HomeMy WebLinkAboutProject Completion Affidavit - VPA Maintenance Storage Building Project No 118-046R - The Robert Henry CorpICI
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CITY OF SOUTH BEND PETE BUTTIGIEG, OR
BOARD OF PUBLICWORKS
July 9, 2019
Stephen Henry
The Robert Henry Corporation
404 S. Frances Street
South Bend, IN 46624
PHONE 574/235-9251
F.ax 574/ 235-9171
RE: Project Completion Affidavit — Venues, Parks, and Arts Maintenance Storage
Building —Project No. I I8-046R
Dear Mr. Henry:
The Board of Public Works, at its meeting held on July 9, 2019, approved the Project
Completion Affidavit for this project in the amount of $388,984.
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,
k )
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEV IEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
�},7bTXX
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
VPA MAINTENANCE STORAGE BUILDING [(BASE BID PLUS ALT.# 1, 2, & 3)(ALT.#1 =
PROJECT NAME UNIT PRICE $4 42.1 X3
PROJECT NO 118-046R FINAL COST $388 98 .00
CONTRACT SIGNED 9/11/2018 MAINTENANCE AGREEMENT ENDS
Build a new storage building to the west of the existing storage building at the VPA Facilities
PROJECT DESCRIPTION and Grounds Headouarters,
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
of South S d which were a part of the above Contract.
, 2019 The Robert Hen Corporation
Ex d is th day of June Company Name
rgnat re 404 S. Frances Street
Ste h n R. HenryCompany Address
Printed Name South Bend IN 46617
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and s
Stephen R. Henry , and acknowledged his/her signature to the ab
a e 6th � y __, 2019
r 1
Notary Signatur My Commission Ex i
E,
Printed Name County of Residence
If the Contractor is a corporation, the following certificate will be executed
0 ct U*8W i6 Al lavi YLE
' Notary Public
11
SE q�� St,,Joseph County, State of Indian
I, igho 1. Hemy certify that I am Secretary of the Corporation executing this release; that
St hen R. Hen 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
Cor�p Z11 governing body, and is within the scope of corporate powers:
SoeretOls Signature
Corporate Seal
John T. Hen
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for fi I approval and we recommend to the Board of Public Works that it be ordained so.
u Date:
q-
Constructior<gYager
BOARD OF PUBLIC WORKS APPROVAL Date:
ary A. Gilot, President Genevieve E. Miller, Member Eliziath A. Malradika Member
r
Therese J Ddfeb. limber Laura O'Sullivan, Member Linda M. Martin, Clerk
Bond No: 9284280
Maintenance Bond
KNOW ALL MEN BY THESE PRESENTS, that we
The Robert Henry Corporation, PO Box 1407, South Bend, IN 46624-1407 hereinafter
called Principal, as Principal, and Fidelity and Deposit Company of Maryland
a corporation of the State of 9 hereinafter called �... _._et ,
� ..... Illinois Chicago Illinois d Surety, as Surety,
are held and firmly bound unto
City of South Bend, 227 W Jefferson St., Ste 1200 N, South Bend, IN 46601-1830
hereinafter called Obhgce in the sum of Thirty Eight Thousand Eight Hundred Ninety Eight and 40/100 ($38,898,40)
DOLLARS, lawful money of the United States of America, to be paid to the said Obligee, or its successors or assigns, to
the payment of which sum well and truly to be made, we do bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
SIGNED, sealed and dated this — 7th _day of
June
2019
WHEREAS, the Principal entered into a contract with the said Obligee, dated September 11, 2018
for
and
Venues, Parks, and Arts Maintenance Storage Buildin - Project No. 118-046R
WHEREAS, the Obligee requires that these presents be executed on or before the fmal completion and acceptance of said
contract and
WHEREAS, said contract was completed and accepted on the _ 26th day of March 2019
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall remedy, without
cost to the Obligee, any defects which may develop during a period of Three (3)
from the date of completion and acceptance of the work performed under the contract, caused by defective or inferior
materials or workmanship, then this obligation shall be void: otherwise it shall be and remain in full force and effect.
AT IDS
The enrrporaon y t
Fidelity,JaIlDeposit ornpa ✓ Maryland
By:-
, Carolyn JWa o
y i er "�" , Attorney -in -Fact
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, A(torn The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seat, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instrurnents onbehalf of the Company, and may authorize any officer or any such
attorney -in fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CI:.:.1R1'1lF11CAT1E
1, the undersigned, Secretary of the ZLJPlCfl AMERICAN INSURANCE COMPANY, the COLONIAL A.M.F',RICAN CASUALTY
AND SURETY COMPANY, and the FIDELITY ANT) DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing
Power of Attorney is still in full force and effect on. the date of this certificate; and l do further certify that Article V, Section 8, of the By -
Laws of the Companies is still in force.
This Power of Attorney and Certificate rnay be signed by facsimile under and by authority of the Collowing resolution of the Board of
Directors of'the ZURICH AMl,.R1CAN INSIMANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and. the arresting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attomey.-Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company,"
This Power of Attorney and Certificate may be Signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL, AME.RICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
,May, 1.994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and field on the l Oth day of May, 1990
RESOLVED;"`Chat: the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid. and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY W11E.REOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this _ 7th day June,,,,,,, ,,,2019
..............
By. B6an M. Hodges
Vice President
TO REPORT A CLAIM WIT11 REGARDTO A SURETY BOND, PLEASE SUB-IMIT A COMPLETE DESCRIPTION
OFTHE CLAIM INCLUDING THE PRINCIPAL ON ITIE BOND, TARE BOND NIRMBER, AIDED YOUR CONTACT
I[NFORINIATIONTO:
Zurich Surety Claims
1299 Zurich Way.
Schaumburg, IL 60196 1056
800 626 4577
FINAL UNCONDITIONAL WAIVER OF LIEN
STATE OF Indiana
SS
COUNTY OF St. Joseph
Whereas, the undersigned The Robert FlenOLCorporation has been heretofore employed by City of South
Bend to furnish certain material and labor, to wit: General Constructaolz ofDc partinent of Venue, Parks and Arts
Maintenance Storage Buildin , located at 1020 High Street in South Bend, Indiana.
Now Therefore, Know Ye, that the undersigned does hereby waive and release unto said 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 TO AND FOR SAID AMOUNT, on account of any and all labor, material, or both, furnished for or
incorporated into said building by the undersigned, up to this date, and they further certify that the consideration
moving to the undersigned, for executing this FINAL WAIVER OF LIEN has been mutually given and accepted as a
full payment to or on account of the said The Robert Henjy Corporation for said building and real estate.
Signed, sealed and delivered this 5' day of June, 2019
Signed
Personally appeared before me this 5 h day of June, 2019, John A. Callan, who, being duly sworn on
oath, says; That he is Project Manager° of The Robert HenryCorporation and that he hereby acknowledges the
execution of the foregoing instrument for and on behalf of said The Robert Hertly Corporation and at its special
instance and request.
�L4 wl-L)
Patricia A. Kni l'1 , Notary Public
Residing in St. Joseph County
My Commission Expires: September 5 2024
PATRICIA A. KNIGHT
Seal
Notary Public - State of Indiana
St Joseph County
r'"M
y Commission Expires Sep 5, 2024
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date06/24/2019..._............��_�_���.......... ----- � . . �.�........�.................
Name Toy Villa
Department: ent. Engineering
e ....
BPW Date 07/09/2019 Phone Extension 5920
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_ R�qt ired_Prior to Submittal to Board
BPW Attorney � ��� Attorney Name ...........�.__ . . ............... �...�.......
Dept. Attorney Attorney Name
Purchasing
Check the
L Professional Services Agreement L Contract
❑ Open Market Contract
[] Amendment/Addendum
E] Bid Opening
E] Bid Award
Quote Opening
Quote Award
F-1 Proposal Opening
n C/O & PCA No.
Chg. Order, No.
El Traffic Control
Other:
Company or Vendor Name The Robert H
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Jo)All Submissions
E] Proposal
"I Special Purchase, QPA
E] Req. to Advertise ❑ Title Sheet
Reject Bids/Quotes
® PCA
Resolution
Ease./Encroach
Yes" If Yes, Approved by Purchasing
No
❑❑ MBE Completed E-Verify Form Attached ❑❑ No
WBE
VPA Maintenance Storage Building
118-046R
Park Bond Series I
471.1138.452.42.01
$388,984.00
Project Closeout
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For Clot Orders Only
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Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
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