HomeMy WebLinkAboutPCA - 2021 Crack Sealing Proj No. 121-020 - Asphalt Restoration Services, LLC
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
December 14, 2021
Mr. Jamie Brown
Asphalt Restoration Services, LLC
PO Box 2484
South Bend, IN 46680
arsllc@comcast.net
RE: Project Completion Affidavit – 2021 Crack Sealing – Project No. 121-020
Dear Mr. Brown:
At its December 14, 2021 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $103,500.
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
12/07/2021
December 14, 2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 12/07/2021
Name: Toy Villa Department: Public Works – Engineering Division
BPW Date: 12/14/2021 Phone: 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 Asphalt Restoration Services, LLC
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Crack Sealing 2021
Project Number 121-020
Funding Source PO-0010107
Account No. 455.06.600.506.442001
Amount $103,500.00
Terms of Contract
Purpose/Description Project Closeout
For Change Orders Only
Amount of
Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
0%
( %)
New Amount $
Total Percent of Change:
Increase
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0%
( %)
Time Extension Amount:
New Completion Date: