HomeMy WebLinkAboutChange Order 004• j: ~ Document G701 TM - 2001
Change Order
PROJECT (Name and euldress): CHANGE ORDER NUMBER: 004 OWNER:
Ken Ellis Senior Center r DATE: March Ol, 2007 ARCHITECT:
1425 Pennsylvania Avenue
Jeffersonville, Indiana 47130 CONTRACTOR:
TO CONTRACTOR (Name cold address): ARCHITECT'S PROJECT NUMBER: JEFF.022.90 FIELD:
Kevco Construction, LLC CONTRACT DATE: September 26, 2006
PO Box 3243 CONTRACT FOR: New Building OTHER:
812 W. Magnolia Avenue
Louisville, Kentucky 40201-3243
THE CONTRACT IS CHANGED AS FOLLOWS:
(Include, where applicable, an)' undisputed amount attributable to previously executed Construction Change Directives)
Contractor Requests 35 Day Project Extension to Extend from March 16, 2007 to Apri120, 2007 Due to Folding Door Delivery
Date Delay.
The original Contract Sum was $ 830,000.00
The net change by previously authorized Change Orders $ 4,985.00
The Contract Sum prior to this Change Order was $ 834,985.00
The Contract Sum will be increased by this Change Order in the amount of $ 0.00
The new Contract Sum including this Change Order will be $ 834,985.00
The Contract Time will be increased by Thirty Five (35) days.
The date of Subst<atttial Completion as of the date of this Change Order therefore is Apri120, 2007
. NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which
have been authorized by Construction Change Direcfive until the cost and time have been agreed upon by both the Owner and
Contractor, in which case a Change Order is executed to supersede the Construction Change Directive.
NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER.
The Estopinal Group LLC Kevco Construction, LLC City of Jeffersonville
ARCHITECT (Fit~i name) CONTRACTOR (Firm name) OWNER (Firm name)
903 Spring Street
Jeffersonville; Indiana 47130
ADDRESS/~
BY (.Signa re)
r
Nathan ove
(Typed name)
DAT
PO Box 3243 City-Courn ildin
812 W. Magnolia Avenue 501E ourt yy ue
Louisville, Kentuck 40201-3243 Jeffer onville, fii to 47130
ADD S n .1 r, ADD ESS
B'Y (Signclture) BY (3~ignature
Rex Lockard Ma or Rober~ aiz
(Typed name) (Typed name)
DA E DATE 3
AIA Document G701 *r -2001. Copyright ®1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AIA1°
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any
portion of it, may resuR in severe civil and criminal penaRies, and will be prosecuted to the maximum extent possible under the law. This document
was produced by AIA software at 08:12:00 on 03/02/2007 under Order No.1000265728_3 which expires on 10124/2007, and is not for resale.
User Notes: (1042341263)
R~vERH i l~s
ECONOMIC DEVELOPMENT DISTRICT
& REGIONAL PLANNING COMMISSION
Serving the Indiana Counties of: Clark, Floyd, Harrison, Scott and Washington
MEMORANDUM
DATE: June 6, 2007
TO: Mary Sue Ellenbrand
Redevelopment Commission
CC: ~eggy Wilder
Clerk-Treasurer
Barbara Hollis
Clerk-Treasurer's Office
FROM:- Melissa Woods
River Hills EDD & RPC
RE: City of Jeffersonville CFF Grant No. CF-05-226 -Ken Ellis Senior Center -Draw
Request #7
I have enclosed a copy of Draw Request No. 7 for $59,796.87: This draw request, along with
$41,535.75 in local match funds, will be used to pay Kevco Construction, LLC and The Estopinal
Group (enclosed). I will forward the original draw request to IOCRA for processing.
Once you receive the check from the State, the following. checks must be written no more than 3 days
after the state check is deposited (The Estopinal Group maybe paid now, as they are paid with
local match funds):
Kevco Construction, LLC -Pay Application #7 $95,747.56
Kevco Construction, tLC -Pay App. #7 Retainage Fund $ 5,039.35
The Estopinal Group -Invoice #108485 $ 545.72
Total $101,332.62
Please mail or fax to me copies of the State Auditor check, Citv deposit receipt, fully executed
accounts payable voucher/s and checks written to vendor/s. If you have any questions,`please call
me.
Thank you. _.
300 Spring Street, Suite 2A • Jeffersonville, IN 47130
' Ph: 812.288.4624 Fax: 812.288.8105
• CITY OF JEFFERSONVILLE
KEN ELLIS SENIOR CENTER
DRAW REQUEST WORKSHEET
CF-05-226
Draw #7
Date Vendor Invoice # Invoice Amount
$ -
Admin./ER/Labor Standards $ -
5.11.2007 The Estopinal Group 108478 $ 545.72
Inspection Services $ 545.72
CONSTRUCTION OF FACILITY
3.9.2007 Kevco Construction LLC
PR #7 $ 700,997.61 $100,786.90
PR #6 $ 600,210.71 $ 5,039.35
$ 100,786.90 Payment $ 95,747.56
$ 100,786.90
X 5%
Retainage $ 5,039.35
Payment $ 95,747.56
Retainage $ 5,039.35
$ 100,786.90
Total Draw Request $ 59,796.87
Local Match $ 41,535.75
Total 101,332.62
CHECKS TO BE WRITTEN
Paid From Payable To:
LM River Hills EDD & RPC
LM The Estopinal Group
CFF 8~ LM Funds Kevco Construction LLC
Retainage Kevco Construction LLC
Check Amount
$ -
$ 545.72
$ 95,747.56
$ 5,039.35
Total $ 101,332.62
~t1VOIC@ The Estopinal Group LLC
Architecture, Engineering and Interiors
903 Spring Street
Jeffersonville, IN 47130 RECEIVEC MAY 2
3100
May 11, 2007
Project No: JEFF.022
Invoice No: 0108478
City of Jeffersonville
500 Quartermaster Court
Jeffersonville, IN 47130
Project JEFF.022 Ken Ellis Senior Center DD-
CAOriginal Fee $51,304
Amendment 1 300 (for interior design services)
Revised Fee $52,604
Professional Services from April 1.2007 to April 30. 2007
Fee
Total Fee 52,604.00
Percent Percent
Billing Phase of Fee Fee Complete Earned
Design Development 15.00 7,890.60 100.00 7,890.60
Contract Documents 60.00 31,562.40 100.00 31,562.40
Bidding/Negotiation 5.00 2,630.20 100.00 2,630.20
Construction Administration 20.00 10,520.80 95.00 9,994.76
Total Earned 52,077.96
Previous Fee Billing 51,551.92
Current Fee Billing 526.04
Total Fee 526.04
Miscellaneous Expenses 19.68
Billing Limits Current Prior To-Date
Expenses 19.68 5,750.19 5,769.87
Limit 8,696.00
Remaining 2,926.13
Total this Invoice $545.72
Net 30 Days. Make checks payable to The Estopinal Group LLC
I~I~INIiIoI~IwlNl~loI~I~I~I~i~l°~I~I~I~IwlNiwl°'Iwlolw
._~o
0
0
00
~o
00
~I~I~IwINl~lml~l~I~I~IoI~IwlNl~lol~l~l~l~l~
O A ~ ~
COO OOD b9fAffl{flb9fAfflb9b9Efl6969EAEAfflfA696969fflfflfA6969Hi69fA69EAEAfA69fA69fflEflHiEfl69696969b9fAEflffl69EA696969 000 ~
~I Ul 0 0 0 0 0 0 0 p Op 0 0 0 0 0 0 0 p Op O O O p Op O O O O O O O O O O O O O O O O p Op O O O O O O O O O O O O O O OCn
~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 p 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
-' 4t 4k 4k 4k 4k 4k ~ ~ 9k # ik 4k ~# 4k ~k ~k 4k ~k 4k 9k ~ 4k ~ ~ 4k Xk ~ ~ ~ ~ 4k ~ ~! ~ 4k 4k 4k ~ 4k q'k 4k ~ ik 4k 4k ~ 9t ~ 4k 4k Xk ~ ~
~~vvvvvvvvovvvovvvvvovvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvogg
o < < < < < < < < < < < < < < < < < < < < < < < <_ < <_ < < < < < < < < < < < < < < < < < < < < < < < < < o 0
\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ 1 \ t \ \ \ \
O ` O` p O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O ` O`
O O` ._ ._ ..~ ..~ ..~ ..~ ..~ ._ ._ ._ ._ ._ .._ ._ ._ ._ ._ ._ ..~ ..~ ._ ._ ._ ._ .~ ..~ ._ ._ .~ .._ ..~ ._ ._ ._ ..~ _. _ ._ ._ ._ O O_
0 0 00000 000000000 00000000
o~o~o $ oho 0 0~o g ~lofo alo ola olo ol~lo olo 0 0l0 0 0l$
o h o 0 0 0 0 0
~ ~ ~ ~ ~ ~ {f~ ~ ~ ~ ~ ~ ~ ~ ~ fJ9 ~ ~ ~
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
~gooogoog~ooo$$gs$o
~~~o~ofo~ooooo~o~ooooo$glolooooo0000000$0000oo°°oaoo~~o
oSooooo0000 0000 ~SSoooog~o
Kevco Construction LLC
812 West Magnolia Ave. #2
Louisville, Ky. 40208
Telephone (502) 635-1641
Fax (502) 635-1634
PARTIAL
WAIVER OF LIEN: MATERIAL AND LABOR
PROJECT: Ken Ellis Senior Center DATE: 02/28/2007
TO WHOM IT MAY CONCERN:
Whereas the undersigned Kevco Construction has been employed by
• City of Jeffersonville to furnish labor, services and/or materials
or both in and for the construction of improvements of the premises known as
Ken Ellis Senior Center
Now, therefore, know ye, that the undersigned for and in consideration of the sum of
$95,747.56 which is hereby acknowledged to be the fulU~ amount payable for
the work hereinabove described, the undersigned, subject only to receipt of said amount,
does hereby waive and release any and all liens, or claim or right to lien of said above
described building and premises under the Statues of the State of Ky relating to liens, on
account of said firm or individual therein named for said building or premises. That all
labor and materials used by the undersigned I respect to said building or premises have
been fully paid for and discharged.
Given under the undersigned's hand
DATE 02/28/2007
BY:
TITLE: Vice President
U
Subscribed and sworn before me on
a ~g-~~~
Notary Publi ~
My Commissio Expires ~j ~~~
(Seal of Notary Public)
Kevco Construction LLC
812 West Magnolia Ave. #2
Louisville Kv. 40208
1 Telephone (502) 635-1641
Fax (502) 635-1634
PARTIAL
WAIVER OF LIEN:. MATERIAL AND LABOR
PROJECT: ~~ ~~~ ~ s DATE: a~ a/~
TO WHOM IT MAY CONCERN:
Whereas the undersigned G~~neu~- ~ ~~t,~b~:r~ Sty, has been employed by
• ~y~b Cor~s7-~vc~io,-a. to ftunish labor, services and/or materials
or both in and for the construction of improvements of the premises known as
Now, therefore, know ye, that the undersigned for and in consideration of the sum of
d~ `~~' ~ ~~' which is hereby acknowledged to be the foil/martial amount
payable for the work hereinabove described, the undersigned, subject only to receipt of
said amourn, does hereby waive and release any and all liens, or claim or right to lien of
said above described building and premises under the Statues of the State of Ky relating
to liens, on account of said firm or individual therein named. for said building or
premises. That all labor and materials used by the undersigned I respect to said building
or premises have been fully paid for and discharged.
Given under the u`ndersigned's hand Subscribed and sworn before me on
DATE ~f ~ PJ ~ _ ~ - ~
BY• Notary Pubii ~
My Commissio xpires
TITLE: ~~1. . /L .JWr~- ~j ~~j"I
(Seal of Notary Public)
FED ~ 6 2007
Kevco Construction LLC
812 West Magnolia Ave. #2
Louisville Kv. 40208
Telephone (502) 635-1641
Fax (502) 635-1634
PARTIAL
WAFER OF LIEN:. NIATERIAI. ANU LABOR
PROJECT: ken ~l lt5 DATE: a~d3~d7
TO WHOM IT MAY CONCERN:
Whereas the undersigned ~'r'.~-~vy~t~YJ ~t h c 2~ has been employed by
• ~etiC,~7 ~jy~S~i-v~~Gh to furnish labor, services and/or materials
or both ir. and for the construc,~tion of improvements of the premises known as
f~e~ ~l ~~ s Se,~ro~ C'e~ fer
Now, therefore, know ye, that the undersigned for and in consideration of the sum of
~J/~ ~f ~~ /~` which is hereby acknowledged to be the. fuiUnartial amount
payable for the work hereinabove described, the undersigned, subject only to receipt of
said amount, does hereby waive and release any and all liens, or claim or right to lien of
said above described building and premises under the Statues of the State of Ky relating
to liens, on account of said firm or individual therein named for said building or
premises. That all labor and materials used by the undersigned I respect to said building
or premises have been fully paid for and discharged.
Given under the undersigned's hand Subscribed and sworn before me on
DATE
BY:
TITLE:
•
• ~
Notary Public ~
MyCommissio Expires ~`.. j..~ppg
(Seal of Notary Public)
r'~~R ~ ~ LOO!
Kevco Construction LLC
812 West Magnolia Ave. #2
Louisville Kv 40248
-. Telephone (502) 635-1641
Fax (502) 635-1634
PARTTAT,
WAIVER OF LIEN:. MATERIAL AND LABOR
PROJECT: ~ ~ ~/ ~ ~ ~ DATE: ~ 1 ~ 3~~'7
TO WHOM IT MAY CONCERN:
Whereas the undersigned 'Tr~afi'r~ ~`~``~~`' ` ~ has been employed by
,~Ce u,~u cvN~r~~~-~ ~< <- to furnish labor, services and/or materials
or both in and for the construction of improvements of the premises known as
<N ~11~)
Now therefore, know ye, that the undersigned for and in consideration ofthe-"sum of
~~ 7~ 7.so which is hereby acknowledged to be the ful artia amount
payable for the work hereinabove described, the undersigned, subje y to receipt of
said amount, does hereby waive and release any and all liens, or claim or right to lien of
said above described building and premises under the Statues of the State of Ky relating
to liens, on account of said firm or individual therein nan3ed for said building or
premises. That all labor and materials used by the undersigned I respect to said building
or premises have been fully paid for and discharged.
Given under the undersigned's hand Subscri d and sworn before me on
DATE ~ J'~
BY: b/~ Notary Public: ~ -- /~~ G-z d //
My Commission Expires
TITLE: P~~s j
(Seal of Notary Public)
_, .
.02127/2007 14:59 5026341634
KEVCO CONSTRUCTION
PAGE @1101
~evca C an~truct~a.n LLC
$ I2 Wsst 11+~agno3ia Ave. #2
Lovi vi~l~, ~y. 4020$ _ _
Telephone (50:x} 635-1641
Fa~c (SO:d) 633-1634
WAIVER a~_~-MA,~~RIA.L ~ LEiBQR
PRl)1ECT: I'~~Z ~~GiS SL'/'I i ~~ C ~E'/'~`'yH~lTE ~-~~ B / ~ ~
T4 WHOM IT MAY CONCERN:
Wheres$ the undersigned ~ ~~ G''L`~S ~ ha ;been employed b y
/~,~ ~~f -Y~.~~o~ to furnish labor, servi w es and/or material s
or berth is and far the caustructiar~ of izreproverteeirts ofthe premises known as
Now, tires l~aow ye, that ttie~nd~-signed for and in co ~.sideraxio~ the E;um of
0®D . DO which is herrby acknowledged to tx the £u tr ouut
payable far the work hereinabawe described, tine und+e~rsigne i, subj o y to r ~celpt of
said amauirt, does hereby wsive and release say and all lien a, or claim or right to lien of
said above described building and pu~^emiscs under the Stator ,3 of the State of K y relating
to liens, on acxount of said firm or individ+~al therein named for said building c ~r
prtrniscs. Tbat all Iabox anal rna#crials used by the undersig s~ I respect to sou i building
or prcmise;s have been fully paid fgr and discharged
Given under the undersigned's hand
DATE ~~
BY; _
Subscri red and sworn befine me on
otary ..
N 'ublic ~u'/
Iuy cn~ ~,missio ~~ ~ ~ .~~ a ~o ~
(seal of :Votary .Public)