HomeMy WebLinkAboutProject Completion Affidavit - WWTP Compressor Building Roof Replacement Proj No 116-052 - Dudeck Roofing and Sheet Metal1316 COLIN'ry-0'ry BUILDING
227 W JE[ FERSON BOULEVARD
SC uni BEND. INDIANA 46601-1830
CITY OF Soun-i BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
March 13, 2018
Catherine Dudeck
Dudeck Roofing & Sheet Metal
1634 South Franklin Street
South Bend, IN 46628
P]I0Nt,,' 574/235-9251
FAX 574/ 235-9171
RE: Project Completion Affidavit — Wastewater Treatment Plant Compressor Building
Roof Replacement — Project No. 116-052
Dear Ms, Dudeck:
The Board of Public Works, at its meeting held on March 13, 2018, approved the Project
Completion Affidavit for this project in the amount of $251,600.
A copy of the Project Completion Affidavit is enclosed for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Q
Linda M. Mat tin, Clerk
Enclosure
c: Jacob Klosinski, Environmental Services
Al Greek, Utilities
CWy A. GILOT SUZANNA M, FRITZBERo Ei,iZABE"I'll A. MARADIK JAMEs A. MUELLM DTI- ERE J. DoRAu
(11W OF S01Y1'F1 BEND, INDIA N.A
HOWD OF PURIM WORKS `41L
PROJECKU)NIPLE110N A11ADAVII'
Iwo
PROJECTNAME Wastewamr 17irmixiera Plaiq,��qrnpressor Buitclirig Root ,R�q I acenlent
PROJECT NO, 116-052 FINAL 251,600.00
CUST
CONTRACT 06/28/2016 MAINTENANCE AGREEMENT 09/1,5/2020
SIGNED ENDS
PROJECT Rephra,c, C,oaaaprcaswr B_,LrikclWg iLool`with rrcw EPLTIARool'
DI. SCRWTK)N
TVITNESSINTH:
The work Under the above contract between the Chy of South Rem] arid the undersigned contractor having
been conqdUed, the City of South Ben$ its officials and agents are hereby released froin all clainis and
dernands whatsoever arising under w, by sud) cunsm, and that the contractor performed the work within the
scope of the Specifications and SwndardS Of the MY U[SOLIth Bend which were a part ofthe alcove Conlract.
Executed this 26 day of a I Y� 20 J
(;"
-.-
SiL,,natL re
CWherine N4, Dudeck
printed Name
Dirdeck Roqfingy & Sheet Metal
Conga ny Natne
1634 South Franklin Street
Company Address
Soudi Rend. Indiana 46628
City/staldZil)
WITNESS
Before rue, the undersigned Notary Fliblic in and Or said country and state, personally appeared
C"atherilic, M. L)udC(.11k., and acknowled
ged bi.s/her signature to theabove PrQject Conipletion A ffidavit
on the 261 OF 7 F(.,, 1) 01
Noti r nSig-C My Conirnission Expires 19/2022
flrla.11awa.l 1- E)LUK&
Pdnwd Naoic
County ofResiderice -1-- S , ) 0 . c, I �
If We Cornmenor K a corpomkon, die following cenillyle will be executed.
I, Heridier D& DLI(JeCk certify that [ ani Seactary of the Corporation executing this releasc; that
C 7T'i c k who signed this release on behalf of the Contractor was then
cWs&d Corpovion; that said rdmwe mms duly sign
al for and on beliMfor
said Corporation by AuthoWy of its governing body, and is within the scope of corporate powers:
0-
Secretary's Signature Corporate SH
k
N, Dt,ideck
Printed Naine
DEPAJUNIEK-l'OF PUBLIC WORKS APPROVAL
']'his project is acceptable tor final appuwal and we rmon-u-nend to the Board ofPublic;Works that it be
ordained so,
ROARD OF ICI " WqX-KS APPROVAL Date
0
lite
Gary A. (Elm, Preddetit Suzanna "ritzberg, ember
Ndelamli- Therese J. 155rair, NAleniber
liar
Elizalethi. iarujik,
z
7
Jar des A. PJudQ Member
i.
n�a M. Ma I
h4i'tch Dudeck
From: Jacob Klosinski <jl<0OSiIIS@SOLltlibet'idiii.gov>
Set -it: Friday, February 09, 2018 11:32 AM
To: Initd')@ClLlclecl<i-oofii-ig.coi-n
Cc: greg@cludeckroofing.corn'
Subject: RE: 116-052 WWTP Con'ipressor Building Roof Replacement (Project Completion
Affidavit)
Flag Status: Flagged
Mitch:
Can you confirm the status of the subject paperwork?
,,Oroj . ect CornpIetion Affidavit
- Maintenance Bond
�P-ay Application No. 3 — Final
�Z!Final Waiver of Lien
Thanks,
Jacob
Jacob M. Klosinski, P.E.
Assistant City Engineer
EnvironlTiental Services
(57'4) 235-9496
City of South Bend
3113 Riverside Drive
South Bend, IN 46628
From:Jacob l(losinsId
Sent: Monday, February 05, 2018 8:59 AM
To: 'mitch@cIudeckroofing-com' <i-nitcli@,cludecl<i-oofing.co,m>
Cc. greg@dudecl<ro,ofiiig.com
Subject. 1.1.6-052 WW'rP Compressor 130ding Roof Replacement (Project Completion Affidavit)
bitch
Please see the attached Project Completion Affidavit for signature and execution
Please print, sign and return the Project Completion Affidavit paperwork to my attention at the WVVTP along
with the 3 Year, 10% Maintenance Bond for the Subject project.
If the Final Pay Application is ready, please issue three copies of Pay Application No. 3 (Final) aiong with the
Final Waiver of Lien to Brian Kane (Epoch Architecture + Planning) for final signatures.
Regards,
TERTIM MALI 191A 1-101 ki I
KNOW ALL MEN BY THESE PRESENTS:
That Dudeck Roofina & Sheet Metal. Inc- 1634 So
Bond No. MNT2156813
as Principal, hereinafter call Contractor, and old Republic Insurance Company
Brookfield, W1, as Surety, hereinafter call Surety, are held and firmly bound: unto
City of South. Bend Board of Public Works as Obliges, hereinafter called Owner, in the penal sum of
$25,160.00 -- , 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 September 15, 2017
entered into a contract with Owner for Wastewater Treatment Plant Compressor Building Roof Replacement I
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 43)_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.
Bond shall be effective from September 15, 2017 to September 15, 2020.
PROVIDED, HOWEVER, that Owner shall give Contractor and Surety notice of observed defects with reasonable promptness.
SIGNED and sealed this 26th day of Februaa 2018
Dudeck Roofing & Sheet Metal, Inc.
Principal
B (Seat)
Title
Old Republic Insurance Company
By -
-(Seat)
-riti f 4 r L KaszAa Attoey in Fact
L/
OLD REPLJBL1(-," INSURAN(T COMPANY'
. .... .... ... ..... .... .... ... . . .... . .
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania stock insurance corporation, does
make, constitute and appoint:
NICOLE L BICKNELL, MEGAN E RIESENBERG, MARK EDWARD WOBBE, DEBRA K HULL, BARBARA E PEARSON, JENNIFER L KASZNIA, SANDRA L JUNK,
WILLIAM J CERNEY, 111, WESLEY MANTOOTH, THERESA BURNS, JORDAN SCHEIBER, OF SOUTH BEND, IN
its true and lawful Attorneys) -in -Fact, with full power and authority, not exceeding $50,000,000, for and on behalf of the Company as surety, to execute
and deliver and affix the seat of the Company thereto (if a seal is required), bonds, undertakings, rerognizances or other written obligations in the nature
thereof. (oflicrn, thair self 4ns�,irarice wor ken's compein sa Hon bonds guaranteeing payment of benef! is abateynev coi &act bonds, waste mar iage-
ment bonds, hazardous waste rerriediafion bonds oe black Lung bonds), as follows:
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED
FOUR MILLION DOLLARS($4,000,000) ......................... FOR ANY SINGLE OBLIGATION.
and to bind OLD REPUBLIC INSURANCE COMPANY thereby, and all of the acts of said Attern eys-I n- Fact, pursuant to these presents, are ratified and
confirmed. This document is not valid unless printed on colored background and is multi-oolored, This appointment is made under and by authority of
the board of directors at a meeting held on March 14, 2014. This Power of Attorney is signed and sealed by facsimile under and by the authority of the
following resolutions, adopted by the board of directors of the OLD REPUBLIC INSURANCE`COMPANY on March 14, 2014,
RESOLVED FURTHER, that the chairman, president or any vice president of the Company's surety division, in conjunction with the secretary or
,any assistant secretary of the Company, be and hereby are authorized and directed to execute and deliver, to such persons as such officers of
the Company may deem appropriate, Powers of Attorney in the form presented to and attached to the minutes of this meeting, authorizing such
persons to execute and dellver and affix the seat of the Company to bonds, undertakings, recorizances, and curet
shir obligations of all kinds,
otheir th,,,)irt bafl bonds, bank ate posltmy bonds, mortgage deficiency boinds, TY10111gage gMranty minds, guairantees onis akrnerO. paper and note
guaraMy boirids,, The said officers may revoke any Power of Attorney previously granted to any such person, The authority of any Power of
Attorney granted by any such officer of the Company as aforesaid shall not exceed fifty million dollars ($50,000,000,00), except (a) bonds
required to be filed as open penalty bonds, and (b) bonds filed with any court orgovernmental authority requiring an, unlimited penalty in bonds
filled in that court.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(i) when, signed by the chairman, president or any, vice president of the Company's surety division and attested and sealed (if a seal Ibe
required) by any secretary or assistant secretary; or
(h) when signed by a duly authorized Attorney -In -Fact and sealed with the seat of the Company (if a seal be required),
RESOLVED FURTHER, that the signature of any officer designated above, and the seat of the Company, may The affixed by facsimile to any
Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship,
obligations of the Company, and Such signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, OLD REPUBLIC INSURANCE COMPANY has caused these presents to be signed by its proper officer, and Its
corporate seal to be affixed this 2 9TH day of JULY, 2016.
OLD REPUBLIC INSURANCE COMPANY
;V\ SEAL
STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS 'rrVice President
On this 29TH day of JULY, 2016 personally came before me, ALAN PAVILIC and
JANE E CHERNtYto me known to be the !individuals and officers of the OLD REPUBLIC INSURANCE COMPANY who
executed the above instrument, and they each acknowledged the execution of the same, and being by me duty sworn, did severally depose and say; that
they are said Officers of the corporation aforesaid, and that the seat affixed to the above instrument is the seal of the corporation, and that said corporate
seal and their signatures as such officers were duly affixed and subscribed to the said Instrument by the authority of the board of directors of said
organization.
Yt
Jaw 0 Notary Public
My commission expires: 9/28/18
CERTIFICATE (Expiration of notary commission does not Invalidate this Instrument)
1, the undersigned, assistant secretaryof the OLD REPUBLIC INSURANCE COMPANY, a Pennsylvania corporation, CERTIFY that the foregoing
and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth In
the Power of Attorney, are now in force,
45-5314 "'1111MI, e
Signed and sealed at the City of Brookfield, Wt this ,;2�� day of
dr i SEAL
GIBSON IN9U
22851 -13 11 006iR (5,l
T?Jr
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENVIRONMENTAL SERVICES
TO: Members of the Board of Public Works
Eric Horvath, Director of Public Works
Clara McDaniels, Assistant City Attorney Public Works
Linda M. Markin, Clerk
FROM: Al Greek, Director of Utilities
Jacob M. Klosinski, P.E., Assistant City Engineer
SUBJECT: Project No. 116-052 WWTP Compressor Building Roof Replacement
Project Completion Affidavit
DATE: February 5, 2018
The Division of Utilities recommends the Board of Public Works approval of the Project
Completion Affidavit for Project No. 116-052 WWTP Compressor Building Roof
Replacement.
All work is complete and Dudeck Roofing and Sheet Metal has submitted all of the
completion paperwork and Record Drawings required for the subject project.
Original Contract Price: $248,800.00
Increases by previously authorized Change Order: $ 2,800.00
Final Contract Price: $251,600.00
Percent increases by authorized Change Orders: 1.13%
Total Percent Increase by authorized Change Orders: 1.13%
The Division of Utilities shall complete final payments for this project with funds from
Utilities Wastewater Maintenance Services Building Account 641-0630-793-36-01 .
For questions regarding the subject agenda request and recommendations, contact Al
Greek (Ext. 4210) or Jacob M. Klosinski (Ext. 9496) at the Division of Utilities.
Date
Name
B PW Date
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
February 5, 2018
Jacob M. Klosinski
FebnAsfv 13, 2018
Department Utilities Env. Serv.
Phone Extension (574) 235-9496
Legal ® Attorney Name Clara McDaniels
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 ® *AI Greek, Director of Utilities
❑ Agreement
L Contract ❑ Proposal LJ Addendum
❑ Professional Services
❑ Resolution
❑ Bid Opening
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Opening
❑ Quote Award
❑
Change Order No.
❑ CIO & PCA No. ® PCA
❑
Ease/Encroach.
❑ Traffic Control
F] Other:
Company or Vendor Name Dudeck Roofing and Sheet Metal
New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing
MBEIWBE Contractor ❑ MBE ❑ WBE
MBEIWBE Contractor Requested ❑ No ® Yes Name of Company
Project Name WWTP - Compressor Building Roof Replacement
Project Number 116-052
Funding Source Utilities - Wastewater - Maintenance Services Building
Account No. 641-0630-793-36-01
Amount $
Terms of Contract Lump Sum
Purpose/Description Utilities recommends the approval of the Project Completion
Affidavit for the subject project. All work is complete. Final Project
Cost 251 600.00 +1.13%
❑ Required Contractor's Certification Form Attached (Non -
Collusion. Non -Discrimination. Non -Debarment, E-Verifv. Iran, etc.)
Amount of ❑ Increase
❑ Decrease
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Copy
Original
El
Dispersal After Approval
-Al Greek, Director of Utilities
Jacob Klosinski, Assistant City Engineer
Director of Financial Services, Environmental Services