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Home My WebLink AboutPCA - 315 & 319 W. Jefferson Electrical Repairs – Proj No. 119-064Q - Elite Electrical LLC.1316 COUNTY —CITY BUILDING PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD a PACK y- FAx 574/ 235-9171 SOUTH BEND_ INDIANA 46601-1830 xr � IIIdG"r CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS February 11, 2020 Mr. Aaron McMann Elite Electrical LLC. 50654 Teall Rd. Bristol, IN 46507 RE: Project Completion Affidavit — 315 & 319 W. Jefferson Electrical Repairs Project No. I I9-064Q Dear Mr. McMann: The Board of Public Works, at its meeting held on February 11, 2020, approved the Project Completion Affidavit for this project in the amount of $42,750. 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 r "�- PROJECT COMPLETION AFFIDAVIT PROJECT NAME 315 & 319 W. Jefferson Electrical Re airs PROJECT NO 119-064Q FINAL COST $42,750.00 CONTRACT SIGNED 9/24/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION All electrical work associated with repairinq the 315/319 Jefferson 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. Exgcvted this 3&1" day of 7" 2000 Elite Electrical LLC L Company Name Signature 50654 Teall Rd 14 j o-v% Pq CMS ^_ Company Address Printed Name Bristol, IN 46507 City, State, Zip WITNESSESS: B fore me, tfife 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 ,. day of 20XQD_ Notary i mature My Commission Expires QT pp Printed ame County of Residence J& If the Contractor is a corporation, the following certificate will be executed. I, .__...... certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate poFe BRBah tBSt.J p�h CwSecretary's Signature y CtfiflNjjK Eft jttS C1 l Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project acceptable inal approval and we recommend to the Board of Public Works that it be ordained so. �iG•° Date: 1 • Z (. Constructi dnaKr BOARD ROYAL Date: / .:�:� h.) F P WORKS APPROVAL Gary A. Gilot, President JqTdao V. tathe y er Elizabeth A. Maradik, Member Therese J. 0brau, KTbmber _), -ph Molnar Member L nda M. Martin, Final Waiver of Lien State of Indiana, County of� SS: a7t('an (Name of C being duty sworn that he/she is the re P1 Wert M Officer) (Title) Of " t? F1ee-+6C4 Lc having contracted with City of South Bend (Contractor) (pwner) to furnish certain materials and/or labor as follows; — eC description) for a project known as _.S /5-9' sonProject)e tr " l q (N located at%�SP °irrSd ►� 0 nth ��n and owned by -Ci!y of South Bend (Owaaer) and does herdby further state on the behalf ofthe aforementioned subcontmotor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars^� ❑ receipt of which is hereby ackmowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waives~ of lien which is given solely with respect to said amonaat$ and which walver shall be effective only upon receipt ofpayment thereof by this undersigned; CALWA114E11)tlaatthe.t ��c�✓ear ❑ receipt ofwhich is hereby acknowledged; or ® the Paya°nent Of which has been promised as the sole consideration forthis Affidavit and Final Waiver of Lien which shall become ofr"octive only capon receipt of such payment. "I BEFORE, the undersigned waives and releases unto the Owner ofsaid promises, any and all liens or claims whatsoever on the above -described property and improve ends thereon as account of labor or anaterial or bode, f4mished b the undersigned thereto, subject to limitations or conditions expressed herein„ if any; and farther certified that no other party has tiny claim. or right to it lion on account of any work performed or material famished to the undersigned for said project, t; and wvithlra the scope of"this Ai"fialavlt and WaiverofLlen. rlt LC vu01—M STATE OF INDIANA " z „"" 1 sa uawa a c rzv a�uaa ) St. �'Sltli i�ral�tlf"y Corraiil Expires SS: ST. JOSM"H COUNTY ) DecembOr 28, 2024 ,before me, the undersigned, a Notary Public, in and. for said Coaan an ly appeared 'l and acknowledged the execution of the foregoing Affidavit anti Waivtar ofLien. IN WITNESS WHMOF, I have hereunto suiasa rl ed my aaaane and aaaed my ofitciai seal on the � day of .� I*lotaray bi c Signature My Commission Expires: .m Residing in Notary Pubiie l+lanwe BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 02/03/2020 Toy Villa Department Engineering BPW Date 2/11/2020 Phone Extension 5920 BPW Attorney Attorney Name . ......... . .... . ..... Dept. Attorney Attorney Name . .... . ....... ..... . .. . . ...... Purchasing ❑ Check the 6ppK2priate Item rv,r,)e Professional Services Agreement El Contract Open Market Contract ❑ Amendment/Addendum Bid Opening Bid Award Quote Opening El Quote Award Proposal Opening El C/O & PCA No. Chg. Order, No. E] Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purnose/Descrintit to Board issions LJ Proposal El Special Purchase, QPA D Req. to Advertise El Reject Bids/Quotes 0 PCA El Resolution F1 Ease./Encroach F1 Title Sheet Elite Electrical LLC --=Ve—so I —fY e-s-,—A p..... ..p. r —ov c' - d- —by No Purchasing ❑ MBE Completed E-Verify Form Attached F] Yes WBE [-I No 315 & 319 W. Jefferson Electrical R . ... . ...... . .... 119-064, Div. D RWDA TIF �24- i. �50-4 �O-3 4 6-4 $42,750.0 0 Closeout Amount of El increase $ Decrease $ Previous Amount $ Increase Current Percent of Change: Decrease New Amount $ Increase Total Percent of Change: Decrease Time Extension Amount, New Completion Date: