HomeMy WebLinkAboutLong Term Occupancy Permit - Weigand Construction Co., Inc.City of South Bend/Public Works
227 W. Jefferson Blvd
South Bend, IN 46601
Application and Permit
1865 Long Term Occupancy of City Right -of -Way
Applicant: Weigand Construction Co., Inc. Date: 7/30/19
Applicant Address: 108 N. Main St., Suite 202, South Bend, IN 46601
Project Site Address: 201 South Main St.
Note: Occupancy limited to street(s) immediately in front of construction site.
Nature and extent of Occupancy (e.g.: proposed construction activities, equipment proposed
to occupy public right-of-way, construction deliveries, etc.):
New building construction - occupy bike lane, parking lane, and sidewalk. Barricade
ith-concrete-iersey-bar -toppe ith--ch in.link noing. Activities over -occupied—
City
,,.... .
mmlanes and walks will consist of material deliveries and lay -down,
......._...,..............._.......�-_____........-.-..�....
Duration of Occupancy...8/9/19 - 7/31/20
Aaron Hol Qlgitally signed by Aaron Holy
Signature of Applicant:. Y bate: 2019.07.3012:41:12-04'00'
THE TERMS AND PROVISIONS OF CHAPTER 6, ARTICLE 5 and CHAPTER 18, ARTICLE 7, Sec 18-62 OF THE
SOUTH BEND MUNICIPAL CODE ARE INCORPORATED HEREIN IN THEIR ENTIRETY. FAILURE TO COMPLY
WITH THESE PROVISIONS SHALL RESULT IN CANCELLATON OF THIS PERMIT.
THIS PERMIT SHALL BE CONDITIONED UPON THE EXECUTION AND FILING WITH THE BOARD OF PUBLIC
WORKS OF A BOND IN AN AMOUNT APPROVED BY THE BOARD OF PUBLIC WORKS, CONDITIONED TO
INDEMNIFY, SAVE AND KEEP HARMLESS THE CITY OF SOUTH BEND, INDIANA, FROM ANY AND ALL LOSS,
EXPENSE, COST OR LIABILITY OF ANY KINDS WHATSOEVER WHICH THE CITY MAY SUFFER OR BE PUT TO
FROM OR BY REASON OF ANY ACT OR THING DONE OR NEGLECT TO BE DONE, OR BY VIRTUE OF THE
AUTHORITY GIVEN IN SUCH PERMIT.
TO BE COMPLETED BY CITY STAFF ONLY:
Bond/Fee Amount: $ Date Bond/Fee Filed: 11 7 201 q
Compliance with CH 6, ART 5 and CH 18, ART 7, Sec 18-62 of the South Bend Municipal Code
Fee Paid
Date Issued:
BOARD OF PUBLIC WORKS
aPre�side1.'�l . . . . . ....... .. ...............
Member
Issued By:
Member
Member
V 1.11.19
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
DIVISION OF ENGINEERING
TO: Linda M. Martin, Clerk
Board of Public Works
FROM: Zach Hurst, Project Engineer
SUBJECT: Long Term Occupancy Permit
201 S Main (Barnes and Thornburg Building)
DATE: December 3, 2019
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The attached LTO permit is for the eastern half of the southern bike/parking lanes on Jefferson
Boulevard between Main Street and Lafayette Blvd., as well as the northern half of the western
bike/parking lanes along Main Street between Jefferson Blvd. and Wayne Street. See map
below:
Please call with your questions (3057).
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/03/2019
Department Public
Name Zach Hurst Works
BPW Date 12/10/2019 Phone Extension 3057
Jw
..................................................__ __................................... .....
�� leuired Prior to Submittal to Board
BPW Attorney ❑ Attorney Name
Dept. Attorney Attorney Name
Purchasing EJ
Check the Appropriate Item Type — equ
F1 Professional Services Agreement Contract
F] Open Market Contract
❑ Amendment/Addendum
Bid Opening
❑ Bid Award
Quote Opening
❑ Quote Award
❑ Proposal Opening
F-1 C/O & PCA No.
❑ Chg. Order, No.
n Traffic Control
Other: Long Term
Occupancy Permit
Information
r All Submissions
Proposal
Special Purchase, QPA
E] Req. to Advertise
E] Reject Bids/Quotes
E] PCA
❑ Resolution
❑ Ease./Encroach
Company or Vendor Name Weigand Construction Co., Inc.
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
❑ Title Sheet
❑ Yes L_J If Yes, Approved by Purchasing
No
E] WBE Completed E-Verify Form Attached El Nos
es and Thornbur_ Building) 201 S...Main(Barnes .��....
See attached memo.
...................... _ ...._ ....... ....... .._... _.. _ . ........
For Chase Ordersmml
Amount of
increase $ _...._._._._....
Decrease ($ ).
Previous Amount
_..._....
$
-- _________W.................w � _.................
Increase
%
Current Percent of Change:
Decrease
(� /o)
New Amount
$_
._Increase
o%._....._
Total Percent of Change:
Decrease
__. ...........
( /o
Time Extension Amount:
New Completion Date ........ ........ .................w....... ......._W�_� ..... �.....6