HomeMy WebLinkAboutChange Order No 1 (Final) PCA - Colfax Avenue and Hill Street Improvements Div B Proj No 114-018B - LL Geans1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1836
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
July 12, 2016
Mr. Rocky R. Geans
L. L. Geans Construction Co.
1805 Elder Rd.
Mishawaka, IN 46545
PHONE 574.235-9251
FAX 574/235-9171
RE: Change Order No. 1 (Final)/Project Completion Affidavit
Colfax Avenue and Hill Street Improvements, Division B — Project No. 114-018B
Dear Mr. Geans:
The Board of Public Works, at its meeting held on July 12, 2016, approved the Final Change
Order for this project, for an increase of $2,697.60. The new Contract sum is $64,801.60.
In addition, the Project Completion Affidavit for this project was approved in the amount of
$64,801.60.
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.
Sincerely,
Linda M. Martin, Clerk
Enclosures
GARY A. GILOT DAVID P. RELOS ELIZABETH A, MARADIK JAMES A. MUELLER THERESE J. DORAU
CITY OF SOUTH BEND, INDIANA
SoUTHBR
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DEPARTMENT OF PUBLIC WORKS
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PROJECT CHANGE ORDER
,eas
DATE: 5/27/2016
PROJECT NO: 114-018B
PROJECT NAME: Colfax Avenue and Hill Street Street Improvements
CONTRACT DATE: 3/8/2016
CHANGE ORDER NO: 2 (Final)
SUBJECT OF CHANGE ORDER: PCR #5-Quantity Adjustment
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
Contr 'ct Signature
Rc)(L R . L(7c60s
Printed N me and Title
L.L. Geans Construction Co.
Company Name
1905 Elder Rd
Address
Mishawaka, IN 46545
City, State, Zip
$
57,524.00
$
4,580.00
$
62,104.00
x] Increased
❑ Decreased
$
2,697.60
$
64,801.60
4.34 %
12.65 %
5/1/2016
1 days
0 days
5/2/2016
RECOMMENDED FOR APPROVAL
I�-
1 Q...
r
CONST
TION MANAGER
CITY OF
SOUTH BEND
BOARD OF PUBLIC WORKS
Approved Date:
ry A. Gilot; President
�L i A -e
David P. Relos," ber
0 i' Ltk
Elizabeth A. Maradik, Member
Therese J. Dor tuber
/1'
Ja es A. Mueller, Member
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
Colfax Avenue and
and
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.
n�L-
Execute this day of Ju,. L 201 % L.L. Geans Construction Co.
Company Name
Sign r /- 1905 Elder Rd
V 'R- C7eaat �. r d�f Company Address
Printed N me Mishawaka, IN 46545
City, State, Zip
W ITNESS ESS:
theywr m h undersigned Notary Public in and for said country and state, personally appeared
L, /, and acknowledged his/her signature to the above Project Completion Affidavit on
aayof _ a 201
Not ign tl'e ' My Commission Expires �I/b3/Zbj�
Printed NaMe County of Residence , .2(XP�k
If the Contractor is a corporation, the following certificate will be executed.
I, �Ga �e_.� C •Cl , certify that I am Secretary of the Corporation executing this release; that
0 ( . G ri S who signed this release on behalf of the contractor was then
Prs i cltki l— of said Corporation; that said release was duly signed for and on behalf of said
Corporation by Authority of it overning body, and is within the scope of corporate powers:
Secreta Signature
Corporate Seal
GZQ_V\ -�- 0-- Gcos
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable fokfinal approval and we recommend to the Board of Public Works that it be ordained so.
Date: (e • I a • i 4
Construction Hager � I
BOARD OF PUBLIC WORKS APPROVAL Date: %!
Ga A. Gilo , resident DaMd P.LR,elos, Member Elizabeth A. Maradik, Member
Therese J. DffraLWember Jagnes A. Mueller, Member t'inda M. Martin, Cle k
THE CINCINNATI INSURANCE COMPANY
MAINTENANCE BOND
KNOWALL MEN BY THESE PRESENTS, that we
L. L. Gears Construction Co., 1905 Elder Road, Mishawaka, IN 46545
as Principal and THE CINCINNATI INSURANCE COMPANY, 6200 S. Gilmore Road, Fairfield, Ohio 45014-5141, a
corporation organized under the laws of the State of Ohio, with principal office at Cincinnati, Ohio, as Surety, are
held and firmly bound unto
City of South Bend, Indiana, Board of Public Works, 227 W. Jefferson Blvd., South Bend, IN 46601
(hereinafter called the Obligee), in the penal sum of
Six Thousand Four Hundred Eighty Dollars And Sixteen Cents - ($6,480.16)
Dollars, for payment of which, well and truly to be made, we do hereby bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
DATED this 22nd day of June , 2016
WHEREAS, the said Principal has heretofore entered into a contract with the Obligee above named for
Colfax Avenue and Hill Street, Street Improvements, Project No. 114-018B
and,
WHEREAS, the work called for under said contract has now been completed and accepted by the said Obligee;
NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH, That if said Principal shall, for a period
of (3) year(s) from and after the 18th day of June, 2016 , indemnify the Obligee against any loss or damage
directly arising by reason of any defect in the material or workmanship which may be discovered within the period
aforesaid, then this obligation shall be void; otherwise to be and remain in full force and virtue in law.
PROVIDED, HOWEVER, that in the event of any default on the part of said Principal, written statement of the particular
facts showing such default and the date thereof shall be delivered to the Surety by registered mail, at its Home Office in
the City of Cincinnati, Ohio, promptly and in any event within ten (10) days after the Obligee or his representative shall
learn of such default, and that no claim, suit, or action by reason of any default of the Principal shall be brought here
under after the expiration of thirty days from the end of the maintenance period as herein set forth.
S-2400 (6/08)
L. L. Gears Construction Co.
�Pirr�ipal) (Seal)
(Title)
Rocky R. Geans, President
THE CINCINNATI INSURANCE COMPANY
By
Aticn'.ry-
J. Kevin Hughes, Attorney -in -Fact
THE CINCINNATI INSURANCE COMPANY
Fairfield, Ohio
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of
the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint
Harold E. Everett; Elaine K. Miller; Marie E. Comparet; Thomas J. Van Dyck;
Jada M. Karst; Melody S. Hoerl; Katherine J. Ortiz; J. Kevin Hughes;
Thomas J. McGovern; Tracie McBride and/or Melinda Jagger
of Fort Wayne, Indiana its true and lawful Attomey(s)-in-Fact to sign, execute, seal
and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows:
Any such obligations in the United States, up to
Twenty Five Million and No/100 Dollars ($25,000,000.00).
This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company
at a meeting held in the principal office of the Company, a quorum being present and voting, on the 0 day of December, 1958, which
resolution is still in effect:
"RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attomeys-in-
Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the
Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or
without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attomeys-in-
Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected
officers of the Company."
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the
Board of Directors of the Company at a meeting duly called and held on the 7" day of December, 1973.
"RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by
facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the
Company may be affixed by facsimile to any certificate of any such power and an}such power of certificate bearing
such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed
and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached,
continue to be valid and binding on the Company."
IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate
seal, duly attested by its Vice President this 101h day of May, 2012.
,U InRR,„
a` e
u CORPORRTE
THE CEVCEQNIATI INSURANCE COMPANY
a
SEAL
Vice President
STATE OF OHIO ) ss:
COUNTY OF BUTLER )
On this 10" day of May, 2012, before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY,
to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate
seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the
authority and direction of said corporation.
Rpn.n...q
A- sF♦'2
Ar
'14 MARK J. H LLER, Attorney at Law
NOTARY PUBLIC - STATE OF OHIO
♦ 7 0 My commission has no expiration
♦♦♦♦♦ �T �F �Vt'� date. Section 147.03 O.R.C.
I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above
is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of
Attorney is still in full force and effect.
GIVEN under my hand and seal of said Company at F^hfieid, Oiun.
this 22nd day of June, 2016
cCORPoRIiE*•'
a
SEAL
oeio
BN-1005 (5/11)
--A5
Assistant Secretary
FINAL WAIVER OF LIEN
WHEREAS, the undersigned L. L. Geans Construction Co. has been heretofore
employed by City of South Bend Department of Public Works to furnish certain
materials and labor, to -wit: general concrete services, for the premises owned by, City
of South Bend, and located at Colfax Avenue and Hill Street, South Bend, IN 46617.
THEREFORE, KNOW YE that the undersigned, for and in consideration of the sum
of $64,801.60, hereby waives, and releases unto, City of South Bend, the owner of said
premises, any and all lien, right of lien, or whatsoever kind of claim, on the above -
described building and real estate, to and for said amount, on the account of any and all
labor or material or both, furnished for or incorporated into said building by the
undersigned. The undersigned further certifies that all of the undersigned's employees,
suppliers and materialmen furnishing labor and/or material to date, have been paid in
full, and that the undersigned does not maintain a consensual agency relationship
insofar as including such employees, suppliers and materialmen as parties to this Final
Waiver of Lien.
IT IS FURTHER certified that the consideration moving the undersigned for
executing this Final Waiver of Lien has been mutually given and accepted as final
payment to or on the account of said L. L. Geans Construction Proposal No.16.0032, for
the previously mentioned general concrete work. Execution of this Final Waiver of Lien
does not waive or release any lien rights or claims for any work performed or materials
furnished to this project for which payment has not actually been received.
DATED this 171h day of June, 2016
CONSTRUCTIO CO.
By:
COCYA. Geans, President
STATE OF INDIANA )
) SS:
COUNTY OF ST. JOSEPH )
PERSONALLY appeared before me this 171h Day of June, 2016 who, being duly sworn
upon his oath, says that he is the President of L. L. Geans Construction Co., and that he
acknowledges the execution of the foregoing Final Waiver of Lien.
By:�1=4 fiLc-
NANCY M. HALTEMAN Na is M Halteman, Notary Public
Notary Public, State of Indiana
SEAL My Commission Expires 11/03/2018
My Commission Expires 11MO18 County of Residence: St. Joseph
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
07/05/16
Toy Villa i� Department Engineering
BPW Date 07/12/16 Phone Extension 5920
to Submittal to Board
Legal ❑
Attorney Name
Controller ❑
Controller 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 A// Submissions
❑
Agreement
❑ Contract ❑ Proposal ❑ Addendum
❑
Professional Services
❑ Resolution
❑
Bid Opening
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑
Quote Opening
❑ Quote Award
❑
Change Order No.
® C/O & PCA No. 1 Final ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control
❑
Other:
Required Information
Company or Vendor Name
L.L.Geans Construction Co.
New Vendor
❑ Yes N No ❑ If Yes, Approved by Purchasing
MBE/WBE Contractor
❑ MBE ❑ WBE
MBE/WBE Contractor
Requested
❑ No ❑ Yes Name of Compan
Project Name
Colfax Avenue and Hill Street Improvements
Project Number
114-018B
Funding Source
RWDA TIF
Account No.
429.1050.460.31.02
Amount
$
Terms of Contract
Purpose/Description
Project Closeout
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment. E-Verifv. Iran. et(
I Required For Change Orders Only
Amount of ® Increase $ 2,697.60
❑ Decrease $
Previous Amount
104.00
Current Percent of Change: 4.34%
New Amount $64,801.60
Total Percent of Change: 12.65%
Dispersal After Approval
Copy Original
® ❑ David Relos
® ❑ Judy Love
❑ ❑ Toy Villa