HomeMy WebLinkAboutPCA - Majority Builders - Ignition Park Infrastructure, Phase 1C, Division B - Proj No. 114-0631316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1630
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
September 13, 2016
Mr. Rick Slagle
Majority Builders, Inc.
62900 US 31 South
South Bend, IN 46614
PHONE 574; 235-9251
FAX 574/235-9171
RE: Project Completion Affidavit — Ignition Park Infrastructure, Phase 1 C, Division B —
Project No. 114-063B
Dear Mr. Slagle:
The Board of Public Works, at its meeting held on September 13, 2016, approved the Project
Completion Affidavit for this project in the amount of $1,010,472.87.
A copy of the Project Completion Affidavit is enclosed for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
� /
Lilndda�M. Martin, Clerk 1
Enclosure
GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
Sou H
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT,'
,ate
Park Infrastructure, Phase 1C: Division B
4/28/2015 MAINTENANCE AGREEMENT ENDS
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 22nd day of August 201 6 Majority Builders, Inc.
Company Name
Signature 62900 US 31 South
Rick Slagle/President
Company Address
Printed Name South Bend, IN 46614
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Rick Slagle and acknowledged his/her signature to the above Project Completion Affidavit on
the
/22nd day of Aug�ust� 209 6
NotAqj,gigriature My Commission Expires
Jill S1aRle
Printed Name
County of Residence
/16
St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
1, Mark W. Slagle certify that I am Secretary of the Corporation executing this release; that
Rick Slagle who signed this release on behalf of the contractor was then
President of said Corporation; that said release was duly signed for and on behalf of said
Corporation by Aut its gover j g body, and is within the scope of corporate powers:
'Sec(el&y's Sg ature
Corporate Seal
Mark W. Slagle
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for -final approval and we recommend to the Board of Public Works that it be ordained so.
7=EOM V Q e Date: 8. 14. t t.
Construction Noilager
BOARD OF PUBLIC WORKS APPROVAL Date:
Gary A. Gilot; resident 199vid P. Relos, Member Eliza e h A. aradik, Member
Y IJc L
Therese J. DoraIX MeWber James A. Mueller, Member \Yndb M. Martin, Clerk
MAINTENANCE BOND
Bond No. MNT36BCSGV8883
KNOW ALL MEN BY THESE PRESENTS:
That Majority Builders, Inc., 62900 U.S. 31 South, South Bend, IN 46614
as Principal, hereinafter call Contractor, and Hartford Accident and Indemnity Company
Hartford, CT as Surety, hereinafter call Surety, are held and firmly bound unto
City of south Bend Board of Public Works , as Obligee, hereinafter called Owner, in the penal sum of
$101,047.29 , for the payment whereof Contractor and Surety bind themselves, their heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement, dated April 28, 2015
entered into a contract with Owner for Ignition Park Infrastructure, Phase IC: Division B Project No. 114-063
in accordance with the General Conditions, the Drawings and Specifications, which contract is by reference incorporated herein,
and made a part hereof, and is referred to as the Contract.
NOW, THEREFORE, the condition of this obligation is such that, if Contractor shall remedy any defects due to faulty materials or
workmanship, and pay for any damage to other work resulting therefrom, which shall appear within a period of Three (3) year(s)
from the date of substantial completion of the work provided for in the Contract, then this obligation to be void; otherwise to
remain in full force and effect.
PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness
SIGNED and sealed this 25th day of August 2016
Majority Builders, Inc.
Principal
By f (Seal)
Rick Slagle `Title President
Hartford Accident and Indemnity Company
(Seal)
�nflfer . Kasmia Attorney In Fact
Direct Inquiries/Claims to:
THE
POWER OF ATTORNEY One
rRtlP uta
Hartford, Connecticut 06155
call: 888-266-3488. or fax: 860-757.5835)
KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: 36-212563
Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut
Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana
Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut
Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut
Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana
Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois
Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana
QHartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida
having their home office in Hartford, Connecticut (here
up to the amount of Unlimited
Nicole L. Bicknell, Theresa M
to as the "Companies") do hereby make, constitute
Burns, William J. Cerney III,
Hull, Sandra Junk, Jennifer Kasznia, Wesley Mantooth, Barbara
Pearson, Megan E. Riesenberg, Jordan Scheiber, Mark E. Wobbe
BEND, Indiana
Debra K.
E.
of SOUTH
their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated
above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf
of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds
and undertakings requirad or permitted in any actions or proceedings allowed by law.
In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have
caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further,
pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any
mechanically applied signatures applied to this Power of Attorney.
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9rp► O �\ml1ea f♦„ i gemM• 4�p �f979 ¢' '3 1919
♦ \Y" �„R ♦yYa "a 4•�a • I[LIt015 4` h•YE�
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Wesley W. Cowling, Assistant Secretary M. Ross Fisher, Vice President
STATE OF CON N ECTICUT
COUNTY OF HARTFORD } ss. Hartford
On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly swom, did depose and say: that
he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed
the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were
so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority.
at
2 �uww $ KoT�i.�RPAx.�I �T�o.�-nett
R
Kathleen T. Maynard
CERTIFICATE Notary Public
My Commission Expires July 31, 2016
I, the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power
of Attorney executed by said Companies, which is still in full force effective as of q
Signed and sealed at the City of Hartford. �(,�. TSB a�lr�a(yj
Gal
ai O4$�w. 3_,. 7a79- qi:/SFS 1979 4� JSRI 'a IY�E •r<llrv\f� ."+.•/,•�
(r?ol tt4k,-��- -- -
Gary W. Stumper, Vice President
POA 2012
CONDITIONAL WAIVER OF LIEN
FINAL
Whereas,
the undersigned,
Majority
Builders, Inc.,
has bee
n
owned by
_City of South Bend (the "Land Owner") and for the building owned by
N/A (the 'Building Owner") and located at
Franklin Street City of South Bend County of
St. Joseph State of Indiana.
Now, Therefore, Know Ye, that the undersigned, in consideration of the sum of
aizty five thousand four hundred seventy two--- 68100 Dollars($ 65,472. 68 ) to be
received shall waive unto the Land and Building Owner of said premises, any and all lien, right of lien or claim
of whatsoever kind or character on the above described building and real estate FOR AND EFFECTIVE
UPON RECEIPT OF SAID AMOUNT, on account of any and all labor, material, or both, famished for or
incorporated into said building by the undersigned; and Majority Builders, Inc., UPON RECEIPT OF SAID
AMOUNT, shall further certify that the consideration moving to the undersigned for executing this FINAL
WAIVER OF LIEN has been mutually given and accepted as absolute cash payment and not as a conditional
or part payment or as security for payment.
Signed, sealed and delivered this 26th day of August 2016
Signed e_�&
Printed Rick Slagle/ ViresiAeAt
Personally appeared before me this 26th day of August , 2016 ,
Rick Slagle , who being duly sworn on oath, says: that he is
President of Majority Builders, Inc. and that he hereby acknowledges the execution of
the foregoing instrument for and on behalf of Majority Builders, Inc. and at its special instance and request.
�.
Jill Ula, Notary P lic
My Commission Expires: Residing in St. Joseph County, Indiana
November 7, 2016
62900 U.S. 31 South South Bend, IN 46614 majoritybuilders.com Tel: 574/291-2091 Fax: 574/291-7472
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 09/01/16
Name Toy Villa ./ Department Engineering
BPW Date 09/13/16 Phone Extension 5920
Required Prior 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 All Submissions
❑
Agreement
❑ Contract ❑ Proposal ❑ Addendum
❑
Professional Services
❑ Resolution
❑
Bid Opening
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
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Quote Opening
❑ Quote Award
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Change Order No.
❑ C/O & PCA No. ® PCA
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Ease/Encroach.
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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
Amount of
Required Information
ority Builders, Inc.
Yes N No ❑ If Yes
MBE ❑ WBE
No ❑ Yes Name of Com
Ignition Park Infrastructure Phase 1 C Division B
114-063
IIF
324.1050.450.E
$ 1,010,472.87
Project Closeout
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc
Increase
Decrease
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
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®
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®
❑
Aaron
T
For Chanqe Orders
Disper&
Kobb, Judy Love
Nawrot
I&M
After Approval