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HomeMy WebLinkAboutROW Occupancy Agreement - House Move from 130 Park Lane to 919 Riverside Dr. – Wolfe House Movers of Indiana LLC  ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS 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 August 9, 2022 Mr. Andrew Heck Wolfe House Movers of Indiana LLC. 117 W. State Road 114 North Manchester, IN 46962 andrew@wolfehousemovers.com Mr. Marsh Davis Indiana Landmarks 1201 Central Ave. Indianapolis, IN 46202 RE: Right-of-Way Occupancy Agreement Dear Mr. Heck: At its August 9, 2022 meeting, the Board of Public Works approved the above referenced agreement for an encroachment for the house move from 130 Park Lane to 919 Riverside Dr. South Bend, IN 46601. Enclosed please find a copy of the agreement for your records. If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh August 9, 2022 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 8/1/2022 (651) 635-2764 (651) 638-9762 42552 Wolfe House Movers of IN LLC 117 W. State Road 114 North Manchester, IN 46962 A 1,000,000 X MSMML10000214 11/6/2021 11/6/2022 100,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000A MSMML10000214 11/6/2021 11/6/2022 5,000,000A MSMXS10000047 11/6/2021 11/6/2022 10,000 5,000,000 A Cargo MSMML10000214 11/6/2021 ACV ($10,000 Ded)1,000,000 City of South Bend is included as an Additional Insured Per Endorsement Form #AGL0135 0116, attached. City of South Bend 227 W Jefferson Blvd South Bend, IN 46601 WOLFHOU-01 KMELSTROM Maguire Agency 1970 Oakcrest Avenue, Suite 300 Roseville, MN 55113 Melissa Munsterman mmunsterman@maguireagency.com Nova Casualty Company 11/6/2022 X X X X X X X X X x 227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 SUITE 1316 COUNTY-CITY BUILDING FAX 574/ 235-9171 SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 CITY OF SOUTH BEND DEPARTMENT OF PUBLIC WORKS SPECIAL TRUCKING PERMIT *FAX OR MAIL FORM 3 WORKING DAYS (EXCLUDES WEEKENDS) BEFORE REQUIRED 48 HR PUBLIC NOTICE **48 HR PUBLIC NOTICE ANNOUNCED UPON APPROVED FORM ***THIS APPLICATION EXPIRES 30 DAYS FROM SUBMISSION DATE Oversize Overweight Hazardous Material Submission Date: 7/15/22 Applicant Name: Wolfe House Movers of Indiana Phone #: 260-224-2615 Fax #: 260-982-7410 Email: andrew@wolfehousemovers.com Application #: Route: From: 130 Park Lane, South Bend, IN 46601 To: Southeast corner of Riverside Drive and Park Ave. Travel Date: September 8th, 2022 Single Lane Occupancy x Multi-Lane Occupancy Time(s): From: 8:00 am To: 12:00 pm Contact: Andrew Heck Phone # 260-224-2615 Load Description: House on hydraulic dollies. Vehicle Description: Length: 50’ Width: 38’ Height: Weight (Gross:) 80 Tons Max Weight (Single Axle): 20,000 lbs Number of Axles: 8 Axle Spacing: Rear Steerable Axle: x Yes No Vehicle Type: Tractor-Trailer Truck-Trailer Truck x Other/Towed Has the route been driven previously? If so, provide the date. x Yes No Will the load be delivered within the City? If so, consult Ordinance Section 21-07.05. for regulations. x Yes No Attach the following: x Route Map x Axle configuration for vehicles over 5 axles For County route permit contact: 574-235-9626 For INDOT route permit contact: 219-325-7523 OFFICE USE ONLY: Approved Approved as Noted Revise Revise as Noted Comments: Engineering Division Authorized Signature: Date: Version 1.0 [5/27/2016] x 8/1/2022 May House Relocation timeline Tree trimming has been completed. Only unanticipated trimming provided by a bucket truck from Above and Beyond will be required during the relocation. Week of August 29, 2022 Wolfe House move begins bringing equipment to site no ROW encroachment September 5, 2022 Wolfe House Moving Begins work to lift and place house for move. Parking lane restricted on Park Lake and Main Street. September 7, 2022 Concrete light poles removed September 8, 2022 Move Date: “Road Closed” and signage as follows: 7:00 a.m. to 7:00 p.m. Riverside at Park Avenue 7:00 a.m. to Noon (open sooner if possible) Park Lane at Michigan Street Riverside at Michigan Street Main Street just past the entrance to Memorial Parking lot Lafayette at Park Lane – 7:00 a.m. to 2:00 p.m. Noon to five Riverside at Lafayette Riverside from Dushane court to Park Avenue will be closed to through traffic except for one lane for emergency vehicles and immediate property owner access. Access for Dushane court and 902 Riverside will not be impeded coming from the east. House moved onto foundation. Start streetlight re-install September 9, 2022 Concrete light poles reinstallation completed HOUSE Light poles remove/replace Streetname, bicycle, stop and speedlimit signs removed and replaced during street closure times Wolfe House Movers, LLC 117 W. State Road 114, North Manchester, IN 46962 office: (260) 982-0302 Indiana Landmarks Building Relocation Steel & Cribbing Layout Sheet Number: 1Drawn by: Mike Brovont Date: 6.15.22 35’30’ 5’ 40’ 13’9’18’ 18’ 6’ Wolfe House Movers, LLC 117 W. State Road 114, North Manchester, IN 46962 office: (260) 982-0302 Indiana Landmarks Building Relocation Dolly Layout Sheet Number: 2Drawn by: Mike Brovont Date: 6.15.22 18’ 6’ 6’6’ Wolfe House Movers, LLC 117 W. State Road 114, North Manchester, IN 46962 office: (260) 982-0302 Indiana Landmarks Building Relocation Elevation View Sheet Number: 3Drawn by: Mike Brovont Date: 6.15.22 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 8/1/2022 Name Scott Kreeger Department Public Works BPW Date 8/9/22 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney Attorney Name Clara McDaniels Dept. Attorney Attorney Name Purchasing Michael Schmidt 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: ROW Occupancy and Encroachment Agreement Ease./Encroach Required Information Company or Vendor Name Wolfe House Movers of Indiana LLC. & Historic Landmarks Foundation of Indiana, Inc. New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name N/A Project Number N/A Funding Source N/A Account No. N/A Amount N/A Terms of Contract Purpose/Description __ 130 Park Lane House Move Right-of-Way Occupancy and Encroachment Agreement 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: