HomeMy WebLinkAboutPCA - Vested Interest Building Roof Repair Proj No. 119-049 - Midland Engineering Company, Inc.1316 COUNTY -CITY BUILDING �, °" PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD ���� �� FAX 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830
CITY OF ! 1 JAMES MUELLER, MAYOR
BOARD OF PUBLIC
March 24, 2020
Mr. Kenneth Sage
Midland Engineering Company, Inc.
52369 State Road 933 North
South Bend, IN 46637
RE: Project Completion Affidavit — Vested Interest Building Roof Repair
Project No. 119-049
Dear Mr. Sage:
The Board of Public Works, at its meeting held on March 24, 2020, approved the Project
Completion Affidavit for this project in the amount of $248,088.10.
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
A "0
CITY OF SOUTH BEND, INDIANA�,
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME Vested Interest Buildirx Roof Re air
PROJECT NO 119-049 FINAL COST $248,088.10
CONTRACT SIGNED 9/24/2019 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Repair the roof at the Vested Interest Building, 251 East Sample Street, South Bend,, Indiana.
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.
xecufed ftais
1 ay of , 20 Midland En ineerin C'om an ,Inc.
Company Name
... _
Signature 52369 State Road 933 North
Company Address
Printed Name South Bend„ IN 46637
City, State, Zip
WITNESSES:
Before me, the undersigned Notary Public in and for said country and states personally appeared
1q• f and acknowledged his/der signature to the above Project Compteflon Affidavit on
the I O'"*4 day of M A-d 20
F
otary Signature My Commission Expires
berw ur-,
Printed Name County of Residence a
If the Contractor is a coorr oration, the following certificate will be executed.
1, d °"f AC AF certify that I am Secretary of the Corporation executing this release; that
M. • who signed this release on behalf of the contractor was then
I �2 of said Corporation; that said release was duly signed for and on behalf of said
CorCsr ion b th .ity-o "itgoverning body, and is within the scope of corporate powers:
Secretary's Signature Corporate Seal
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptabl f f al approval and we recommend to the Board of Public Works that it be ordained so.
1 w " Date: J • Zo
Constructi ager
Gary A. Gilot, President
BOARD OF PUBLIC WORKS APPROVAL
Jordan Gathers, Member
Therese J. Dorau, Member Joseph Molnar, Member
Date: C-c�
Eris eth A. Mwadik, Member
M. Martin, Clerk
Final Waiver of Lien
Slato ofladlana, County of St,. Joseph SS:
M.W. Frahn boing duly awom thathe/she Is tite President / CEO / CFO
�Natne of moe'r) (Title)
Midland Engineering Co., Inc. The City of South Bend
of tee_ M !laving contracted with
(Contractor) ��-
(Owner)
to ilirmsh certain materials and/or labor ns follows: Roofing & Sheet Metal
for a project known as -Vested Interest Building
(Name of Projoot)
located at 251 E. Sample Street, South Bend, IN
and owned by The City of South Bend
(Oawncr.
and does hereby further state on the behalf of the aforomendoned subcontraotor/supplier:
(PARTIAL WA1vBR) that there is dne from the Contractor the aum of
Dollars
❑ rccolpt of which Is hereby nolatowledged; or
❑ the payrttont of whleh has boon promised as the sole oottsldoratloaa for this Affidavit and Final Waiver of Lien which is given
soiopy MdIh respect to said amount, and which waiver sball be effocllvo only upon receipt ofpayment thoroof by tlao
undersigned;
(FINAL WAIVERt.) that the anal balance duo kom the contractor Is the sum of Twenty-three Thousand,, One Hundred Seventy- $2 3 , 17 7 . 4 0
Seven & ). _.
❑ receipt of which is hereby acknowledged; or
® the paytnont of which has been promised as the sole consideration for this Affidavit and Final Wolves of Lien wl)loh shall
become effeodvo only upon rccolpt of suoh payment,
TUHIM ORE, tiao anttdonlgned wolves and releases unto the Owner of sold promises, arty and all liens or claims whatsoever
on tine abovc•doscObcd property and Inaprovente,nts thereon air n000ttui of labor or tnntorial or both, iltrnished b the undersigned
thorolo, stobject to Ilrnlintlons or conditions oxprossod herein, If any; and tltrtltor cortifled that Ito Otherpatly has tiny claim orrig'ltt to it
Ilon on s000tnd of any work perforated or material fain ishod to the undersigned for sold pri ed; and wilhln the scope of this Affidavit
and Waiver of Llem
Midland Engineering Co:, Inc. off'
Y....
(Firm) ) M . W . FrahnAt#tlPr siie rosont/C
STATBOP%NpIANA ant CE0/CFO
SS:
ST, JOSEPH COUNTY M W.. Frahn
13efore me, dto undersigned, a Notary Public, in and for said County and Stato, personally appeared
and nolalowledged the execution of the foragobtg Affidavit and Waiver of Lion. 10 t h
IN WITNESS WHEREOF, Thave hereunto ,vubsedbed my name and affixed my of1"iclal goat on the day of
March 202Q
AotPttbllo S)gtrnttuo
My Commission acpfros: 8/ 3 0/ 2 0 2 3
-- Beth Hickey
St. Joseph Indiana
Residing In County, Notinj Public Name
BETH HICKEY
NOTARY P',It1,' i( SEAL
My orm-nis ion Expires 8/30/ t S4I',!
STATE OF INDIAN! COUNTY OF ST JO
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
03/16/2020
Tov Villa
Department Engineering
BPW Date 03/24/2020 Phone Extension 5920
........ .w. . ................
l to Submittal to Board e}uutl Pnor...... .................. .._
BPW Attorney EJ Attorney Name
Dept. Attorney Attorney Name
Purchasing
Check the
E] Professional Services Agreement
Open Market Contract
Bid Opening
Quote Opening
❑ Proposal Opening
Chg. Order, No.
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
le Item "1 me --
Contract
❑ Amendment/Addendum
El Bid Award
El Quote Award
C/O & PCA No.
❑ Traffic Control
Information
All Submissions
Proposal
E] Special Purchase, QPA
Req. to Advertise
❑ Reject Bids/Quotes
® PCA
El Resolution
Ease./Encroach
❑ Title Sheet
Midland Engint,o��mg.......... ................... ...._......._..�
0 Yes ❑ If Yes, Approved by Purchasing
No
MBE Completed E-Verify Form Attached El Yes
[❑ WBE No
Vested Interest Building Roof Repair.-,.......
119-049
RWDA F _
324-1050-460-42.02 .....
_.........................
$248,088.10
Project Closeout
__uu_
For +."�t���xe Orders Only
�......_��� � ...._..
Amount of ❑ Incr $ _ ......................w ........
E] Decrease ($ )
Previous Amount $
Increase %
_
g �........... ............
__u
Current Percent of Chan e: Decrease _.
New Amount $
Increase %
Total Percent of Change: Decrease IT%
Time Extension Amount:
New Completion Date: