HomeMy WebLinkAboutProject Completion Affidavit - Berlin Place Site Concrete, Landscape Plantings & Bldg No 4 Roof Pavers Project No 118-057 - Rieth Riley1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SrnITH BEND_ 1NDIANA 46601-1930
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PEACE
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SOUTHCITY OF R PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC WORKS
June 25, 2019
Joshua McCormick
Rieth-Riley Construction Co., Inc.
25200 State Road 23
South Bend, IN 46614
PHONE 574/235-9251
FAX 574/235-9171
RE: Project Completion Affidavit — Berlin Place Site Concrete, Landscape Plantings, and
Bldg. No. 4 Roof Pavers, Division B — Project No. 118-057
Dear Mr. McCormick:
The Board of Public Works, at its meeting held on June 25, 2019, approved the Project
Completion Affidavit for this project in the amount of $325,000.
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
GARY A. G1LOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS 4
PROJECT COMPLETION AFFIDAVIT,
PROJECT NAME Berlin Place Site Concrete, Landscape Plantings, and Bldg. 4 Roof Pavers Division B
PROJECT NO 118-057 FINAL COST $+325,000.00
CONTRACT SIGNED 6/26/2018 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Site concrete work at the Berlin Place,
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
0 South Bend whiche a part of the above Contract. a
Executed this w r201 / Rieth-Rile Consruction Co„ Inc.
Company Name
Signature �7-"�— 25200 State Road 23
0 S e t1 Company Address
Printed Name South Bend, IN 46614
City, State, Zip
WITNESSESS:
B f re me 0pi rsigned Notary Public in and for said country and state, personally appeared
f acknowledged his/her signature to the above Project Completion Affidavit on
the day of _ , 2.01 1
a Signature My Commission Expires 4) —ba o� a
r
Printed Name County of Residence
,certify that I an et,a
�If the Co tractor is a corporat'on, the following certificate will be xe ted
who signed this a ry of the Corporation executing this release; that
+_ lease on behalf of the contractor was then
of said Corporation; that said release was duly signed for and on behalf of said
Corporation by AuthoMfy of its governing body, and is within the scope of corporate powers:
L SUE ANNE CIRA
T, Secretary's a Seal ioorporate Seal
'All
Notary Public - State of Indiana
St Joseph County
Printed arras Idy Commission Expires Oct 22, 2022
DEPARTMENT OF
This project is acceptabl f f" I approval and we recommend to the Board of Public Works that it be ordained so.
Date: • j
Constructio pager
Gary A. M t, President.
Therese J, Draw, Meg ber
BOARD OF PUBLIC WORKS APPROVAL Date: , A") ) t'i
Genevieve E. Miller, Member
Laura O'Sullivan, Member
Elizabeth A. aradik, M'em er
inda M. Martin, Claris
MAINTENANCE Travelers Casualty and Surety Company of America
BOND Hartford, CT 06183
Bond No.: 107072648
KNOWN ALL BY THESE PRESENTS: That we RIETH-RILEY CONSTRUCTION CO,, INC,,
as Principal, and Travelers Casualty and Surer), Company of America , a corporation
organized and existing under the Laws of the State of Connecticut , as Surety, are held
and firmly bound unto CITY OF SOUTH BEND DEPARTMENT OF PUBLIC WORKS , as Obligee, in the
total sum Of Thirty Two Thousand Five Hundred and 00/100
U.S. Dollars ( 32,500,00 ) 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 6/26/2018 for
.Berlin Mace Site Concrete, Landscape Plantin s and Bldg. 4 Roof Pavers
("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 3 year(s) commencing on 05/02/19 (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 3rd day Of ,rune 2019
(Principal)
RIETH-RILEY CONSTRUCTION CO., INC.
a m
I
Travelers Casualty and Surety Company of America
ByN
Sandra M. Nowak , Attorney -in -Fact
ACKNOWLEDGEMENT BY SURETY
STATE OF ILLINOIS
COUNTY OF COOK
On this 3r1 of jr iie 1 , before me, Diane M. O'Lea� a Notary Public,
within and for said County and State, personally appeared Sandra M. Noway
to me personally known to be the Attorney -in -Fact of and for Travelers
Casualty and Surety Company of America and acknowledged that she
executed the said instrument as the free act and deed of said Company.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my
official seal, at my office in the aforesaid County, the day and year in this
certificate first above written.
Notary Public in the Statc4l'of Illinois
County of Cook
OFFICIAL ..rEAp......
DIANE C OILEARY
NO FARY LJ B LIC
Travelers Casualty and Surety Company of America
�1060k, Travelers Casualty and Surety Company
TRAV LER J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Sandra M. Nowak of Chicago
Illinois , their true and lawful Attorney -in -Fact 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 3rd day of February,
2017.
NAAI M. QUA
CONN. I6K
State of Connecticut "
By:
City of Hartford ss. Robert L. Raney, Se(fi'°hr Vice President
On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance 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,.
In Witness Whereof, I hereunto set my hand and official seal. q 1t
My Commission expires the 30th day of June, 2021__,
1r Marie C. Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance 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, and 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; and 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 any 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 a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by
one or more Attorneys -in -Fact 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 or certificate bearing
such facsimile signature or facsimile seal 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 future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing Is a true and correct copy of the Power of
Attorney executed iy said Companies, which remains in full force and effect.
Dated this day of 6 L
CONN
®rF(Qi%,
0 ICevin E. Hughes, Assi tent Secretary
ro verify the authenticity of this Power of Attorney, please call us at 1-800-421-3880.
Please refer to the above -named Attorney -in -Fact and the details of fhe bond to which the power is attached.
AFFIDAVIT AND WAIVER OF LIEN
State of Indiana, County of SS:
being duly sworn that he/she is the �� S
(Name of Officer) (Title
of V
having contracted with
(Sub ntractor/Supplier) (Contractor)
to furnish certain materials and/or labor as follows: eC�
(Description)
for a project known as // I'7
(Name of Project)
located at
and owned by D
(Owner)
SUE ANNE CIRA
and does hereby further state on the behalf of the aforementioned subcontractor/supplier: Seal
Notary Public - State of Indiana
(PARTIAL WAIVER) that there is due from the Contractor the sum of St Joseph County
My Commission Expires Oct 22, 2022
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 shalt be effective only upon teceipt of payment thereof by the
undersigned;
1VE- at the al ba:larrce due from he
c aetor is t e sum of
0 0
ipt 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 thercon 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.
-`�A"'i �" sf �. !nc By
um ty
STATE OF 1NDIANA ) ) � P � �A'e-S'�
S'S:
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared,�.?�_ r, /47k
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WI S WHEREOF, I have hereunto subscribed my name and affixed mzoary
ffiil seal on the day of
Public Signature
My Commission Expires: 1 la X, 2 Q ,
Residing in 1JA County Notary Pu Na e
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 6/13/2019..................�....... aw.......m...�
Department Public
Name Toy Villa Works
BPW Date 6/25/2019 Phone Extension 5920
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�.._._ a....._...........................
......_............................. �. w Required 1 to Board od Prior to Submitt........w _........... _ ..
BPW Attorney ❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing [❑
Check the A p opriate Item " yp ; - Requiredfin- All Submissions
❑ Professional Services Agreement ❑ Contract
[:] Open Market Contract
[❑ Amendment/Addendum
❑ Bid Opening
]I Bid Award
EJ Quote Opening
Quote Award
❑ Proposal Opening
❑ C/O & PCA No.
❑ Chg. Order, No.
❑ Traffic Control
F Other:
u:i;rd Information
_] Proposal
] Special Purchase, QPA
E] Req. to Advertise
F] Reject Bids/Quotes
® PCA
❑ Resolution
Company or Vendor Name Rieth Riley Construction Co., Inc
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Ease./Encroach
❑ Title Sheet
L_J YesLJ If Yes, Approved by Purchasing
® No
❑Yes
MBE Completed E-Verify Form Attached No
WBE
Berlin Place Site Concrete I.andsce, Plantings and Bldg. 4 Roof Pavers
....
118-057
River West TIF
324.1050.460.42.01
..................�...........w�..
$325,000.00
Proiect Closeout
_m..
For Chang Orders Only
__..
Amount of E Increase
$. ,. w.....��.
.................... �] Decrease _...._�m...... �$� ................� �................................�...�....�,,,..........,,m.........�................�____-_-_-- �...�
Previous Amount $
Increase %
Current Percent of Change: Decrease (m %)m
New Amount $
Increase %
Total Percent of Change: Decrease ( /o mm..........
0
Time Extension Amount:
New Completion Date