HomeMy WebLinkAboutPCA - Water Works North Pumping Station Well Replacement Proj No. 117-031R - Peerless Midwest, Inc.J
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1316 COUNTY —CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 4660I -I 830
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1865
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
January 28, 2020
Ms. Robin L. Kealy
Peerless Midwest, Inc.
55860 Russell Industrial Pkwy.
Mishawaka, IN 46545
PHONE 574/235-9251
FAx 574/235-9171
RE: Project Completion Affidavit — Water Works North Pumping Station Well
Replacement —Project No. 117-031R
Dear Ms. Kealy:
The Board of Public Works, at its meeting held on January 28, 2020, approved the Project
Completion Affidavit for this project in the amount of $547,558.72.
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
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Water Works North Pumping Station Well Replacement
PROJECT NO 117-031 R FINAL COST $547,558.72
CONTRACT SIGNED 2/26/2019 MAINTENANCE AGREEMENT ENDS
Construction of a new Well No.1 at the City's North Station treatment plant. Improvements
PROJECT DESCRIPTION include construction of a new well, well head, approximately 100 feet of 10-inch water main.
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.
Exec t this 7th day of January 2040 Peerless Midwest, Inc.
Company Name
S° 11alure " 55860 Russell Industrial Parkwa
James R. Williams Company Address
Printed Name Mishawaka, IN 46545
City, State, Zip
WITNESSESS;
B fore th l�71efsigped Notary Public in and for said country and state,
• f t amm'and acknowledged his/her signature to the above F
the 7th day of +" „ 201t1 Notary PublicJanua- michi gn
, y C Cass count
l M Commission Expires Jul 5µ f
Nota Signature My Commission Expires Acting in the County f .
Robin L. Kealy
Printed Name
County of Residence Cass
If the Contractor is a cor oration, the following certificate will be executed.
Michael J • Williams certify that I am Secretary of the Corporation executing this release; that
James R. Williams who signed this release on behalf of the contractor was then
e er l Manager of said Corporation; that said release was duly signed for and on behalf of said
Corporation by uthority, s governing body, and is within the scope of corporate powers:
Secretarv's Si nature
Michael J. Williams
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
Corporate Seal
This project is acceptable fo fi I approval and we recommend to the Board of Public Works that it be ordained so.
Date
Constructio ager
�t
k BOARD OF
�'+
M
Gary A. G081, President
APPROVAL Date: '� $
Elrzateth A. Maradik, Member
Therese J. 0orau, Member , °f Me — -/Onda M. Martin, Cle
MAINTENANCE Travelers Casualty and Surety Company of America
BOND Hartford, CT 06183
Bond No.: 107136974
KNOWN ALL BY THESE PRESENTS: That we Peerless -Midwest Inc.
as Principal, and JEglyfftyand S,r Company o[Arngriva a corporation
organized and existing under the Laws of the State of Surety are held and firmly
bound unto o h I ui Indiana as Obligee, in the total sum of
Fif_q Four Thousand Seven Hundred Fifty Six & 00/100
U.S. Dollars ( S54 5600 ) for the payment whereof said Principal and Surety
bind themselves, jointly and severally, as provided herein.
WHEREAS, the Principal entered into a contract with the Obligee dated February 26, 2019
for North Station - Well No. 1 Replacement
Prn•ect No 117-031R ("Work").
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal
shall maintain and remedy said Work free from defects in materials and workmanship for a
period of three 3 year(s) following substantial completion of the Work (the "Maintenance
Period"), then this obligation shall be void; otherwise it shall remain in full force and effect.
PROVIDED, HOWEVER, that any suit under this bond shall be commenced no later than one
(1) year from the expiration date of the Maintenance Period; provided, however, that if this
limitation is prohibited by any law controlling the construction hereof, such limitation shall be
deemed to be amended so as to be equal to the minimum period of limitation permitted by
such law, and said period of limitation shall be deemed to have accrued and shall commence
to run on the expiration date of the Maintenance Period.
Signed this 6th day of January , 2020
Peerless -Midwest, Inc.
(Principal)
Travelers Casualty and Surety Company of America
By:
J. Karl Sherrill, Jr„ , Attorne -in-Fact
Travelers Casualty and Surety Company of America
AOINK Travelers Casualty and Surety Company
TRAVELERSJ St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint J. Karl Sherrill, Jr., of High Point, North Carolina, their true and lawful
Attorney -in -Fact tosign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the
nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 3rd day of February,
2017.
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State of Connecticut r w
By;
City of Hartford ss, Robert L. Raney, Se fbr Vice President
On this the 3rd day of February, 2017, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer,.
In Witness Whereof, I hereunto set my hand and official seal.
+r�
My Commission expires the 30th day of June, 2021 OJ1rrR. �. �:�JIRrOIJ
Marie C. Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now in
full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by
one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies, which remains in full force and effect.
Dated this day of —1a 0 L/- 0
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COW
�4tF. 0�U,
11 &ei:�'P—ujhe—s,
Assi tant Secretary
To verify the authenticity of this Power of Attorney, please call us at 1-800-411-3880.
Please refer to the above -named Attorney -in -Fad and the details of the bond to which the power is attached.
Final Waiver of Lien
State of .kl:r , County of CAS-5 SS:
James R. Williams being duly sworn that he/she is the G r 1 Ma
nA
(Name of Officer)(Tit a)
of Peerless -Midwest, Inc. having contracted with CIULJQLWorks
(Contractor) (Owner)
to furnish certain materials and/or labor as follows: Water Works North Pumping Station Well Replacement
(Description)
for a project known as �Por "ect No 117-081R Water Works lJorth m �
(Name of Project)
Well No. 1 City's North Station Treatment Plant
located at
and owned by South Bend Board of Public Works
(Owner)
and does hereby Anther 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 aclutowledged; 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;
(F�1VAL WAIVER) that the final balance due tom, the contractor is the sum of
Fifty -Six Thousand Four Hundred Seventy-Tw2._.78 cents 556_472.7D
❑ receipt of which is hereby a6mowledged; 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 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, famished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any; and farther cartifled that no other party has any claim or right to a
lien on account of any work performed or material famished to the undersigned for sold projEet, and within the scope of this Affidavit
and Waiver of Lien.
Peerless -Midwest, Inc. By �"""""�
(Firm)_qZ(Authorized Representative)
STATE OF M1. t`. � SS:
COUNTY
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared James R . Williams
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien.
a n ua r w.i swat on the 7- r day of
IN ESS 1tEOF, ave ereunto subscribe m name and affixed my oflicg W
Notary Public - Michigan Noly Public Signature
Cass County
My Commission Expires Jul 5 Ct
My Commission Expires:--Arttq In Ulu UU11Y of P Robin L . Kea 1 y
Residing t3'� in Cass Coun Notary Public Name
.�.�..
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 01 /10/2020
Department
y Villa Name To�/�J Engineering
....._ .� ........� .. ............._.
BPW Date 01/28/2020 Phone Extension 5920
Re Uired Prior to Submittal to Board
BPW Attorney Attorney Name
Dept. Attorney ❑ Attorney Name
....................................
Purchasing � .........� �........
Check the Appropfiate Item Type — Re
" Professional Services Agreement Contract
Open Market Contract E Amendment/Addendum
❑
Bid Opening Bid Award
Quote Opening ❑ Quote Award
Proposal Opening ❑ C/O & PCA No.
[:]
Chg. Order, No. F-1 Traffic Control
[j Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Information
r�'All Submissions
Proposal
Special Purchase, QPA
F1 Req. to Advertise
Reject Bids/Quotes
® PCA
❑ Resolution
Ease./Encroach
❑ Title Sheet
Peerless Midwest, Inc.
-_..............................................._ .............
❑ Yes ❑ If Yes, Approved by Purchasing
❑ No
MBE Completed E-Verify Form Attached El Yes
[j WBE ❑ No
North Station Well No. 1 Replacement
_.. _................................... ..__...............
117-031R
�........ _ ......
.-..-...............................
Water Works
622.0640.661.46.02
.
$547,558.72............__......... _._.............. �..._
Project Closeout
For Ci�aaii Orders Oil mm
Amount of
Increase .-$_..........
.. .....................
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Previous Amount
$
Increase
0%
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Current Percent of Change:
Decrease
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(0%)
New Amount
$ ...........�.........-
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Increase
_.
0%
Total Percent of Change:
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00/0
Time Extension Amount:
0
New Comaletion Date:
....................
12/21 /2019
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