HomeMy WebLinkAboutPCA - Marriott Hotel Site Development at Hall of Fame Phase I Proj No 116-021 - Majority Builders1316 COUNTY -CITY BUILDING
227 W. JEFFERsoN BOULEVARD'
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
February 14, 2017
Rick Slagle
Majority Builders, Inc.
62900 US-31
South Bend, IN 46614
PHONE 574/235-9251
FAX 574/235-9171
RE: Project Completion Affidavit — Marriott Hotel Site Development at Hall of Fame,
Phase I - Project No. 116-021
Dear Mr. Slagle:
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 $820,196.87.
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,
Linda M. Martin, Clerk
Enclosure
c: Toy Villa, Engineering
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU
aaourx
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Marriott Hotel Site Development at Hall of Fame
PROJECT NO 116-021 FINAL COST $820,196.87
CONTRACT SIGNED 6/28/2016 MAINTENANCE AGREEMEI
PROJECT DESCRIPTION
LTA noI:6 1=119:
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 1 a t day of February 2017 Majority Builders Inc
Company Name
Signature ( 62900 US-31
Rick Slagle Company Address
Printed Name South Bend, IN, 46614
City, State, Zip
WITNESSES:
Before me, the undersigned Notary Public in and for said county and state, personally appeared
Rick Slagle and acknowledged his/her signature to the above Project Completion Affidavit on
the 1st dayof February ,201 7
Notary Signature —My Commission Expires
Shane Blotkamp
Printed Name County of Residence
November 8, 2024
Elkhart
If the Contractor is a corporation, the following certificate will be executed.
I, 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 byA thor2y of Its governing body, and is within the scope of corporate powers:
5ecre+ s Sign ture
Corporate Seal
_ Mark W. Slagle
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
Thisproject is acceptable toff' al approval and we recommend to the Board of Public Works that it be ordained so.
Date: J0 t7
Constructio pager
VlqA��
Gary A. Gilot, President
,-� Lr'�
Therese J. Dora , M&fber
BOARD OF PUBLIC WORKS APPROVA
Suzanna M. Fritzberg, Member
`I
Jam s A. Mueller, Member
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
Bond No. 36BCSFG5670
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
of South Bend Board of Public Works , as Obligee, hereinafter called Owner, in the penal sum of
f$� 0l9 69 , 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 June 28, 2016
entered into a contract with Owner for Marriott Hotel Site Development at Hall of Fame, Phase 1
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.
Maintenance period is effective from February 1, 2017 until February 1, 2020.
PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness.
SIGNED and sealed this 2nd day of February 1 2017
Majori
/Rick Slagle Principal ^^T
gy President
Title
Hartf, rd Apccide(nnt and Indemnity
((Company
By
Nie Bicknell Attorney In Fact
Direct Inquirles/Claims to:
THE HARTFORD
POWER OF ATTORNEY One HBond T4
artford Plaza
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
CJ 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
Q Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida
having their home office In Hartford, Connecticut (hereinafter collectively referred to as the "Companies') do hereby make, constitu
Up to the amount of Unlimited
Nicole L. Bicknell, Theresa M. Burns, William J. Cerney III, Debra K.
Hull, Sandra Junk, Jennifer Kasznia, Wesley Mantooth, Barbara E.
Pearson, Megan E. Riesenberg, Jordan Scheiber, Mark E. Wobbe of SOUTH
BEND, Indiana
their true and lawful Attomey(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 n, 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 required 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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go
+ •' ; • r •;* tYT j� '97 _3 9 1979
3. Sr
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Wesley W. Cowling, Assistant Secretary M. Ross Fisher, Vice President
STATE OF CONNECTICUT
ss. HartfordCOUNTY OF HARTFORD
On this 12th day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, 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.
,auxay,
• �p ,
Kathleen T. Maynard
CERTIFICATE Notary Public
My Commission Expires July 31, 2016
I, the undersigned, Vice President of the Companies, DO HEREBY CER��at 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 ,1 n' �,�t n n I�
Signed and sealed at the City of Hartford. V�W� I 1 -D
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Gary W. Stumper, Vice President
POA 2012
AFFIDAVIT AND WAIVER OF LIEN
State of Indiana, County of St. Joseph SS:
Rick.,Slagle being duly sworn that he/she is the President
(Name of Officer) (Title)
of Majority Builders, Inc. having contracted with City of South Bend Public Works
(Subcontractor/Supplier) (Contractor)
to furnish certain materials and/or labor asfollows: #116-021 Marriott Hotel Site Development Hall of Fame
(Description)
for a project known as #116-021 Marriott Hotel Site Development at Hall of Fame
(Name of Project)
located at St. Joseph Street South Bend, IN
and owned by City of South Bend
(Owner)
and does hereby further state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars ($ )
❑ 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
solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
fifty six thousand, eight hundred eighty ... 42/00 ($56,880.42)
❑ 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 shall
become effective only upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever
on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any; and further certified 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 of Lien. >
Majority Builders, Inc. By
(Firm) (Authorized R esentative)
STATE OF INDIANA )
) SS:
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Rick Slagle
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 1st day of
February $4IICX 2017•
My Commission Expires:
Residing in Elkhart
11/8/24
Notary Public Signature
County, Indiana
Shane Blotkamp
Notary Public Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
02/06/17
Department
Public Works
Name
Toy Villa ,�,J
Division/Bureau
Engineering
BPW Date
02/14/17
Phone Extension
5920
Required Prior to Submittal to Board
Legal ❑ Attorney Name:
Controller El greater
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:
n Other:
Company or Vendor Name
Majority Builders, Inc.
New Vendor
❑ Yes ® No ❑ If Yes, Approved b
MBE/WBE Contractor
❑ MBE El WBE
MBE/WBE Contractor Requested
❑ No ❑ Yes Name of Company
Project Name
Marriott Hotel Site Development at Hall of Fame Phase I
Project Number
116-021
Funding Source
RWDATIF
Account No.
324.1050.460.31.02
Amount
$820,196.87
Terms of Contract
Purpose/Description
Project Closeout
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of ❑ Increase $
❑ Decrease $
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Chance:
Copy
Original
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