The URL can be used to link to this page

Home My WebLink AboutPCA - Morris Performing Arts Center Theater Handrails – Proj No. 119-074 - Larson Danielson Construction Co., Inc.1316 COUNTY -CITY BUILDING �a �� 227 W. JEFFERSON BOULEVARD PRA SOI ITH BEND. INDIANA 46601-1 930 �d 1865 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS February 11, 2020 Mr. Timothy F. Larson Larson Danielson Construction Co., Inc. 302 Tyler St. LaPorte, IN 46350 PHONE 574/235-9251 FAX 574/235-9171 RE: Project Completion Affidavit — Morris Performing Arts Center Theater Handrails — Project No. 119-074 Dear Mr. Larson: 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 $86,810. 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',,a�r ° PROJECT NAME Morris Performing Arts Center Theater Handrails PROJECT NO 119-074 FINAL COST 86„810.00 CONTRACT SIGNED 9/24/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Install handrails in MPAC theater 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 10th day of January _. 2R1 2020 _, Larson Danielson Construction Co.., Inc. ® a Company Name Signature 302 Tyler St. Timothy F. Larson Company Address Printed Name LaPorte„ IN. 46350 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared T rtt�r h F. Larson_„ and acknowledged his/her signature to the above Project Completion Affidavit on y f January _.�; 2020. t e t da o „ Notary Signat,, a My Commission Expires Cathv A. Sale 679923 Printed Name Februa CATHYA. SALE -� ""ounly 4 ao My Commission Expires February 11, 2024 LaPortt__. .... If the Contractor is a corporation, the following certificate will be executed, 1,Terry A. Larson certify that I am Secretary of the Corporation executing this release; that Tmot�h F. Larson 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 C�or'n bAut onty of its governing body, and is within the scope of corporate powers: Secretary's Sig sitars;.., sEni LARSON S�VSeal Terry A. Printed Name Larson CONSTRUCTION CO., INC. F. County of Residence DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable fo fi I approval and we recommend to the Board of Public Works that it be ordained so. Date: Construction ger . V ", _µ � d"ALiAl meV Gary A. G1 t, Pre i ° ent Therese J. D6r u, Member BOARD OF P BL C WORKS APPROVAL Date: CVO mber Elizabeth A. Maradik, Member Hipfmfaer inda M. Martin, Clerk Final Waiver of Lien State of Indiana, County of LaPorte SS: Timothy F. Larson being duly sworn that he/she is the President (Dante ofOfflcer) ' (Title) of 'Larson —Danielson Const. having contracted with City of South Bend (Contractor) (Owner) tofurnish certain materials and/or labor asfollows. Mo,r.ris Theater Handrails —Install Handrails (Ilescrlptlon) for a project known as 1:19-074 Morris Performing Arts Center Theater Handrails (Name of Project) located at 211 N. Michigan Street, South Bend, IN 46601 and owned by of South bend. Indiana Board of Public Works (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the suns of _._._ Dollars (S _ ❑ receipt of which is hereby acknowledged; or ❑ tite payrnent Of which lies 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 sball be effective only upon receipt ofpayrnent thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of Five Thousand, Five Hundred Twenty —Eight Dollars 5,528.0' ❑ receipt of which is hereby acknowledged; or the paynrent of which has been promised as the sole consideration forthis Affidavit and Final Waiver of Lien which shall becornc O ofi`eetive only upon receipt of such payment. z THEREFORE, the uuudersignad waives and releases Unto the Owner of said promises, .any and all liens or claims whatsoe on the above described property and improvements thereon an account ofiabor or material both, burnished Cn En r i v or b the undersigned thereto, subject to limitations or conditions expressed heroin, if any; mud further certified that no other party has any claim or right = z ' a z � lien oil acoount of any work performed or material fbmished to the undersigned for said project, and within the scope of this Affida t o z and Walver ofLlen. Larson —Danielson Construction Co., Inc. By (Finn) (A tthoried Representative) STATE OFINDIANA ) Timothy F. Larson, President LaPorte ) SS: ffxg�K COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared _Timothy F. Larson and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WDEREOF, Ihave hereunto subscribed my name and affixed my official seal on the 10th day of Januar 2W 202.0 -. . N"otaty ll'uubll Sl,gnat My Commission Expires: Februar 11 2024 679923 Residingin —LaPorte county, Cath A. Sale Notary P CATHYA. SALE La Porte County My Commission Expires February 11, 2024 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM . _�....... - Date 01/27/2020 _..... Name Toy Villa 1 a Department 1:nI'roieerin BPW Date 2/11/2020 Phone Extension 5920 �_u� �,,��IT _ Rec��Kred Prior to Submittal to Board N p ®mm BPW Attorney... ❑ Attorney Name Dept. Attorney ❑ Attorney Name __....... . _ _ .. Purchasing Check the ror Ite: "1 y fae — ?,1 114 FI Professional Services Agreement ❑ Contract Open Market Contract El Amendment/Addendum EJ Bid Opening E' Bid Award R Quote Opening Quote Award El Proposal Opening ❑ C/O & PCA No. E] Chg. Order, No. El Traffic Control �' Other Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Amount of ❑I ❑ Previous Amount Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount: New Completion Date: red Information Proposal Special Purchase, QPA Req. to Advertise E] Reject Bids/Quotes ® PCA ❑ Resolution Ease./Encroach Larson Danielson Construction Co. Inc. Ds❑ If Yes, ApprovedbyPurchasing No MBE Completed E-Verify Form Attached F-] WBE MorrisTheaterHandrails 119-074 VPA Morris 416-0404-453.36-01 �......... $86,810.00 Project Closeout Orders Increase $ Decrease ($ Increase % Decrease % $ Increase % Decrease ( % ❑ Title Sheet 0 Yes F] No