HomeMy WebLinkAboutPCA - Traffic FLIR Cameras at Cleveland Rd and Ameritect Dr Proj No 115-131B - Michiana Contracting, Inc.1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
January 24, 2017
David Delp
Michiana Contracting, Inc.
PO Box 929
Plymouth, IN 46563
PHONE 574/235-9251
FAX 574/235-9171
RE: Project Completion Affidavit — Traffic FLIR Cameras at Cleveland Road and
Ameritech Drive - Project No. l 15-131 B
Dear Mr. Delp:
The Board of Public Works, at its meeting held on January 24, 2017, approved the Project
Completion Affidavit for this project in the amount of $40,400.
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,
Linda M. Martin, Clerk
Enclosure
c: Toy Villa, Engineering
Roger Nawrot, Engineering
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
CITY 0
BOA
PROJECT
PROJECT NAME
PROJECT NO.
CONTRACT SIGNED September 13, 2016 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION FLIR Camera Installation
WITNESSETH:
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.
Executedthis 6th dayof January 20 17
Q1 �1 6�)
Signature
David J. Delp
Printed Name
Michiana Contracting, Inc.
Company Name
P.O. Box 929
Company Address
Plymouth, In. 46563
City/State/Zip
WITNESSES
Before me, the undersigned Notary Public in and for said country and state, personally appeared
David J . D e 1 p, and acknowledged his/her signature to the above Project Completion Affidavit on
the 5t _Aday of n u r y t , 201 7
My Commission Expires March 27, 2022
Name County of Residence m a r sh a l l
If the Contractor is a corporation, the following certificate will be executed.
I, Pamela S. Delp , certify that I am Secretary of the Corporation executing this release; that
- David J . Yt e 1 p — who signed this release on behalf of the contractor was then
Vice —President of said Corporation; that said release was duly signed for and on behalf of said
Co, tioAuthority
on . �governing body, and is within the scope of corporate powers:
Secretary's Signature
Pamela S. Delp Corporate Seal
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. nn
V l/. Date: S 17
Construct n anager
BOARD OF PUBLIC WORKS APPROV L Date:
t,2
Gary A. Gilot, President Suzanna . Fritzberg, e r
Ja s A. Mueller, Member Therese�ber,
Elizabeth A. Maradik, Member
M. Martiri,
GiJt.E.c.,L--
Bond #:B1224435
THE CINCINNATI INSURANCE COMPANY
CINCINNATI, OMO
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS, that we Michiana Contracting, Inc., P. O. Box 929, Plymouth, IN 46563
as Principal and THE CINCINNATI INSURANCE COMPANY, 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, Board of Public Works
(hereinafter called the Obligee), in the penal sum of Four Thousand Forty And No/100THS
($4,040.00
Dollars, for the 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 1lth day of January . 2017
WHEREAS, the said Principal has heretofore entered into a contract with the Obligee above named for
Traffic FLIR Cameras at Cleveland Road and Ameritech Dr.; Project No. 115-13113
and,
WHEREAS, the work called for under said contract has now been completed and accepted by said Obligee;
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if said Principal shall, for a period
Of Three (3) year(s) from and after the 1/5/2017 , indemnify the
Obligee against any loss or damage directly arising by reason of any defect in the material or workmanship which may be
discovered with 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
hereunder after the expiration of thirty days from the end of the maintenance period as herein set forth.
Michiana Contracting, Inc.
(Principaq (Seal)
4;L�
Donald W. Wendel, President (Title)
TI
Nicole L. Bicknell Attorney -in -fact
S-2400
Formerly S-698-M (11/69)
THE CINCINNATI INSURANCECOMPANY
Fairfield, Ohio
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organizedunder the laws of
the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint
Mark E. Wobbe; Barbara E. Pearson; Nicole L. Bicknell; Debra K. Hull; Jennifer L. Kasznia;
William J. Cerney, III; Wesley L. Mantooth; Jordan M. Scheiber; Sandra L. Junk;
Theresa M. Burns and/or Megan E. Riesenberg
of South Bend and Plymouth, 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
Thirty Five Million and No/100 Dollars ($35,000,000.00).
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 & 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 Attomey-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 any 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 10s day of May, 2012.
THE CINCINNATI INSURANCE COMPANY
d` CORPoRRTE e
eNla
Vice President
STATE OF OHIO ) ss:
COUNTY OF BUTLER )
On this I O' 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.
z �� '`
O $ MARK J. H LLER, Attorney at Law
3 NOTARY PUBLIC - STATE OF OHIO
My commission has no expiration
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 Imy hand and eal of said Company at Fairfield, Ohio.
this I I I� day of In I' ry Y \� 2111
',a uRRoe,. U.9 VVUA'
u CORPoMTE e
5 SEAL .t
oxio .
BN-1005 (5/12)
Aw
Assistant Secretary
WAIVER OF LIEN
X FINAL PARTIAL ---PAYMENT TO FOLLOW
STATE OF: Indiana
COUNTY OF: Marshall
David J. Delp being duly sworn, slates that he/she is the
Vice -President of Michiana Contracting, Inc. having contracted with
City of South Bend —to furnish certain materials and/or labor as follows: FUR Cameras
for a project known as lic FUR Caneeree at Cleveland Rd and Annentectch Dr Iodated at
South Bend. Indiana owned by City of South Rend
and does further state:
PARTIAL WAIVER: That the balance due from the Owner is the sum of
Receipt of which is hereby acknowledged, or
The payment of which has been promised as the sole consideration for this
affidavit and Partial Waiver of Lien which is given to ad said amount, effective
upon receipt of such payment.
FINAL WAIVER: That the final balance due from the Owner is the sum of
Forty -Thousand Four Hundred Dollars and Zero Cents Dollars ($ 40,400.00
Receipt of which is hereby acknowledged, or
The payment of which has been promised as the sole consideration for this
affidavit and Final Waiver of Lien which is given to and said amount, effective
upon receipt of such payment.
Therefore: The undersigned waives and releases unto the owner of said premises any and all
lien or claim whatsoever on the above described property and improvements thereon on account of
labor or material or both, furnished by the undersigned thereto, and further certifies that no other
party has any claim or right to a lien on account of any work performed or material furnished to the
undersigned for said project, and within the scope of this affidavit and waiver.
Signed, sealed and delivered this 6th day of January, 2017
Signed
Personally appreared before me this 6th day of January, 2017
David J. Delp who being duly sworn on oath, says: That he/she is
Vice -President of the Michiana Contracting. Inc. and that he/she hereby
acknowledges the execution of the foregoing instrument for and on behalf of Michiana Contracting, Inc.
Notary Pulbjic:
and at his/her special instance and request.
Commission Expires: March 27, 20 2 Resident County:
Marshall
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 01/17/1
Name
Toy Villa
Department
Engineering
BPW Date
01/24/17
Phone Extension
5998
Required Prior to Submittal to Board
Legal ❑ Attorney Name Michael Schmidt
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 Ali 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. ® 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
Information
Michiana Contractin , Inc.
_❑ Yes ❑ No ❑ If Yes Approved by Purchasing
❑ MBE I WBE
❑ No ❑ Yes Name of Company
Traffic FUR Cameras at Cleveland Rd and Ameritech Dr
115-131B
251.0601
$ 40,400
Proiect Closeout
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
Required For Change Orders Only
Amount of ❑ Increase $
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
❑ Toy Villa
®
❑ Roger N;
Uispersal After Approval