HomeMy WebLinkAboutChange Order No 1 - Street Dept Locker Proj No 126-004 - Ziolkowski Construction
September 22, 2026
Lloyd Yoder
Ziolkowski Construction
4050 Ralph Jones Dr.
South Bend, IN 46628
lyoder@zbuild.com
RE: Change Order No. 1 – Streets Department Locker Room – Project No. 126-004
Dear Lloyd:
At its September 22, 2026 meeting, the Board of Public Works approved the above
referenced Change Order be increased by $5,126, bringing the revised contract amount
to $144,671.
Enclosed is a copy of the Change Order for your records.
Sincerely,
/s/Hillary Horvath
Hillary Horvath, Clerk
1
$139,545.00
$ 0.00
$
$
$
3.67 %
3.67 %
CONSTRUCTION MANAGER
CITY OF SOUTH BEND
BOARD OF PUBLIC WORKS
City, State, Zip
Printed Name and Title
Company Name
Address
Member
Member
Approved Date:
President
Member
Member
PROJECT NO:
PROJECT NAME:
CONTRACT DATE:
CHANGE ORDER NO:
SUBJECT OF CHANGE ORDER:
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT CHANGE ORDER
DATE:9/9/2026
126-004Streets Department Locker Room
6/9/2026
Small changes to electrical, mechanical, and plumbing.
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 Increased
5,126.00Decreased
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 9/30/2026
0 days
RECOMMENDED FOR
Extension of date/time by previous change orders
Date/time extension by this change order 0 days
New completion date/time 9/30/2026
CONTRACTOR
Contractor Signature
x
139,545.00
144,671.00
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INTER-OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Hillary Horvath, Clerk
Board of Public Works
FROM: Zak Tebell, Project Engineer
SUBJECT: Change Order 1 – Project No. 126-004
Streets Department Locker Room
DATE: 9/9/2026
Change Order #1 for the Streets Department Locker Room Project includes relocation of electrical within the locker room, relocation of HVAC, and a valve replacement due to a broken valve on the water supply line for the bathroom. Please Respond with any questions (EXT. 9358)
BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date: 9/9/2026
Name: Zak Tebell Department of Public Works – Engineering Division
BPW Date: 9/22/2026 Phone Extension: 9358
Required Prior to Submittal to Board
BPW Attorney X 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. 1 Traffic Control Resolution
Other: Ratify Emergency
Contract Ease./Encroach
Required Information
Company or Vendor Name Ziolkowski Construction
New Vendor Yes If Yes, Approved by Purchasing No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Streets Department Locker Room
Project Number 126-004
Funding Source PR-00048438 Account No. 202-06-602-503-443001--PROJ00000730
Amount $5,126.00
Terms of Contract Change order for small changes to plumbing, electrical, and mechanical
services.
Special Contract Provisions N/A Purpose/Description Some plumbing components that were not originally planned to be replaced required replacement and electrical and mechanical items within the space were required to be moved.
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase Decrease
%
( %)
Time Extension Amount:
New Completion Date: