HomeMy WebLinkAboutPCA - 2016 Traffic Calming Solar Speed Indicators Proj No 116-035 - Martell Electric LLC1316 COUNTY -CITY BUILDING
227 W. JEFFERsoN BOULEVARD
SOUTH BEND. INDIANA 46601-1830
CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
March 28, 2017
Jennifer Brown
Martell Electric, LLC
4601 Cleveland Road
South Bend, IN 46628
PHONE 574/235-9251
FAx 574/235-9171
RE: Project Completion Affidavit — 2016 Traffic Calming Solar Speed Indicators
Project No. 116-035
Dear Ms. Brown:
The Board of Public Works, at its meeting held on March 28, 2017, approved the Project
Completion Affidavit for this project in the amount of $27,312.
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 ll
Enclosure
c: Toy Villa, Engineering
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER THERESE J. DORAU
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
ogsounr bBN
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT ass
2016 Traffic Calming Solar Speed Indicators
116-035 FINAL COST $27,312.00
12/13/2016 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 'a 1y'h ay of V-Uir Li 201-1 Martell Electric, LLC
Company Name
Signatu 4601 Cleveland
Company Address
Printed Name South Bend, IN 46628
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, p I ec
r%r�nf,�eP' A'OuJ/J , and acknowledged his/her signature to the above Pro j cL,,gN jetion p,R�y' AVDWIN..
Notary PuIft. State of Indiana
the day of me 201-7 p1"""
1� y :k;_�_ St Joseph County
�n^ _ - -� Ip� LL : SEAS ,; Commission M 663664
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Notary Signature My Commission Expires
bruary 28, 2023
JR&WA5AJ.Du1i Q
Printed Name County of Residence &r ::r�VA
If the Contractor is a corporation, the following certificate will be executed.
I, certify that I am Secretary of the Corporation executing this release; that
who signed this release on behalf of the contractor was then
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 Signature
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
Corporate Seal
This p�acceptable r al approval and we recommend to the Board of Public Works that it be ordained so.
\.,// Date: 3 • 2 I ' 1 `I
Constructi C
nager
BOARD OF PUBLIC WORKS APPROVAL Date: 8` ? ( i
Gary A. Gil t, President Suzanna M. Fritzberg, Member Elizabeth A Maradik, Member
Therese J. Dora , Member
AFFIDAVIT AND WAIVER OF LIEN
❑ Final ❑ Partial ❑ Payment to Follow
STATE OF: Indiana
COUNTY OF: St. Joseph
Jennifer Brown being duly sworn, deposes and says that __he makes this
affidavit for and in behalf of MARTELL ELECTRIC, LLC which, having entered into an agreement with
of South Bend ("Contractor") for the construction of 2016 Traffic Calming Solar Speer
Indicators Proj # 116-035 on the premises of the owner located at South Bend IN
states that, upon receipt of payment by Martell Electric from Contractor in
the amount of Twenty seven thousand three hundred twelve & no/100 —Dollars,
(the "Payment"), which payment has been promised by Contractor and is anticipated by Martell Electric,
all material and subcontract, due and payable, will have been paid and all labor paid in full to the date of
this affidavit EXCEPT for:
RETENTION $
$
Effective upon receipt by Martell Electric of the Payment, Martell Electric does waive and release unto the
owner of said premises, any and all lien, right of lien or claim of whatsoever kind of character on the
above -described building and real estate under the Statutes of the State of Indiana
relating to Mechanic's liens, on account of any and all labor, material, or both, furnished for or
incorporated into said building by the undersigned, up to this date.
MARTELL ELECTRIC, LLC
BY
(Signed)
Jennifer Brown
(Printed Name)
Vice -President
(Title)
Subscribed and sworn to before me,
on this 3rd day of March, 2017
1 dA.�- �—
Notary Public
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J s .'
NotarRENAicBALDe of Indiana
.,,ouvr'.. =
-'�' "�-'�O
St Joseph County
Commission 8 663664
My commission expires: 2/28/2023
n SEAS!
y
My Commission Expires
February 28, 2023
MAINTENANCE BOND
Bond No. 30003224
KNOW ALL PERSONS BY THESE PRESENTS, That we Martell Electric LLC
of
4601 Cleveland Road, South Bend, IN 46628 hereinafter
referred to as the Principal, and Western Surety Company
as Surety, are held and firmly bound unto City of South Bend, Board of Public Works
of 227 W. Jefferson Blvd, South Bend, IN 46601 hereinafter
referred to as the Obligee, in the sum of Two Thousand Seven Hundred Thirty-one and 20/100
Dollars ($ 2,731.20 ), for the payment of which we bind ourselves, our legal representatives, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a contract with the City of South Bend, Board of Public Works
dated
November 22 2016 for 116-035 2016 Traffic Calming Solar Speed Indicators
on Westmore Avenue and Indiana Avenue
WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee for the period of
Three ( 3 ) year(s) after approval of the final estimate on said job, by the owner, against all defects in
workmanship and materials which may become apparent during said period, and
WHEREAS, the said contract has been completed, and was approved on February 10 2017
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that, if the Principal shall indemnify the
Obligee for all loss that the Obligee may sustain by reason of any defective materials or workmanship which
become apparent during the period of Three ( 3 ) year(s) from and after February 10, 2017
then this obligation shall be void, otherwise to remain in full force and effect.
SIGNED, SEALED AND DATED this 13th day of February 2016
Martell Electric LLC
(Principal)
i'
By (Seal)
Western Surety Company
FO_ (Srnur'ety
Lk'kVBy (Seal)
Elaa C. Mille., Attorney -in -Fact
Form F4591
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Thomas J Me Govern, Harold E Everett, Elaine K Miller, J Kevin Hughes, Thomas
J Van Dyck, Melody S Hoerl, Jada M Karst, Melinda S Jagger, Tracie M Me Bride, Connie
J Messer, Individually
of Fort Wayne, IN, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seat to be
hereto affixed on this 12th day of October, 2016.
,gBaE.„ WESTERN SURETY COMPANY
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SEAS .p
aul T. BruFlat, Vice President
State of South Dakota
County of Minnehaha I
Ss
On this 12th day of October, 2016, before me personally came Paul T. BruFlat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so
affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
My commission expires
J. MOHR
June 23, 2021
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J. Mohr, Notary Public
CERTIFICATE
1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 13,th day of F' ebrUary , 2017 .
WESTERN SURETY COMPANY
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Farm F4280-7-2012 L. Nelson, Assistant Secretary
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 03/21/17
Name
Toy Villa
Department
Engineering
BPW Date
03/28/17
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
Required Intormation
Martell Electric, LLC
roved
811-10
❑ No ❑ Yes Name of Company
2016 Traffic Calming Solar Speed Indicators
116-035
LRSA
251.0608.431.42.96
$ 27,312.00
Project Closeout
❑ Required Contractor's Certification Form Attached (Non -
For Change Orders On
Amount of ❑ Increase
❑ Decrease
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Dispersal After Approval
Copy
Original
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