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HomeMy WebLinkAboutProject Completion Affidavit - Gemini at Washington-Colfax Roof Improvements Project No 118-080A - Dudeck Roofing1316 COUNTY —CITY BUILDING Chi PHONE 574/ 235-925 227 W. JEFFERSON BOULEVARD s IVrt""' FAX 574/ 235-9171 SOUTH BEND. INDIANA 46601-1830 1865 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARDU IC WORKS September 24, 2019 Catherine Dudeck Dudeck Roofing and Sheet Metal 1634 Franklin Street South Bend, IN 46613 RE: Project Completion Affidavit — Gemini at Washington -Colfax Roof Improvements — Project No. 118-080A Dear Ms. Dudeck: The Board of Public Works, at its meeting held on September 24, 2019, approved the Project Completion Affidavit for this project in the amount of $133,295. 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. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU °,y9&7Yl CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME GEMINI AT WASHINGTON-COLFAX ROOF IMPROVEMENTS PROJECT NO 118-080A FINAL COST $133,295.00 CONTRACT SIGNED 9/25/2018 MAINTENANCE AGREEMENT ENDS Work includes selective demolition, EPDM roofing, and associated accessories at the Gemini PROJECT DESCRIPTION Washin ton -Colfax A artment Buildin in South Bend, IN. 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. (Exec jted this 23rd day of August 2019 Dudeck Roofing and Sheet Metal Company Name Signature 1634 Franklin Street Catherine Dudeck Company Address Printed Name South Bend, IN 46613 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Catherine Dudeck and acknowledged his/her signature to the above Project Completion Affidavit on the 23rd day of August 9 , Notary Signature My Commission Expires Printed Name County of Residence rs C If the Contractor is a corporation, the following certificate will be executed. I, Catherine Dudeck certify that I am Secretary of the Corporation executing this release; that Catherine Dudeck 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 Co voratn by Authority of its F91 verning ody, a is within the scope of corporate powers: eretary's inature Corporate Seal Catherine Dudeck Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for fl approval and we recommend to the Board of Public Works that it be ordained so. Date: z° Constructi anager Gary A. Gilot, President BOARD OF PUBLIC WORKS APPROVAL Genevieve E. Miller, Date: 't e , a e, ( Elizabeth A. MaradW, Member erese J. P6rau, Mefter L,,,, aura O'Sullivan, Member """" N lrida M. Martin, Clerk THECINCINNATI INSURANCE COMPANY MAINTENANCE BOND Bond No. B1230089 KNOW ALL MEN BY THESE PRESENTS, that we Dudeck Roofing and Sheet Metal, Inc., 1634 S. Franklin Street, South Bend, IN 46613 as Principal and THE CINCINNATI INSURANCE COMPANY, 6200 S. Gilmore Road, Fairfield, Ohio 45014-5141, a corporation organized under the laws of the State of Ohio, with principal office at Cincinnati, Ohio, as Surety, are held and firmly bound unto City of South Bend, Board of Public Works, County -City Bldg Rm 1316, 227 West Jefferson Blvd, South Bend, IN 46601 (hereinafter called the Obligee), in the penal sum of Thirteen Thousand, Three Hundred, Twenty-nine and 50/100 Dollars, for payment of which, well and truly to be made, we do hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. DATED this 29th day of August 2019 WHEREAS, the said Principal has heretofore entered into a contract with the Obligee above named for Gemini at Washington -Colfax Apartment Improvements, Project No. 118-080A and, WHEREAS, the work called for under said contract has now been completed and accepted by the said Obligee; NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH, That if said Principal shall, for a period of Three year(s) from and after the 1st day of August, 2019 , indemnify the Obligee against any loss or damage directly arising by reason of any defect in the material or workmanship which may be discovered within the period aforesaid, then this obligation shall be void; otherwise to be and remain in full force and virtue in law. PROVIDED, HOWEVER, that in the event of any default on the part of said Principal, written statement of the particular facts showing such default and the date thereof shall be delivered to the Surety by registered mail, at its Home Office in the City of Cincinnati, Ohio, promptly and in any event within ten (10) days after the Obligee or his representative shall learn of such default, and that no claim, suit, or action by reason of any default of the Principal shall be brought here under after the expiration of thirty days from the end of the maintenance period as herein set forth. Cudec foofing and Sheet Met (Inc J71, (Princi l) (Seal) (Title) S-2400 (6/08) THE CINCINNATI INSURANCE COMPANY By Attorney -in -fact Elaine K. Miller, Attorney -in -Fact THE CINCINNATI INSURANCE COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint Harold E. Everett; Elaine K. Miller; Marie E. Comparet; Thomas J. Van Dyck; Jada M. Karst; J. Kevin Hughes; Thomas J. McGovern; Tracie McBride; Melinda Jagger; Connie J. Messer and/or Laura L. Diver of Fort Wayne, Indiana its true and lawful Attorney(s)-in-Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Seventy Five 'Million and No/100Doi ars ($75,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 61h day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in - Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys -in - Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 711 day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 191 day of December, 2018. THE CINCINNATI INSURANCE COMPANY WRPOATE. . SEAL ;�'" Onto Vice President STATE OF OHIO ) ss: COUNTY OF BUTLER ) On this 191 day of December, 2018, before me came the above -named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. ..... .. KEITH�LIE'TT; Attorney at Law t. rIOTAFmy PUBLIC -STATE OF OHIO r► My commission has no expiration Z#+err of . date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal of said Company at Fairfield, Ohio. this 29th day of August, 209 ... /2 as....,.�..........�.�.......... ..... Secretary rmsoou FIRESTONE WARRANTY GENERAL TERMS, CONDITIONS AND LIMITATIONS Warranty No: 700367069 Project No: 3457114 Start Date: 08/01/2019 Building Identification: Gemini at Washington Building Address: 617 W Washington St, South Bend, IN 46601-1454 Building Owner: City of South Bend Board of Public Works Roofing Contractor: DUDECK ROOFING & SHEET METAL, 40001760 Subject to the terms, conditions, and limitations set forth herein, Firestone Building Products Company, LLC ("Firestone"), an Indiana limited liability company, provides the Building Owner ("Owner") named above with this Limited Warranty for the Firestone provided System(s) or Material(s) set forth herein. This Warranty consists of multiple pages, all of which comprise the express terms and conditions of the warranty herein. Additional requirements, terms, conditions, exceptions, and limitations are defined in subsequent pages. In the event that any inconsistencies exist between the General Terms, Conditions and Limitations listed below and the Terms, Conditions and Limitations in subsequent pages, the subsequent pages will prevail. GENERAL TERMS, CONDITIONS AND LIMITATIONS Pa Yment Regul ad. Firestone shall have no obligation under this Limited Warranty unless and until Firestone and the licensed applicator have been paid in full for all materials, supplies, services, approved written change orders, warranty costs and other costs which are included in, or incidental to, the System or Materials. In the event that repairs not covered by this Limited Warranty are necessary in the future, Firestone reserves the right to suspend this Limited Warranty until such repairs have been completed and the licensed applicator and/or Firestone has been paid in full for such repairs. Exclusions. Firestone shall have no obligation under this Limited Warranty, or any other liability, now or in the future if a claim or damage is caused by: Natural forces, disasters, or acts of God including, but not limited to, fires, hurricanes, tornadoes, wind-blown debris, lightning, earthquakes, volcanic activity, atomic radiation, insects or animals; Act(s), conduct or omission(s) by any person, or act(s) of war, terrorism or vandalism, which damage the System or Material or which impair the System or Material's ability to perform properly; Failure by the Owner to use reasonable care in maintaining the System or Material, said maintenance to include, but not be limited to, those items listed in the current version of the Firestone Owner's Manual available at http://firestonebpco.com/ in the Building Owner's Toolbox; Deterioration, defects or failure of building components, including, but not limited to, the substrates, structural elements, walls, mortar, HVAC units, skylights, foundation settlement, etc.; Construction generated moisture, condensation or infiltration of moisture in, from, through, or around the walls, copings, rooftop hardware or equipment, skylights, building structure or underlying or surrounding materials; Acid, oil, harmful chemicals, or the reaction between them; Alterations or repairs to the System or Materials that are not completed in accordance with Firestone's published specifications, not completed by a Firestone licensed applicator, and/or completed without proper notice to Firestone; The design of the system: Firestone does not undertake any analysis of the architecture or engineering required to evaluate what type of System, Installation or Material is appropriate for a building and makes no warranty express or implied as to the suitability of its Products for any particular structure; such a determination is the responsibility of the architect, engineer or design professional; Improper selection of materials for the assembly or the failure to accurately calculate wind uplift and/or applicable design loads; Deterioration to metal materials and accessories caused by marine salt water, atmosphere, or by regular spray of either salt or fresh water; Failure of any non -Firestone brand materials used in the Firestone System or Installation not specifically accepted in writing by Firestone to be included in coverage; Change in building use or purpose; Failure by the Firestone licensed applicator or any additional contractor or subcontractor to follow Firestone's recommended installation instructions or approved specifications or drawings for the layout, design, and installation of the System or Materials. It shall be the Firestone licensed applicator's sole and exclusive responsibility to strictly follow Firestone's recommended installation instructions or approved specifications or drawings for the layout, design, and installation of the System or Materials; or Failure to correct all installation deficiencies listed in any Firestone inspection report. Overburden. Owner shall be responsible for the costs associated with the removal and replacement, as well as any damage caused by the removal and replacement, of any overburden, superstrata or overlays, either permanent or temporary, which include but are not limited to: structures or assemblies added after installation, fixtures or utilities on or through the System or Material, support platforms or bases for Photovoltaic (PV) Arrays (aka - Solar Panels), Garden Roofs, Decks, Patios or any other obstacles that impede access, clear observation, investigation, and repair of the System or Materials, excluding ballast or pavers accepted by Firestone or overburden specifically included in subsequent pages of this Warranty. Term. The term of this Limited Warranty shall be for the period set forth above and in subsequent pages of this document and shall not be extended under any circumstances without Firestone approval. Access. During the term of this Limited Warranty, Firestone's designated representative or employees shall have free access to the Installation location for inspection, audit, or repair purposes during regular business hours. In the event that access is limited due to security or other restrictions, Owner shall reimburse Firestone for all reasonable cost incurred during inspection and/or repair of the System or Material that are due to delays associated with said restrictions. Waiver. Firestone's failure to enforce any of the terms or conditions stated herein shall not be construed as a waiver of such provision or of any other terms and conditions of this Limited Warranty. Disputes. Any dispute, controversy or claim between the Owner and Firestone concerning this Limited Warranty or relating to any material supplied or specifically required by Firestone shall be settled by mediation. The Owner hereby releases Firestone from all liability to Owner's insurance carrier or to anyone claiming under or through Owner by reason of subrogation or otherwise. In the event that the Owner and Firestone do not resolve the dispute, controversy or claim in mediation, the Owner and Firestone agree that neither party will commence or prosecute any suit, proceeding, or claim other than in the courts of Hamilton County in the state of Indiana or the United States District Court, Southern District of Indiana, Indianapolis Division. Each party irrevocably consents to the jurisdiction and venue of the above -identified courts. Governing Law. This Limited Warranty shall be governed by and construed in accordance with the laws of the State of Indiana without regard to its rules on conflict of laws. Severability. If any portion of this Limited Warranty is held by a court of competent jurisdiction to be invalid, void or unenforceable, the remaining provisions shall nevertheless continue in full force. FIRESTONE DOES NOT WARRANT PRODUCTS INCORPORATED OR UTILIZED IN THIS INSTALLATION THAT WERE NOT FURNISHED BY FIRESTONE. FIRESTONE SPECIFICALLY DISCLAIMS LIABILITY UNDER ANY THEORY OF LAW ARISING OUT OF THE INSTALLATION OF, PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT FURNISHED BY FIRESTONE. THIS LIMITED WARRANTY SUPERSEDES AND IS IN LIEU OF ALL OTHER WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, AND FIRESTONE HEREBY DISCLAIMS ALL SUCH WARRANTIES. THIS LIMITED WARRANTY SHALL BE THE OWNER'S SOLE AND EXCLUSIVE REMEDY AGAINST FIRESTONE, AND FIRESTONE SHALL NOT BE LIABLE FOR ANY CONSEQUENTIAL, SPECIAL, INCIDENTAL OR OTHER DAMAGES INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS OR DAMAGES TO THE BUILDING OR ITS CONTENTS, SUBSTRATES OR THE ROOF DECK. THIS LIMITED WARRANTY CANNOT BE AMENDED, ALTERED OR MODIFIED IN ANY WAY EXCEPT IN WRITING SIGNED BY AN AUTHORIZED OFFICER OF FIRESTONE. NO OTHER PERSON HAS ANY AUTHORITY TO BIND FIRESTONE WITH ANY REPRESENTATION OR WARRANTY WHETHER ORAL OR WRITTEN. THIS WARRANTY INSTRUMENT CONSISTS OF MULTIPLE PAGES, ALL OF WHICH ARE PART OF THIS DOCUMENT. ADDITIONAL REQUIREMENTS ARE DEFINED ON SUBSEQUENT PAGES. IF�restone NOBODY C ° R YOU P 'IIIMM" :,�" 200 4th Avenue South, Nashville, TN 37201 1-800-428-4442 www.firestonebpco.com Page 2 of 3 1001.001.2015 FIRESTONE RED SHIELD ROOF SYSTEM LIMITED WARRANTY Warranty No: 700367069 Project No: 3457114 Start Date: 08/01/2019 Building Identification: Gemini at Washington Building Address: 617 W Washington St, South Bend, IN 46601-1454 Building Owner: City of South Bend Board of Public Works Roofing Contractor: DUDECK ROOFING & SHEET METAL, 40001760 roof Firestone Red Shield - EPDM - 10 Year - 5S mph Square Footage: 7,000 For the warranty period indicated above, Firestone Building Products Company, LLC ("Firestone"), an Indiana limited liability company, warrants to the Building Owner ("Owner") named above that Firestone will, subject to the Terms, Conditions and Limitations set forth below, provide labor and material to repair any leak in the Firestone Roofing System ("System") caused by deterioration in the Firestone brand material due to normal weathering or any manufacturing or workmanship defect in the membrane within the scope of this warranty during the period specified above. TERMS, CONDITIONS AND LIMITATIONS Products Covered. The System shall mean only the Firestone brand roofing membranes, Firestone brand roofing insulations, Firestone brand roofing metal, and other Firestone brand roofing accessories when installed in accordance with Firestone technical specifications by a Firestone -licensed applicator. Any materials not manufactured or supplied by Firestone are not covered under this warranty. Notice. In the event any leak should occur in the System, the Owner must give notice in writing or by telephone to Firestone within thirty (30) days of any occurrence of a leak. By so notifying Firestone, the Owner authorizes Firestone or its designee to investigate the cause of the leak at its option. Investigation. Should the investigation reveal that the leak is excluded under the Terms, Conditions and Limitations, the Owner shall be responsible for payment of the investigation costs. Failure by Owner to pay for these costs shall render this Limited Warranty null and void. The Owner is responsible for completing repairs not covered by the Limited Warranty to be made at the Owner's expense that will permit this Limited Warranty to remain in effect for the un-expired portion of its term. Failure by the Owner to properly make these repairs in a reasonable manner using a Firestone -licensed applicator and within 60 days shall render this Limited Warranty null and void. No Dollar LImit NOL . If upon investigation, Firestone determines that the leak is not excluded under the Terms, Conditions and Limitations set forth in this Limited Warranty, the Owner's sole and exclusive remedy and Firestone's total liability shall be limited to the repair of the leak. There is no dollar limit placed on warranted leak repairs to the extent such repairs are covered by this Limited Warranty. Exclusions. Firestone shall have no obligation under this Limited Warranty, or any other liability, now or in the future if a claim or damage is caused by: Hail Winds of peak gust speed at or in excess of 55 mph calculated at ten(10) meters above ground using available meteorological data: (All associated building components, including but not limited to the deck substrate, joists, columns and foundation, must also meet wind speed design requirements); Roof traffic or storage of materials or equipment on the roof not specifically accepted in writing by Firestone. Damage to the roof incurred during breach, rupture or failure of any building envelope component during a flood or wind event not covered under warranty; or, Failure to give proper notice as set forth in paragraph above. Transfer. This Limited Warranty shall be transferable and assignable subject to Owner's payment of the current transfer fee set by Firestone. Alteration. Owner shall obtain Firestone's written approval before making any alterations to the roof system or installing any structures, fixtures, or utilities on or through the roof. This includes modification of the Firestone roof system to serve as a support platform for Photovoltaic (PV) Arrays (aka - Solar Panels), Garden Roofs, Decks, Patios, and areas intended for public access. Roof modification approval typically requires owner sponsored enhancement of the roof system to meet additional performance requirements to ensure service life following the proposed modification. Firestone is the sole judge of whether or not enhancements to the roof system are required. Failure to obtain Firestone approval for a roof modification will result in invalidation of this warranty. FIRESTONE BUILDING PRODUCTS COMPANY, LLC By: Michael Huber Authorized A /z" ' 1' / Signature." Title: Director of Warranty Services THIS WARRANTY INSTRUMENT CONSISTS OF MULTIPLE PAGES, ALL OF WHICH ARE PART OF THIS DOCUMENT. ADDITIONAL REQUIREMENTS ARE DEFINED ON SUBSEQUENT PAGES. Page 3 of 3 1003.001.2015 . BUILDING PRODUCTS Final Waiver of Lien State of Indiana, County of St. Joseph SS: Catherine Dudeck being duly sworn that he/she is the President (Name of Officer) (Title) of Dudeck Roofing and Sheet Metal, Inc. having contracted with City of South Bend, Indiana (Contractor) (Owner) to furnish certain materials and/or labor as follows; Roofing and Associated Sheet Metal (Description) for a project known as Gemini at Washington -Colfax Apartments (Name of Project) located at 617 W. Washington Street / South Bend, IN and owned by City of South Bend, Indiana (Owner) and does hereby further state on the behalf of the aforementioned subcontrsctor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars $ ❑ receipt of which is hereby aclmowlodged; or ❑ the payment of which lots been promised as the sole consideration for this Affidavit and Final Waiver of Lion -which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of $31,815.05 ❑ receipt of which is hereby acimowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective onlyuponroceipt 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 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 lien on account of any work performed or material furnished to the undersigned for said project, and wi'thlr) the scope ofthis Affidavit and Waiver of Lien. Dudeck Roofing and Sheet Metal; Inc. BY (Firm) (Authorial Representative) STATE OF INDIANA ) ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Catherine Dudeck and aftowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS Wl-ZREOF, Ihave hereunto subscribed my name and affixed my official seal on rite rd 4'y of August gyp( 2019 - Notary Pa 1 c Igaa My Commission Expires: 8 St. Joseph ty No P"?1.' Residing to p Coun , Indiananie BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 09/12/2019 Name ... To Villa Department Enaineerin BPW Date 09/24/2019 Phone Extension 5920 MMMMMMM�N� W.W. ------- .......... Required" - Prior_ -., Submittal to Board Legal F1 Attorney Name Controller El Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing Check the [J Agreement El Professional Services [:] Bid Opening El Quote Opening [:1 Change Order No. EJ Ease/Encroach. Other- iropriate Item Type - El Contract F-1 Resolution R Bid Award El Quote Award C/O & PCA No. ❑ Traffic Control for All Submissions I Proposal mITITmmmITITmmmmmmWW Addendum R Req. to Advertise El Title Sheet ired Information Company or Vendor Name Dudeck Roofing and Sheet Metal New Vendor [:] Yes 0 No EJ If Yes, Approved by Purchasing MBE/WBE Contractor E] MBE F-1 WBE MBE/WBE Contractor Requested [] No F-1 Yes Name of Company Project Name Gemini Was_ -Colfax Apartment Improvements Project Number 11 8-080A Funding Source West Washinqjop_TIF..... Account No. 422-1050-460-42.03 Amount � 133,295.00 Terms of Contract Purpose/Description Proiect Closeout. El Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc, uired For Change, Orders On Amount of Increase $ ' Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: % Dispersal After Approval Copy Original El F-1 El F-1 n El