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Home My WebLink AboutProject Completion Affidavit - Cleveland Well Field Refurbishments Program Related Items Project No 118-021A - Peerless Midwest IncBUILDING1316 COUNTY —CITY 227 W. JEFFERSON BOULEVARD �INDIANA 46601-1930 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLICOr July 23, 2019 James Williams Peerless Midwest, Inc. 55860 Russell Industrial Parkway Mishawaka, IN 46545 PHONE 574/235-9251 FAX 574/235-9171 RE: Project Completion Affidavit — Cleveland Well Field Refurbishments - Program Related Items —Project No. 118-021A Dear Mr. Williams: The Board of Public Works, at its meeting held on July 23, 2019, approved the Project Completion Affidavit for this project in the amount of $145,244. 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 F GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU bb'kS 1Y1 �yv CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT_ PROJECT NAME Cleveland Well Field Refurbishments - Program Related Items PROJECT NO 118-021A FINAL COST $145,244.00 CONTRACT SIGNED 4/9/2019 MAINTENANCE AGREEMENT ENDS The procurement, installation, and programming of programmable logic controllers (PLC) in Cleveland North and Cleveland South well fields, Hach CA-610 Fluoride Analyzer with Reagents in Cleveland North and Cleveland South well fields, and two V1 OK Chlorinators in PROJECT DESCRIPTION Cleveland South well field. 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 Bend which were a part of the above Contract. this o7� day of air Executed 201 Peerless Midwest, Inc. Company Name Si,gna ure 55860 Russell Industrial Parkway J e Company Address �LrML� R �.- dIj'j�M J Printed Name Mishawaka, IN 46545 City, State, Zip WITNESSESS: fore m ne �urera" ned Notary Public in and for said country and state, personally appeared , acknowledged his/her signature to the above Project Completion Affidavit on the • day of 201 Notar Signat tre My Commission Expires Printed Name County of Residence "`wt'""°j� *w r r� �'" E CATHY S. LA:Expires rx q _state ndiana * �e St, Joseph Coy 9EA� •' ." My Commission 4� If the ontract r is a proration th following certificate will be executed. 1, �j:" 5�ertify that I am Secretary of the Corporation executing this release; that S 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 Sr'nature i �—° Corporate Seal r 1 Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for '•n pproval and we recommend to the Board of Public Works that it be ordained so, �" Date: • Construction er BOARD OF PUBLIC WORKS APPROVAL Date: t Gary A.�Gilot,resident Aeve E, Miller, M er Eluzabejta A. Marad'dk„ Member )/*� .. . ...... ........ . ......... - Therese J, dau Member ura S C ..... _ r ullivan, er �; h da M. Martin, Clerk Final Waiver of Lien State of Indiana, County of St. i O S j h SS: dm� � R • MjLLiLafn..m_._� �__.. being duly sworn that he/she is the e n r 19 (Name of Officer) - (Title) of Peerless-Midwestt. Inc. having contracted with (Contractor) (Owner) to furnish certain materials and/or labor as follows, Procurement, installation of logic controllers ....... _... ......... u__�_ (Description) for a project known as Cleveland Well FieldRefurbishments 11-8.-� ,.... . — (Name of Project) located at and owned by The City of South Bend (OwnerF...�_��,M mm._.. and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of 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, andwhich waiver sball be effective only upon receipt of payment thereof by the undersigned; he sum of One (ilun r AL WAIVER) rty-Fi vealThousandTwo Hundredalance due from the F.Qr y Four Doll L �00 ❑ 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 shall become effective only uponreceipt of such payment. THEREFORE, the undersigned valves and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon 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 Peen on account of any work performed or material furnished to the undersigned for said project, and withln the scope of this Affidavit and Waiver of Lien. sdwest Inc. y �. Peerless-Mi � (Firm) (Attthorized Representative) STATE OF INDIANA ) ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for sold County and State, personally appeared and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. 1N NE ` WHEREOF, I have hereunto subscribed my name and affixed my oftici1 seai om a day of 200 r+tsMrr,�� CATHY S. LANCE NotargI'ttbllcSl na °o My CommissionI x &ti r otna *1~ Notary Public, Stste of Indiana aEA� My commission Expires Residing m _ 'µe10a; ° Count Ajj 06, 2023 Notary Public N e 11, PEERLESS O Peerless Midwest is now SVEZ Advx�iad Solfi,�I 'ions June 26, 2019 City of South Bend Dept. of Public Works Division of Engineering 227 W. Jefferson Blvd. Suite 1316 South Bend, IN 46601 Attn: Mr. Josh Ehmer Mishawaka, IN / 574.254.9050 Westfield, IN / 317.896.2987 Ionia, MI / 616.527.0050 Fenton, MI / 810.215.1295 Lombard, IL / 630.708.3212 Boulder, CO / 574-286-0765 Littleton, CO / 303-968-7920 Canton, OH / 330-592-4146 RE: 118-021A Cleveland Well Field Refurbishments North Station SCADA Programming Dear Mr. Ehmer In regards to project #118-021A Cleveland Well Field Refurbishments, Peerless Midwest, Inc. offers a one- year parts and labor warranty on all workmanship and material provided and performed under this contract. The beginning date for this period is the date of final completion: June 41h, 2019. Please let me know if there are any further questions, or if we can be of any further assistance. Regards, PEERLESS MIDWEST, INC. Frank T. Williams Project Manager www.peeriessmidwest.com 55860 Russell Industrial Parkway, Mishawaka, IN 46545 Phone (574) 254.9050 Fax (574) 254.9650 New Remit to Address: REMIT TO: PEERLESS-MIDWEST, INC. PO BOX 207362 Phone: s7^.as4.yoso/Fax: 57*.25*.9650 SCJLDTO South Bend Water Works Attn: Mr. Bradley Van0osterurn 830 North Michigan Street South Bend, IN 46601 Cleveland Well Field SHIP TO g0ty.ofSouth Bend Project 11�8-021A Cleveland Well Field Refurbishments - Procirarn Related Items INVOICE NO 479396 Invoice Date roj Mgr, Project # and Task # Your Order No 146382/1.1 Contract x Exempt? i�eason Tax Exempt Yes [fl No EJ Pol. Sub \Aaterial Cost Tax Federal ID It 35-12B4374 Procurement, Installation. and programming ofPLC without ToudhSoreen Procurement, installation. and programming of Hach CA-61 0 Fouride Analyzer with Reagents and Integration into SCADA Procurement and Installation ofV1OKChlorinator and Integration into 8CADA Alternate #1 Adder for TouchGcreentoPLC Alternate #2 Adder for Procurement and Installation nfV1ORChlorinator and Integration 145,244.00 WE APPRECIATE YOUR BUSINESS. THANK YOU! VVoaccept Visa and K8ante,Cordr. Please call 574254.SO5O FiIc"� 23901 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/01/2019 Department Public ...Name Toy Villa � Works .... m __..... BPW Date 07/ /2019 Phone Extension 5920 mw � �an�,omxro,�r,�wnmr�rrw �� ... ax�i��M�m�,..�^ • •m ,.. m. �x� red Prior to Submittal to Board BPW Attorney Attorney Name Dept. Attorney ❑ Attorney Name Purchasing 0 All Submissions Professional Services Agreement JI Contract " Proposal El Open Market Contract ❑ Amendment/Addendum 0 Special Purchase, QPA Bid Opening Bid Award E] Req. to Advertise Quote Opening E] Quote Award 0 Reject Bids/Quotes Proposal Opening] C/O & PCA No. ® PCA ❑ Chg. Order, No. Traffic Control ❑ Resolution F-1 Other: F-1 Ease./Encroach Company or Vendor Name Peerless Midwest, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Yes] If Yes, Approved by Purchasing ® No ❑ MBE Completed E-Verify Form Attached ❑ WBE Cleveland Well Field Refurbishments — Program 118-021A Riverwest TIF $145,244.00 Project Closeout ❑ Title Sheet ❑ Yes ❑ No Related Items w. .....F1�... �............... .or......wCw_wge Orders Only Amount of Increase $ ... _ .... E] Decrease$__m ......_._ w Previous Amount $ Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase % Decrease 1' % Increase % Decrease (..........................%