HomeMy WebLinkAboutPCA - 1201 Western Ave. Sidewalk Vault Repair Proj No. 120-019 - John Boettcher Sewer & Excavating
GARY A. GILOT ELIZABETH A. MARADIK JORDAN V. GATHERS JOSEPH R. MOLNAR
1316 COUNTY-CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/ 235-9251
FAX 574/ 235-9171
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
December 17, 2020
Mr. John W. Boettcher
John Boettcher Sewer & Excavating Contractor, LTD
3305 N. Home St.
Mishawaka, IN 46545
johnw@johnboettcher.comcastbiz.net
RE: Project Completion Affidavit – 1201 Western Ave. Sidewalk Vault Repair
Project No. 120-019
Dear Mr. Boettcher:
The Board of Public Works, at its meeting held on December 17, 2020, approved the Project
Completion Affidavit for this project in the amount of $91,594.04.
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,
s/Linda M. Martin, Clerk
Enclosure
12/09/2020
December 17, 2020
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/09/2020
Name Toy Villa Department: Engineering
BPW Date 12/17/2020 Phone Extension 5920
Required Prior to Submittal to Board BPW Attorney Attorney Name
Dept. Attorney Attorney Name
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award Reject Bids/Quotes
Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name John Boettcher Sewer & Excavating Contractor, LTD
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name 1201 Western Avenue Sidewalk Vault Repair
Project Number 120-019
Funding Source Other Contractual
Account No. 620.06.604.606.439001
Amount $91,594.04
Terms of Contract
Purpose/Description Project Closeout
For Change Orders Only
Amount of
Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
0.0%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
(0.0%)
Time Extension Amount: 0 Days
New Completion Date: