HomeMy WebLinkAboutPCA - COSB Wayfinding Signage Program - Phase II Proj No. 120-020 - Geograph Industries, Inc.
ELIZABETH A. MARADIK GARY A. GILOT JORDAN V. GATHERS JOSEPH R. MOLNAR MURRAY L. MILLER
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
November 9, 2021
Mr. Greg Freudiger
Geograph Industries, Inc.
475 Industrial Dr.
Harrison, OH 45030
gregfreudiger@geograph-ind.com
RE: Project Completion Affidavit – City of South Bend Wayfinding Signage Program -
Phase II - Project No. 120-020
Dear Mr. Freudiger:
At its November 9, 2021 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $146,411.
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/ Laura Hensley/Acting
Clerk
Enclosures
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME COSB Wayfinding Signage Program, Phase 2 (Base & Alt. 1 & 3)
PROJECT NO 120-020 FINAL COST $146,411.00
CONTRACT SIGNED 1/26/2021 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION
Fabrication and installation of wayfinding signage including concrete footings, foundations and
sidewalk repair within the City of South Bend, IN.
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 ________ day of _________________, 202__________.Geograph Industries, Inc.
Company Name
Signature 475 Industrial Drive
Company Address
Printed Name Harrison, OH 45030
City, State, Zip
WITNESSES:
Before me, the 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 _____________, 202______.
Notary Signature My Commission Expires
Printed Name County of Residence
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 powers:
Corporate SealSecretary's Signature
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so.
Date:
Construction Manager
BOARD OF PUBLIC WORKS APPROVAL Date: ________________________
Elizabeth A. Maradik, President Jordan V. Gathers, Member Joseph R. Molnar, Member
Gary A. Gilot, Member Murray L. Miller, Member Clerk
10/29/2021
November 9, 2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/29/2021
Name Toy Villa Department Public Works
BPW Date 11/09/2021 Phone Extension 5920
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name 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 Geograph Industries, Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name City of South Bend Wayfinding Signage Program – Phase 2
Project Number 120-020
Funding Source TIF
Account No. 324.10.102.121.442001 /422.10.102.121.442001 /429.10.102.121.442001
Amount $146,411.00
Terms of Contract
Purpose/Description _Project Closeout
For Change Orders Only
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