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Home My WebLink AboutPCA - Lafayette Building Cleanout – Proj No. 119-098 - HomeWorks Construction, Inc.f 1316 COUNTY -CITY BUILDING 1 { PHONE 574/ 235-9251 227 W. JEFFERSON BOULEVARD + m[�C.� F( FAX 574/ 235-9171 SOUTH BEND. INDIANA 46601-1 930 �I CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS February 11, 2020 Mr. Jeffrey Smallwood HomeWorks Construction, Inc. 1511 Pulaski St. South Bend, In 46613 RE: Project Completion Affidavit — Lafayette Building Cleanout — Project No. 119-098 Dear Mr. Smallwood: 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 $13,550. 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 Cleanout PROJECT NO 119-098 FINAL COST $13,550.00 CONTRACT SIGNED 11/12/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Clean up and remove debris piles and furniture at the Lafayette Building, 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. Ex�pctl this. 28th� d of _. January 20 200 HomeWorks Construction Inc. Company Name Signa ur 1511 Pulaski St. Jeffrey Smallwood Company Address Printed Name South Bend, IN 46613 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Jeffrey Smallwood , and acknowledged his/her signature to the above Project Completion Affidavit on ,the 2gth day of- 20 20_. Notary Signature My Commission Expires z0z 2— Denise M Long Printed Name County of Residence St. Joseph If the Contractor is a corporation, the following certificate will be executed. I, JoseRI Colvin certify that I am Secretary of the Corporation executing this release; that ffrev SmalWoodl who signed this release on behalf of the 0 (Acontractor was he of said Corporation; that said rele sNotary Public. n ao DWsa rp ation by tho it f 1 governing body, and is within the scope of core rate power Seal State of Indiana Secr ary"s Signs ure St Joseph County,dose h Colvin My Commission Expires Sep 14t;eal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for fin 1 approval and we recommend to the Board of Public Works that it be ordained so. Date: 30. to Construction der PUBLIC WORKS APPROVAL Date: � f BOARD OF, � ._.® �,��. �� " 1. . —d a Gary A. Offol, President J rd. n V, Gathers, tvfe ber Elizabeth A, Maradik, Member erese J. Y orb' , Member seph R. M. Martin, Final Waiver of Lien State of Indiana, County of St. Joseph SS: Jef re Smallwood being duly sworn that he/she is the Senior I rO"eCt ll�lana er r) (Name of office _ �. - ... (Title) of HomeWorks Construction, Inc. having contracted with City of South Bend (Contractor} (Owner) to furnish certain materials and/or labor as follows: Removal of loose debris (Descripdon) for a project known as Lafayette Building Clean -Out _ Proj #119-098 (Name ofProjaR) _._ located at 1150...., South Lafayette Blvd., South Bend, IN and owned by City of South Bend (Owner:) ....._._W and does hereby further state on the behalf of the aforementioned subcontractor/supplfer: (PARTIAL WAIVER) that there is due from the Contractor the sum of n. _.�.. Dollars-( ) ❑ receipt of which is hereby acknowledged; or ❑ tho 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 Capon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of Six Thousand Four Hundred and Seventy Dollars and 13 cents $6,470.13 �- ❑ receipt of which is hereby acknowledged; or ® the payrrrent of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become offective only upon receipt of such payment. THMFORE, the undersigned wolves and releases unto the owner ofseld promises, any and all liens or claims whatsoever on the above -described property and improvements thereon as ACCOUAt oflabor or° tniterial or both, firrnlshed b the undersigned therato, subject to lirnitatlow or conditions expressed herein, if any; mud furthercertifted that no other party has any claim or right to a lien on account of any work performed or material lbruishad to the undersigned for said project; and within the scope of this Affidavit and Waiver ofLiem HomeWorks Construction, InC. (Firm)_ _ - (Au ori�e Ilapresentatave) STATE OF INDIANA ) ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, In and for sold County and State, personally appeared�� l and acknowledged the execution of the foregoing .Affidavit and Waiver of Lien. ' m cla d affixed �7 day of V0 1N t�ESS WHEREOF, Ihave hereunto subscribed m 0� 0P)V. r onthe sea e y name and a Notary public Signature My Commission Expires: 111 g- 2o�'y Residing in 7 ( f„tx. County, .Lj!2AXM$E M LONG Notary Notary Public - Seal State of Indiana St Joseph County Commission Expires Sep 14„ 2022 Name ME BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01/31/2020 .........._..... _ .� Name Toy Villa Department -Wit—le-cr BPW Date 2/11/2020 Phone Extension 5920 m m �_ ..� � uit�d Prior to Submittal to Board BPW Attorney ❑ Attorney Name µ. Dept. Attorney ❑ Attorney Name _...._ __ Purchasing❑ Check the Ap rol t°iatc Item T r e:- , �] Professional Services Agreement ❑ Contract [-1 Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening ❑ Bid Award EJ Quote Opening ❑ Quote Award Proposal Opening C/O & PCA No. El Chg. Order, No. D Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Descriot:i( All Submissions LJ Proposal El Special Purchase, QPA Req. to Advertise Reject Bids/Quotes ® PCA ❑ Resolution Ease./Encroach ❑ Title Sheet HomeWorks Construction, Inc.. ❑ If YesA Yes , .. _m _......._Purch___ _ __.—"_.__ _ pproved by asing ® No ❑ MBE Completed E-Verify Form Attached ❑ Yes WBE �] No Lafayette Building Cleanout 119-098 RWDA TIF 324-1050-460-42.02 ....... _ $13,550.00 _.. ....0 ...--.. PEca,�ect Closeout For Chan e Orders ...... ❑ ... $ .. Amount of Increase Decrease ❑$ Previous Amount $ Current Percent of Change - New Amount M Increase % Decrease ( / Increase % Total Percent of Change: Decrease (%... Time Extension Amount: New Completion Date: