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Home My WebLink AboutPCA - Lafayette Building Exterior Renovation, Division A – Proj No. 117-100R - Precision Wall Systems, Inc.-4 / 1316 COUNTY —CITY BUILDING C b� i' PHONE 574/235-9251 227 W. JEFFERSON BOULEVARD PEACK i } `( FAX 574/ 235-9171 SOUTH BF.ND. INDIANA 46601-1830 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARDU LIC WORKS January 14, 2020 Ms. Julie Milliken Precision Wall Systems, Inc. 3801 S. Main St. South Bend, IN 46614 RE: Project Completion Affidavit — Lafayette Building Exterior Renovation, Division A Project No. 117-100R Dear Ms. Milliken: The Board of Public Works, at its meeting held on January 14, 2020, approved the Project Completion Affidavit for this project in the amount of $237,812. 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 ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR CITY OF SOUTH BEND INDIANA BOARD OF PUBLIC WORKS a , PROJECT COMPLETION AFFIDAVIT PROJECT NAME Lafayette Building Exterior Renovation Division A PROJECT NO 117-100R FINAL COST $237,812.00 CONTRACT SIGNED 10/18/2018 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Fabricate and install a new skvlioht on the roof of the Lafavette Buildina. 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. Executed this 16th day of December 2019 Precision Wall Systems, Inc. Company Name Signatur - "___ """"" "" 3801 S. Main Street . Notary Public Company Address atoms ri,s SEAL Primarily Employed in Indiana Printed Name emm scion Number NP0715351 South Bend, IN 46614 My Commission Expires 08/17/2026 City, State, Zip WITNESSETS: Before me, the undersigned Notary Public in and for said country and state, personally appeared and acknowledged his/her signature to the above Project Completion Affidavit on the 1 ft day of December 2019 of ry Sign My Commission Expires 8/17/2026 tJu ue Milliken Printed Name County of-lsiee St. Joseph Primary employment' If the Contractor is a corporation, the following certificate will be executed. !, ,lames Mroz certify that I am Secretary of the Corporation executing this release; that Jason Christy who signed this release on behalf of the contractor was then Vice -President of said Corporation; that said release was duly signed for and on behalf of said Corporationjoy gdj,S[r governing body, and is within the scope of corporate powers: Secrete Sign ure Corporate Sea! James Mroz Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL Thisprojectis acceptable for fi I approval and we recommend to the Board of Public Works that it be ordained so. • Date: 1 Z • Z.o Constructi " nager'. AVVIL11) """"� BOARD OF Gary A. G'il' t, President WORKS AP'PROV L "_Date; Izabeth A. Mara dl<, Member Therese &0orau„ M 6nber � r � -"L)hda M. Martin, C Final Waiver of Lien State of Indiana, County of St. Joseph SS: James Mroz being duly sworn that he/she. is the President (Name of Officer) (Title) of Precision Wall Systems, Inc. having contracted with City of South Bend (Contractor) (Owner) to furnish certain materials andlor labor as follows: Glass and Glazing (Descriptlou) for a project known as 117-10OR Lafayette Building Exterior Renovation (Name of Project) located at 115 S. Lafayette Blvd., South Bend, IN and owned by City of South Bend (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 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, 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 eleven thousand ei ht hundred ninety and 60/100 $11690, 60 ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the solo 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 ainto the Owner ofsaid 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 saidproject, and ttrl a scope oifthis Affidavit and Waiver of Lion. µ Precision Wall Systems, Inc. By (Firm) (Au on ed Rep re e) STATE OF DMIANA ) SS: ST. JOSEPH COUNTY ) efore me, the undersigned, a "Notary Public, In and for said County and Slate, personally appeared James M roz and acl:ttowledged the execution oftho foregoing Affidavit and Waiver of Lien. I December N W10t1 1 affixed m official al on the 16th day of N T1F1RS WHEREOF, I leave hcrennto saabs+cribed name and My Commission Expires: 8/1 7/2026 �� Pu"�i1,Sigttatsara Primary Employment Residing in St. Joseph County Indiana Notary Public ° A s Primarily Employed in Indiana Commission Number NP0715351 My Commission Expires 08/17/2026 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01 /02/2020 Name Toy Villa Purchasing ❑ _~~~Check the Appropriate Item T p Agreement Amendment Fj Contract Professional Services F Resolution EJ Bid Opening E] Bid Award F� Quote Opening ❑ Quote Award ❑ Change Order No. ❑ C/O & PCA No ❑ Ease/Encroach. ❑ Traffic Control: Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Rea�uired Info Department Public Works Division/Bureau Engineering l e fired for All Submissions [� Proposal Req. to Advertise �I ' Addendum ❑ Title Sheet Division A: Precision Wall Systems, Inc. ._w_................. 1 Ye ❑ WB❑ If Yes, Approved ' y Purchasin .. No Yes Name of Co.._ ipaq __........... Lafayette Building Exterior Renovation (Division A) _..................... 117-100R„ Division A RWDA 324-1050-460-42.02 $237,812.00 _..................... Purpose/Description Project Closeout. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verif „Iran, etc. Required For Chanqt,Orders Only Amount of ............. Increase $.......-_____-..-- [� Decrease $ _................. ........__ _........ ...................... Previous Amount $ Current Percent of Change-, %o New Amount $ .................. ........... .._.... W Total Percent of Change: %uuuuuuuuu W Dispersal After Copy Original ❑ ❑