The URL can be used to link to this page

Home My WebLink AboutPCA - Morris Performing Arts Center Joint Resealing – Proj No. 119-050 - Ziolkowski Construction, Inc.1316 COUNTY -CITY BUILDING sa '7=2k PHONE 574/235-925I 227 W. JEFFERSON BOULEVARD R� #l'r' '= FAX 574/ 235-9171 SO[ ITH BEND. INDIANA 46601-1 930 1865 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARDU LIC WORKS January 14, 2020 Mr. Robert A. Bash Ziolkowski Construction, Inc. 4050 Ralph Jones Dr. South Bend, In 46628 RE: Project Completion Affidavit — Morris Performing Arts Center Joint Resealing - Project No. 119-050 Dear Mr. Bash: 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 $13,726. 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, �a Linda M. Martin, Clerk Enclosure GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR CITY OF SOUTH BEND, UNDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME Morris Performing Arts Center Joint Resealing PROJECT NO 119-050 FINAL COST $13,726.00 CONTRACT SIGNED 5/28/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Reseal exterior uui|uinnio|nm. 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 underor bysuch contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City ofSouth Bend which were apart ofthe above Contract. E 19 Ziolkowski Construction, Inc. -------_ Company Name tignature 4050 Ralph Jones Dr. Company Address Printed Name South Bend, IN 46628 City, State, Zip WITNEaaESS: Before mo, the undersigned Notary Public in and for said country and state, personally appeared Bill 'Pnvnrq , and acknowledged his/her signature to the above Project Completion Affidavit on the 11thday of November _209___ Notary Signature syCommission Expires Printed Name County ofResidence If the Contractor is a corporation, the following certificate will boexecuted. |. Robert A. mm*m certify that | am Secretary of the Corporation uxnuuUnQ this release; that who signed this release on behalf ofthe contractor was then oysaid Corporation; that said release was duly signed for and onbehalf nfsaid Corporation byAuthority o/ its governing hvdy, and is within the scope of corporate powers: Secretary's Signature Enhert Printed Name Corporate Seal DEPARTMENT OrPUBLIC WORKS APPROVAL This project is acceptabjef r " al approval and werecommend mthe Board o[Public Works that itbaordained so, Final Waiver of Lien State of Indiana, Countyof St _ SS: ......- Rill Fnvnrc being duly sworn that he/she is the I;t° (Name of Officer) (Title) of f lkowski Construction Inc having contracted with aahGi e� (Contractor) (Owner) to furnish certain materials and/or labor as follows: _Liirot l"ese all ra (Description) for a project known as Morris l'erforaniiro2r Arts (Name of Project) located at 221 North Michigan Street, South Bend, IN 46601 and owned by MorrisPerforming Arts (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 I"lro�rteeiro. "' "lrocauss�rrocl °l"IroirL Nine, Dollars nd 70/100 Dollars C1.—,049.70 ® receipt of which is hereby acknowledged; or ❑ the payment of which Ims been promised as the sole consideration for this Affidavit mid Final Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon recelpt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of ❑ receipt of which is hereby acknowledged-, or [R 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 mid releases unto tho Ownor of said promises, any and all liens or claims whatsoever on the above -described property and improvements thereon im account of labor or material or both, llarnished b the undersigned thereto, subject to lbuitations or conditions expressed herein, if any, .and further ccorrtlfled that no other party has any claim or rightto a Don on account of any work performed or material ftrornished to the undersigned for sold project; and within the scope of this Affidavit and. Waiver ofLien. is rats BY .., (Fim) (Authorized Representative) STATE OF INDIANA ) Bill Favors/President & CFO SS: ST. JOSEPH COUNTY } Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared _ ill 1 Favors and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 18th Gay of W 11120r.2D19 Mox .. Notary Public SOOtur, My Commission Expires: March 6 2025 Residing in ._ Itan D. Vinla Fl��art Couniy, Iniana Notary Public Name LYNN DVINING Seal Notary Public — State of Indiana Elkhart County My Commission Expires Mar 6, 2025 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01/07/2020 Name To Villa Department Engineering �..-......® BPW Date 01/14/2020 Phone Extension 5920 Romwummm mmm Required Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Tw —. Professional Services Agreement J I Contract Open Market Contract ❑ Amendment/Addendum FJ Bid Opening E] Bid Award Quote Opening E] Quote Award E] Proposal Opening ❑ C/O & PCA No. R Chg. Order, No. ❑ Traffic Control Other: Information Company or Vendor Name Ziolkowski Construction, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description All Submissions ❑ Proposal ❑ Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes ® PCA Resolution Ease./Encroach ❑ Title Sheet I� Yes❑ If Yes, Approved by Purchasing ® No ❑ MBE Completed E-Verify Form Attached ❑ Yes ❑ WBE ❑ No Morris Performing Arts Center Joint Resealing 119-050 �.... _............ ......... Morris Performing Arts Center Capital 416.0404.453.36.01 $13,726.00 Project Closeout �.....__ ... For Chang c Orders 111 Amount of Increase $ M Decrease ($ Previous Amount $ ..... .._..........�. .....-__ ........ Increase /° ________________ ...... .... Current Percent of Change: Decrease New Amount $ ............................. .......... Increase % u Total Percent of Change: Decrease ( %) W ... .......... _............. _.............. Time Extension Amount: New Completion Date