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Home My WebLink AboutProject Completion Affidavit - The Garage Site Improvements Proj No 118-083C - R & R Excavating Inc.1316 COUNTY -CITY BUILDING deli PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD"^"" �:',' FAX 574/ 235-9171 SOUTH BEND. INDIANA 46601-1930 ,r CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARDF PUBLIC WORKS November 12, 2019 Mr. Mark Weaver R & R Excavating, Inc. 2010 Went Ave. Mishawaka, IN 46545 RE: Project Completion Affidavit — The Garage Site Improvements — Project No. 118- 083C Dear Mr. Weaver: 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 $59,440. 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 il, CITY OF SOUTH BEND, INDIANA � BOARD OF PUBLIC WORKS,z PROJECT COMPLETION AFFIDAVIT r PROJECT NAME The Gara a Site Im rovements PROJECT NO 118-083C FINAL COST $59,440.00 CONTRACT SIGNED 8/13/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Installation of water infrastructure improvements at 503 E. Colfax Ave. 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. Execu his 22nd ca,y of October 201 9 R A R Excavating„ Inc. Company Name Sign a 2010 Went Avenue Mark Weaver, Project Manager Company Address Printed Name Mishawaka, IN 46545 City, State, Zip WITNESSES: Before me, the undersigned Notary Public in and for said country and state, personally appeared Mark Weaver , and acknowledged his/her signature to the above Project Completion Affidavit on 22nd day of October „ 201 9 7'S� REBECCA S. BLACKSTON Notary SignatureLRebecca S. Blackston My Commission Expires Printed Name „ r, ;',%ountVbfiR sli3 arc t'3, 2024 x 28/2024 . Joseph If the Contractor is a corporation, the following cerlfcatwi II be executed. I, William T.,oudin certify that I am Secretary of the Corporation executing this release; that Mark Weaver who signed this release on behalf of the contractor was then Project Manager of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its erning body, and is within the scope of corporate powers: -Secretary's Signature William Loudin Printed Name Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable to f al approval and we recommend to the Board of Public Works that it be ordained so. Date: 4.19 Construct o ager � BOARD OF PUBLIC WORKS APPROVAL Date: JJ ary A. GHot, E' esident Geneve eve E. Miller, em er Elizabeth A. Maradik, Member Therese J. Dorau, Member O'Sullivan, Member a M. Martin, Clerk Final Waiver of Lien State of Indiana, County of St. Joseph _ SS: William Loudin being duly sworn that helshe is the President (Name of Officer) (Title) of R&R Excavating, Inc, havingcontracted with City of South Bend, Indiana (Contractor) (Owner) to famish certain materials andlor labor as follows: waterline repair & site restoration (Description) for a project known as The Garage Site Improvements; Project No. 118-083C ^»lance ofProjeot) located at 503 E. Colfax Avenue, South Bend, Indiana and owned by Citv of South Bend Indiana (Owner) 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 .e..w Dollars ❑ receipt of which is hereby acknowledged; or ❑ the payment of which lies 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 shall be eMetive only upon receipt of payment fliereof by the undersigned; ( ) sutra of � Dollars Two (FINAL alt�irreni-luaiadred Seventy—two contractor 1 ❑ 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 onlyupon 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 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 perfonned or material famished to the undersigned for said project, and within the scope of this Affidavit and Waiver of Lien. R&R Excavating, Inc. ByZZ Y (Authorized Representative) STATE OFINDIANA ) William Loudin, President SS: ST. JOSEPH COUNTY } Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared William Loudin IN acknowledged the foregoing ve heret Affidavit subscribed y na ne and affixed m official seal on the g g 22nd day of an October 2m 201 Notary Public Si att tr My Commission Expires: 9 / 28 / 2024: Rebecca S. Blackston Residingin St. Joseph County, Indiana Nol%mP .bi _ nra REBECCA SBLACKSTON y %O �y e;Notary Public, State of Indiana E�SEASt, Joseph County My Commission Expires rpmryr µ` September 28,2024 Ain BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 10/29/2019 Tov Villa Department: Engineering BPW Date 11/12/2019 Phone Extension 5920 Prior Submittal to Board lIe �t�c6Prto S ....._.. _......__._ _..._� ..... BPW Attorney F-1 Attorney Name Dept. Attorney E] Attorney Name Purchasing El Check the Appropriate Item T pe -- eauir &-1 tbi° All Submissions LJ Professional Services Agreement ❑ Contract Open Market Contract EI Amendment/Addendum ❑ Bid Opening [ Bid Award E Quote Opening Quote Award Proposal Opening ❑ C/O & PCA No. ❑ Chg. Order, No. Traffic Control F-1 Other: Hired Information Company or Vendor Name R & R Excavating, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description HProposal Special Purchase, QPA EJ Req. to Advertise ❑ Title Sheet Reject Bids/Quotes N1 PCA Resolution Ease./Encroach Yeses If Yes, Approved by Purchasing No ❑ MBE Completed E-Verify Form Attached Yes ❑ WBE ❑ No The Garage Site Improvements 118-083C p F River East Development TI ............ .. 429.1050.460.42.03 . M ... .. _... .... _..................... Projcet Closeout. _.......... _...... _, For Chang Orders Only_ ................._. Amount of ❑ Increase $ _. .............. Decrease ($ ) Previous Amount $ ......... ... ._.... Increase _................... % Current Percent of Change: Decrease.._..... %) New New Amount $ �........................ �_ Increase ................. % Total Percent of Change: Decrease ( /o) Time Extension Amount: New Completion Date: