corporation executing this release; that fir r)-e Mann n✓1 who signed this release on behalf of the contractor was then dice 00CVYihnnC- 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 n^ PP Corporate Seal SCOT- &InCi�;PJ Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable fo final approval and we recommend to the Board of Public Works that it be ordained so. Date: C, - I e - I Construction ager BOARD OF PUBLIC WORKS APPROVAL D Date: �. Gary A. Gilot, resident vid P. R�./ elos, Me eb r i a et A. Maradik, Member rL — - cL,E.�-- Therese J. DoWd, Mefnber Jam s A. Mueller, Member Liiri-dA M. Martin, Clerk Print Form CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN Project/ Owner Project: Hill & Colfax Project # 114-018 Address: 227 W. Jefferson Blvd. South Bend IN 46601 City State Zip Code Owner: City of South Bend TO ALL WHOM IT MAY CONCERN: Contractor Name: S/T Bancroft Electric Address: 25020 SR 2 South Bend IN 46619 City State Zip Code Contractor Licence: Contract Date: 3 / 8 /2016 For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned Contractor hereby waives, discharges, and releases any and all liens, claims, and rights to liens against the above -mentioned project, and any and all other property owned by or the title to which is in the name of the above -referenced Owner and against any and all funds of the Owner appropriated or available for the construction of said project, and any and all warrants drawn upon or issued against any such funds or monies, which the undersigned Contractor may have or may hereafter acquire or possess as a result of the furnishing of labor, materials, and/or equipment, and the performance of Work by the Contractor on or in connection with said project, whether under and pursuant to the above -mentioned contract between the Contractor and the Owner pertaining to said project or otherwise, and which said liens, claims or rights of lien may arise and exist. The undersigned further hereby acknowledges that the sum of One Hundred Twenty Four Thousand One Hundred Eiohty One dollars Dollars ($124,181.43 ) constitutes the entire unpaid balance due the undersigned in connection with said project whether under said contract or otherwise and that the payment of said sum to the Contractor will constitute payment in full and will fully satisfy any and all liens, claims, and demands which the Contractor may have or assert against the Owner in connection with said contract or project. Witness to Signature: Notary Public - Stile of Indiana LakcCOU* My Commisslon Expires Jon 18, 2023 Dated this. day of Vn e, 201(� Conracto By: gem P 1 knrN Title: X/ P �f 40 T-R Page 1 of 1 WEST BEND A MUTUAL INSURANCE COMPANY" Bond Number 2315251 Maintenance Bond That TGB Unlimited Inc dba SIT Bancroft Electric of 25020 State Road 2 South Bend, IN 46619 as Principal, hereinafter called Principal, and WEST BEND MUTUAL INSURANCE COMPANY of Wisconsin, with its principal office in the City of Middleton, Wisconsin, and duly authorized and licensed to do business in the State of IN as Surety, hereinafter called Surety, are held and firmly bound unto City of South Bend - Public Works Department as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the amount of _Twelve Thousand. Four Hundred Seventeen Dollars and Ninety -Five Cents Dollars ($ 12,417.95 ), for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal and Obligee entered into a written contract on the 8th day of March 20 16 for the Colfax Avenue and Hill Street Street Lighting, Division A all in accordance with the plans and specifications prepared by and WHEREAS, said contract provides that the Principal will furnish a bond to guarantee, for the period of 03 year(s) after approval of the final estimate on said job, by the owner, against all defects in workmanship which may become ap- parent during said period, and WHEREAS, the said contract has been completed and was approved on June 16 '20 16 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Principal shall indemnify the Obligee for all loss that the Obligee may sustain by reason of any defective workmanship which becomes apparent during the period of 03 year(s) from and after June 16 20 16 , then this obligation shall be null and void; otherwise it shall remain in full force and effect. Signed and Sealed this Witness: Witness: 28 day of June 20 16 Prinrinal: Surety: West Bdnd Mutual Ins r nc Mom y: Name Typed: Tara M Patterson Attorney -in -Fact Title (SEAL) (SEAL) MICHIGAN ONLY: This pol cy exempt from the filing requirements of Section 2236 of the Insurance Code of 1956, 1966 PA 218 d MCL 500.2236. NB 0014 02 08 Page 1 of 1 8401 Greenway Blvd. Suite 1100 1 Middleton, WI 53562 1 Phone: (608) 410-3410 1 Fax: (877) 674-2663 1 www.wbmi.com 2315251 WST BEND E A MUTUAL INS !!E COMPANY' Power of Attorney Know all men by these Presents, That West Bend Mutual Insurance Company, a corporation having its principal office in the City of West Bend, Wisconsin does make, constitute and appoint: Tara M Patterson lawful Attomey(s)-in-fact, to make, execute, seal and deliver for and on its behalf as surety and as its act and deed any and all bonds, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of: Six Million Dollars ($6,000,000) This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of West Bend Mutual Insurance Company at a meeting duly called and held on the 21at day of December, 1999. Appointment ofAttomey-In-Fact. The president or any vice president, or any other officer of West Bend Mutual Insurance Company may appoint by written certificate Attomeys-in-Fact to act on behalf of the company in the execution of and attesting of bonds and undertakings and other written obligatory instruments of like nature. The signature of any officer authorized hereby and the corporate seal may be affixed by facsimile to any such power of attorney or to any certificate relating therefore and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other writing obligatory in nature to which it is attached. Any such appointment may be revoked, for cause, or without cause, by any said officer at any time. In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president undersigned and its corporate alto be hereto duly attested by its secretary th' 1st day arch, 2009. ue✓'+•,.._... Attest....... ZJr� Ja a J. Pa boRPo Kevin A. Steiner s`; Se tary SEAL ` Chief Executive Officer I President State of Wisconsin' . County of Washington ......... On the 1st day of March, 2009 before me personally came Kevin A. Steiner, to me known being by duly sworn, did depose and say that he resides in the County of Washington, State of Wisconsin; that he is the President of West Bend Mutual Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by order of the board of directors of said corporation and that he signed, his name thereto by like order. ......... ••NF. D(ih;.... ••',�, ,......... .--I h"�t.t^.-F• 4ylMJ'f.-Q..P t NOTARY + John . Ewell . , PUBLIC Z' Executive Vice President - Chief Legal Officer '''' ..... F....•` My Commission is Permanent ..... The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a Wisconsin corporation authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of Attorney remains in full force effect and has not been revoked and that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force. Signed and sealed at West Bend, Wisconsin th1s,28___ _ day of June 12016 ty+i. i"sta 4.1 ��l(g SF•Al.. S` DaleJ. Kent `'•.4 �' y..( Executive Vice President - '•,.:?�F"• Chief Financial Officer NOTICE: Any questions concerning this Power of Attorney may be directed to tha Bond Manager at NSI, a division of West Bend Mutual Insurance Company 8401 Grcenway Blvd. Suite 1100 1 P.O. Box 620976 1 Middleton, WI 53562 1 ph (608) 410-3410 1 www.thecilverlimng.com BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 06/28/16 Name Toy Villa BPW Date 071WI16 Department Phone Extension Engineering Required Prior to Submittal to Board Legal ❑ Attorney Name Controller El greater review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the Appropriate Item Type — Required for All Submissions ❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. 1 ® C/O & PCA No. 1 Final ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control ❑ Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Required Information TGB Unlimited d/b/a S/T Bancroft ❑ Yes ® No ❑ If Yes, Apl ❑ MBE ❑ WBE ❑ No ❑ Yes Name of Company Colfax Avenue and Hill Street Improvements - Division A 114-018A RWDA TIF 429.1050.460.31.02 Project Closeout ❑ Required Contractor's Certification Form Attached (Non - Collusion. Non -Discrimination. Non -Debarment. E-Verifv. Iran. etc I Reauired For Chanae Orders Only I Amount of LJ Increase $ ® Decrease $ 13,342.25 Previous Amount $ 137,523.68 Current Percent of Change: 9.70% New Amount $124,181.43 Total Percent of Change: 9.70% Dispersal After Approval Copy Original ® ❑ David Relos ® ❑ Judy Love ❑ ❑ Toy Villa