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Home My WebLink AboutProject Completion Affidavit - Langlab HVAC Improvements Proj No 117-024 - Dynamic Mechanical Services Inc0 �N r 1 Q 411A 1316 COUNTY -CH Y BUILDING Pitow, 574/235-9251 227 W, JEFFERSON BouLEVARD 1"AX 5741235-9171 Sou'rit BEND. INDIANA 46601-1830 YM CrryOFSOUTHBEND PETEBUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS July 10, 2018 Kevin Conery Dynamic Mechanical Services, Inc. 1606 Chestnut Street Mishawaka, IN 46545 Its,. Project Completion Affidavit — Langlab HVAC Improvements — Project No. 117-024 Dear Mr. Conery: The Board of Public Works, at its meeting held on July 10, 2018, approved the Project Completion Affidavit for this project in the amount of $75,83 1. 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, Y Y Linda M. Mai -tin, Clerk Enclosure CjAjzy A. Git,o*r SUZANNA M. FRITZBEM, EIVAK-n-i A. MARADIK JAM]s A. MUF]LLER T1 IERESE J. DORAU PROJECT NAME PROJECT NO CONTRACT SIGNED PROJECT DESCRIPTION WITNESSETH: 4 CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT LANGLAB HVAC IMPROVEMENTS (DIVISIONS A, B, C, and D) . ... ... 117-024 FINAL COST $75,831.00 11/28/2017 MAINTENANCE AGREEMENT ENDS Remove four (4) unit heaters, install five (5) complete HVAC units, service two (2) existing units, and associated electrical and miscellaneous work at Langlab located in South Bend, Indiana. 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 off icialls 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. ,a4l.'-\ Executed this da of 201 Dynamic Mechanical Services Inc. Company Name Signet r 16016 Chestnut Street Company Address Printed Name Wshawaka, IN 46545 City, State, Zip WITNESSESS.- 6 f re me, the undersigned Notary Public in and for said country and state, p( .qand acknowledged his/her signature to the above Proj the day of 201 'Notary Signature 7ommission Expires ca, �c Printed Name County of Residence If the Contractor is a corporation, the following cerfificate will be executed. "e. 'Px C-SC -s e a ;that [I),, V I certify that'll am Secretary of the Corporation executing: this li, i nAA,kQA--�-,J 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: Se&tgry's Signature Corporate Seal & 1 `/% Printed Name IL DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable nal approval and we recommend to the Board of Public Works that it be ordained so. \� Date: ;�7 Constructi anager BOARD PUBLIC VVORKS WPROVAL Date: 'Gary A. Gil-oC, President Suann`a/k rri'cz6dg,W*er Elizabeth A. Mar�adik, Member Therese J. Ddrau, MeMber James A. Mueller, Member Gn6a M. Martin, Clerk BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 06/22/2018 Department Public Works NameToy Villa Division/Bureau Engineering BPVV Date 07/10/2018 Phone Extension 5920 Required Prior toSubmittal tdBoard Legal F-1 Attorney Name: Controller El 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 ❑ "h ock, the App priot o Item Typo - Peguir ` odfi or A11,S—, u bmh�slon El Agreement Amendment El Contract Proposal El Addendum F] Professional Services F-1 Resolution Bid Opening n Bid Award El Req. to Advertise El Title Sheet ❑ Quote Opening n Quote Award El Change Order No. F] C/O & PCA No. PCA F-1 Ease/Encroach. El Traffic Control: n Other: Company or Vendor Name New Vendor MBEANBE Contractor M�BEA/\IBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of H Increase [-] Decrease Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: Copy Original F-1 F-1 El 1:1 Dynamic Mechanical Services, Inc.. [:1 Yes Z No [:] If Yes, Approved by Purchasing MBE [:] WBE El No El Yes Name of Company Langlab HVAC Improvements 117-024 RWDA 324.1050,460.42.01 $75,831.00 Project Closeout F1 Required Contractor's Certification Forms Attached (Non- ColIusion, Non -Discrimination, Non -Debarment, E-Verify, lran, etc.