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Home My WebLink AboutProject Completion Affidavit - Century Center Site Improvements Proj No 118-101 - Acorn Landscaping LLC.1316 COUNTY —CITY BUILDING PHONE 574/ 235-925I l 227 W. JEFFERSON BOULEVARD �t PEACE ANC ��=1 FAX 574/ 235-9I71 SOUTH BEND. INDIANA 4660I -I 930 i r �n I IIfwS w CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS November 12, 2019 Mr. Jeff Ritschard Acorn Landscaping LLC. 3680 W. Sample St. South Bend, IN 46619 RE: Project Completion Affidavit — Century Center Site Improvements — Project No. 118-101 Dear Mr. Ritschard: The Board of Public Works, at its meeting held on November 12, 2019, approved the Project Completion Affidavit for this project in the amount of $136,280.08. 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 LAMA L. O'SULLIVAN THERESE J. DORAU CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS „. PROJECT COMPLETION AFFIDAVIT PROJECT NAME Cent Canter Site Improvements PROJECT NO 118-101 FINAL COST $136,280.08 CONTRACT SIGNED 3/26/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Landscape and hardsca a improvements at Century Center WITNESSETH: ®_..,_�_�......_ The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City o Sm th Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by strcl' ontra1whfih at the contractor performed the work within the scope of the Specifications and Standards of the City of Sot h Bendre a part of the above Contract. Execu ed thisof 201 9 Acorn Landscaping LLC Company Name Signature ,v°"" ��p LINDA J GILROY �"^ ��°r Notary Public, State of Indianr ra St. Joseph County +t,+ Commission Number NP0721620 Printed Name r �4 0� My Commission Expires July 31, 2027 W Sa�mpte St ny Address th Bernd, IN 4661.9 , State, Zip WITNESSESS: Before me, the undersi ned Notary Public in and for said country and state, personally appeared acknowledged his/her signature to the above Project Completion Affidavit on the y r . . a da of ��"" 201„_ Notary Signatu a cle, My Commission Expires j 91)" l z.2 ,1rwellf 01" Printed Name County of Residence CPS If the Contractor is a corporation, the following certificate will be executed. certify that I am Secretary of the Corporation executing this release; that � ... _............ _— 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 Signature Printed Name Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable f` h nl approval and we recommend to the Board of Public Works that it be ordained so. y� r Date: _�� ' -L Constru na,ger BOARD OF PUBLIC WORKS APPROVAL Date:'0� '" t�;- - da A I I _....�. ' _ Gary A. Gilot,esident Gen i ve E. Miller Ili txa� Elizabeth A� M 7radkk, Member Therese J. Dorau, Member Wf /Laum O'Sullivan, l'. 3t ,:r Linda M. Martin, Clerk Final Waiver of Lien State of Indiana, County of �U''SS: C zz_ being duly sworn that he/she is the ' �✓% (N (Title) of -fG/'.) , ✓ ', having contracted with Cy_ � l� (Contractor) (Owner) to furnish certain materials and/or labor as follows; for a project known as located at i (Name of tf and owned by (Owner) « � I I N UA J I L 0 Y w,,..„ . and does hereby Further state on the behalf oFthe aforementioned sttbcontraotot/supplie o, � Notary Pw�ttt;e, State of dwwtttsrwar s"Sltl ro St, Joseph County emmisstcn Number NP0721620 (PARTIAL WAIVER) that there is due from the Contractor the sum of °,'�'wnr ��`` My t Nrnlastcn Expires d" 4Parutrrw" Dollars (;{ receipt of which is hereby aclatowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit attd Final Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; l INAL WAIVER that the final � the sum of (« balance due from the contractor Xreceipt 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 ofsaid t noses; any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor atonal both„ furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and fttrth certificd th ;no other party has any claim or right to a Ran on account of any work performed or material famished to the undersign for said pr ect, and within the scope of this Affidavit and Waiver of Lien. � (Firm) thorned It G ' B � topres e) STATE OF INDIANA SS: ST. JOSEPH COUNTY } Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared and acknowledged the execution oftho foregoing Affidavit and Waiver of Liou« IN WITNESS MIJ REOF, I have horonnto subscrlb name affixed my official seal' -n the ,�Z day of tll m,�_"' Notary Publi gnatemv My Commission Expires: 7 — —a� Reslding in County, ,+ Notary Public Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/01/2019 / Department Public Name _ .......TO�Villaa...... ._v Works ........._ _. _...... BPW Date 11/12/2019 Phone Extension 5920 rior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney E] Purchasing ❑ Attorney Name Check the Appropriate Item ❑ Professional Services Agreement F] Contract Open Market Contract Amendment/Addendum E] Bid Opening E] Bid Award Quote Opening ❑ Quote Award ] Proposal Opening ] C/O & PCA No. ❑ Chg. Order, No. Traffic Control Other: w_ Required Informati, Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description ons �] Proposal ❑ Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes ® PCA Resolution Ease./Encroach ❑ Title Sheet Acorn Landscaping ❑ YesE] If Yes, Approved by Purchasing ❑] No MBE Completed E-Verify Form Attached ❑ Yes ❑ WBE ❑ No y xdsc in:. Century Center Exterior Laa ._ 118-101 Hotel Motel Tax Fund 2019 mmWUWWWuu mmIT _..... 304.42010.000.0099 - ..................... $136,280.08 Project Closeocat C. For Chan ,e Orders Only Amount of Increase $ _ ... ] Decrease ($ ) Previous Amount $ Increase % Current Percent of Change: Decrease ( %) New Amount $ __............. Increase ..................... % Total Percent of Change: Decrease Time Extension Amount: New Completion Date: