HomeMy WebLinkAboutPCA - El Campito Fencing Proj No. 121-043 - Custom Fence Michiana
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. Pat Kujawa
Custom Fence Michiana
2265 Reum Rd.
Niles, MI 49120
info@customfencemichiana.com
RE: Project Completion Affidavit – El Campito Fencing – Project No. 121-043
Dear Mr. Kujawa:
At its December 14, 2021 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $23,944.
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
12/01/2021
December 14, 2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 12/07/2021
Name: Toy Villa Department Public Works
BPW Date: 12/ 14/2021 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 Custom Fence Michiana
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name El Campito Fencing
Project Number 121-043
Funding Source PR-00010211
Account No. 422.10.102.121.431000
Amount $23,994.00
Terms of Contract
Purpose/Description Project Closeout
For Change Orders Only
Amount of
Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
( %)
Time Extension Amount:
New Completion Date: