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Home My WebLink AboutPCA - Emergency Sewer Lining Notre Dame Avenue Proj No 116-139 - Insituform Technologies USA LLC1316 COUNTY -CITY BURRING 227 W. JEFFER$ON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS February 14, 2017 Jana Lause Insituform Technologies USA, LLC 17988 Edison Avenue Chesterfield, MO 63005 PHONE 574/235-9251 FAx 574/ 235-9I7I RE: Project Completion Affidavit — Emergency Sewer Lining — Notre Dame Avenue Project No. 116-139 Dear Ms. Lause: The Board of Public Works, at its meeting held on February 14, 2017, approved the Project Completion Affidavit for this project in the amount of $25,310.30. 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 GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DoRAu PROJECT NAME CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT Avenue PROJECT NO 116-139 FINAL COST $25.310.30 CONTRACT SIGNED 12/22/2016 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Lining a 15" VCP sewer that is 495' long & 19' deep in the 1100 block of Notre Dame Ave. 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. Execu this lay of February 201 7 Insituform Technologies USA, LLC ' / aAt.�? Company Name Signat4b 17988 Edison Avenue Jana Lause, Contracting & Attesting Officer Company Address Printed Name Chesterfield, MO 63005 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared �Lu =N Jana Lause and acknowledged his/her signature to the above Project Completion Affidavit on a ,v_i op !3c the 1 day ebuary 201 7 E � o Notary Signature My Commission Expires SGc yt. 2020 Diane Partridge �� 0 Printed Name County of Residence St. Louis ;, a! S; :Q: U J:VA If the Contractor is a corporation, the following certificate will be executed. t.:?, I, Whittney Schulte certify that I am 4ecre{ary of the Corporation executing this release; the t'...: •`'' Jana Lause who signed this release on behalf of the contractor was then Contracting & Attesting Officer of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Sig lure Corporate Seal Whittney Schu tc, Assistant Secretary Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This�s acceepta,brla Dr f al approval and we recommend to the Board of Public Works that it be ordained so. V Date: 2 • C. • l'l ConstructioeA Ynager AnkAM-- Gary A. Gil resident BOARD OF PUBLIC WORKS APPROVAL Date: / )-o f Suzanne M. Fritzberg, Member Therese J. Dorad, Mdmber JaVs A. Mueller, Member Elizabeth A Maradik, Member Qda M. Martin, CI kk MAINTENANCE Travelers Casualty and Surety Company of America BOND One Tower Square, Hartford, CT 06183 106647208 KNOWN ALL BY THESE PRESENTS: That we Insituform Technologies USA, LLC as Principal, and Travelers Casualty and Surety Company of America , a corporation organized and existing under the Laws of the State of Connecticut , Surety are held and firmly bound unto CitvofSouthBend,227WestJefferson,SouthBend,IN46628 as Obligee, in the total sum of Two Thousand Five Hundred Thirty One and 03/100 U.S. Dollars ( $2,531.03 ) for the payment whereof said Principal and Surety bind themselves, jointly and severally, as provided herein WHEREAS, the Principal entered into a contract with the Obligee dated December 22,2016 for Emergency Sewer Lining -Notre Dame Avenue, Project #116-139 ("Work"). NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall maintain and remedy said Work free from defects in materials and workmanship for a period of Three 3 year(s) following substantial completion of the Work (the "Maintenance Period"), then this obligation shall be void; otherwise it shall remain in full force and effect. PROVIDED, HOWEVER, that any suit under this bond shall be commenced no later than one (1) year from the expiration date of the Maintenance Period; provided, however, that if this limitation is prohibited by any law controlling the construction hereof, such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law, and said period of limitation shall be deemed to have accrued and shall commence to run on the expiration date of the Maintenance Period. Signed this 31 day of January , 2017 Insituform Technologies USA, LLC 17988 Edison Avenue, Chesterfield, MO 63005 (Principal) By: ZViziu- Travele Casu ty and Surety Company of America By: Andrew P. Thome ,Attorney -in -Fact i State of Missouri County of St. Louis On 1/31/2017, before me, a Notary Public in and for said County and State, residing therein, duly commissioned and sworn, personally appeared Andrew P. Thome known to me to be Attorney -in - Fact of TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA the corporation described in and that executed the within and foregoing instrument, and known to me to be the person who executed the said instrument in behalf of said corporation, and he duly acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the day and year stated in this certificate above. (k - Notary Seal My Commission Expires: Sept. 7, 2018 Commission # 14430636 My Commission Expires: IS INVALID WITHOUT THE RED BORDER A► POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casually and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Q �` Attorney -In Fact No. 231637 Certificate No. 00707O V 5 0 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casually and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Andrew P. Thome, Dana A. Johnessee, Peter J. Mobs, Debra A. Woodard, Barbara Buchhold, Michael D. Wiedemeier, Amanda L. Williams, Georgina Fink, and Andrea McCarthy of the City of Chesterfield , State of Missouri , their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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 required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of December 2016 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company 21st St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company CABU,A f1PE y �lN,�NS i 1NSUA 9 p1.fv A&0 ,N4_W(n fAliy � BNr14 TM G • y_ .le ;IIFC ♦ :Ne� J E'9 t nCa9 ("Ux flAPf.n y'�BPrBNAT�iT1 Q (��,r.� ; ��llal l97 g Poa1nD — _. -- aunrowm iIa a�+mmrGA, \'fltcW-s ,#to �9rJI a "� - �I:SEALj✓ a`SEALi3° CONK. o {`gam\ �.A�Y f99a ,per S nHA J N' I�R .11 c° e1.......�L�! `i State of Connecticut City of Hartford as. By; Robert L. Raney, Senior Vice President On this the 21st day of December 2016before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. �,TlT In Witness Whereof, I hereunto se[ my hand and official seal, t11{%� My Commission expires the 30th day of June, 2021. P ,e��Ip Marie C. Tetreault, NotaryPublic 58440-5-16 Printed in U.S.A. This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, suit any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; slid it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or ally Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by o Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Pact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney of certificate bearing such facsimile signature or facsimile seat shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the fixture with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty slid Surety Company, Travelers Casualty and Surety Company of America, and United Stales Fidelity and Guaranty Company do hereby certify that One above and foregoing is a true lard correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 31 day of January 20 17 G�n� Hughe�istann nary 2C �A,, �4 [( J,.E1nEy''9 y0�� U9 JR�.IN54 qct Jnv1 4NOf Iyy Wdf):qq 022 O=y5�y Ai.cf�a'N T %N1Tit£ Ci c1m9ro.Sa1 a °.'�a�4<.0 b^✓. "tt��•. `S"°N°N"RNyIC�y� �'�RVOP4 r a� P( ACa01, .......a.��aS 977 SCALYot' SEAL° n 4 To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact its at www,traveleusbond.com. Please refer to the Attorney -lit -Fact number, the above -named individuals and the details of the bond to which the power is attached. POWER OF BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 02/06/17 Department Public Works Name Toy Villa �✓ Engineering Division BPW Date 02/14/17 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 ❑ 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 Amount of Instituform Technologies USA, LLC ❑ Yes ® No ❑ If Yes, Approved by Purchasing I —I MBE ❑ WBE No n Yes Name of Com Contractual Services 641.0621.792.63.35 $ 25,310.30 Project Closeout ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. Reauired For Chanae Orders Only Increase Decrease Previous Amount Current Percent of Change: New Amount Total Percent of Change: Dispersal After Approval Copy Original ❑ ❑ ❑ ❑ ❑ ❑