HomeMy WebLinkAboutPCA - 2022 Contracted Crack Sealing Proj No. 122-010 - Asphalt Restoration Services
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
December 20, 2022
Mr. Jamie Brown
Asphalt Restoration Services, LLC
PO Box 2484
South Bend, IN 46680
arsllc@comcast.net
RE: Project Completion Affidavit – 2022 Contracted Crack Sealing – Project No. 122-010
Dear Mr. Brown:
At its December 20, 2022 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $92,000.
A copy of the Project Completion Affidavit is enclosed 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
12/13/2022
December 20, 2022
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/13/2022
Name Toy Villa Department Public Works
BPW Date 12/20/2022 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 Asphalt Restoration Services
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name 2022 Contracted Crack Sealing
Project Number PROJ0000000336
Funding Source Infrastructure Bond
Account No. 455-442001
Amount $92,000.00
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: