HomeMy WebLinkAboutPCA - Drewry’s Brewery Fence Replacement Proj No. 119-031B - Ritschard Bros., Inc.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
April 11, 2023
Mr. Donald Ritschard, Jr.
Ritschard Bros., Inc.
1204 W. Sample St.
South Bend, IN 46619
rit l 204 (a,datacruz. com
RE: Project Completion Affidavit — Drewry's Brewery Fence Replacement
Project No. 119-031B
Dear Mr. Ritschard:
At its April 11, 2023 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $118,260.
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
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT ••S
PROJECT NAME Drewry's Breyer; Fence Replacement
PROJECT NO 119-031 B FINAL COST S118.260.00
CONTRACT SIGNED 1118/2022 MAINTENANCE AGREEMENT ENDS NIA
Replacement of fencing along Elwood Avenue and border wil Muessel Grove Park, incl_
PROJECT DESCRIPTION asbestos inspector
WITNESSETH
The work under the above contract bebveen 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.
Jecuted this 3rd day of February . 20 23 Ritschard Bros. Inc.
`k Company Name
Signature 120-"A'- Sample St.
Rachelle L. Dolniak Company Address
Printed Name South Bend. IN. 46619
City. State, Zip
WITNESSESS: `t►i 1111/r1�
Before me_ the undersigned Notarl Public in and for said country and state, personally appe*D.BRR,,,,��'�,
Rachelle L. Dolniak . and acknowledged his+her signature to the above Project Compleiibn Ffi arii ot>us '�
the 3rd day of FebruarY . 20 23�TqR .'2C-,
Notary Signature My Commission Expires 2/27/28
Michaela Ritschard UB1-�Q
Printed Name County of Residence St. Josh} )'---.
If the Contractor is a corpora`, n. a following
I, -Donald Ritschal/Jr.
ody
Donald Rit
Printed Name
sa
will be executed. ,��Q\���
ify that I am Secretary of the Corporation executing this�r�l� 4: that
�sate
_ who signed this release on behalf of the contractor was then
Corporation; that said release was duly signed for and on behalf of said
is within the scope of corporate powers:
Corporate Seal
DEPARTMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for final approval and we recommend to the Board of Public %-Yorks that it be ordained so.
Project Mai
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Qyticil�t
Gary A. Gilot, Member
Murray L. Miller, Member
Date: 04/03/2023
ME�
Joseph R. Molnar, Vice President
Jordan�(V. Gathers, Member
Attest: Theresa M. Heffner, Clerk
Date: April 11, 2023
State of Indiana, County of St. Joseph SS:
Rachelle L. Dolniak being duly sworn that he/she is the President
(Name of Officer) (Title)
of Ritschard Bros., Inc. having contracted with City of South Bend
(Contractor) (Owner)
to fiimish certain materials and/or labor as follows; Fence removal and replacement, incl. asbestos inspector
(Description)
for a project known as 119-031B Drewry's Brewery Fence Replacement
(Name of Project)
located at 1408 Elwood Avenue, South Bend, Indiana
and owned by City of South Bend
(Owner)
and does hereby Author state on the behalf of the aforementioned subcontractor/supplier;
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars
❑ receipt of which is hereby acknowledged; or
❑ the payment of which lies been promised as the sole consideration for this Affidavit and Final Waiver ofLien which is given
solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the
undersigned;
(FINAL WAIVE that the final balance due from the contractor Is the sum of
One Hundred Eighteen Thousand Two Hundred Sixty Dollars ($118,260.04
❑ receipt of whiah is hereby acknowledged; or
® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall
become effective only upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the owner of said premises, any and all liens or claims whatsoever
on the above-deserlbed property and improvements thereon an account of labor or material or both, furnished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a
lien on account of any work perfonned or material famished to the understhned for said project, and within the scope of this Affidavit
and Waiver of Lien. E y�
Ritschard Bros., Inc. By ��
(Firm) (Authorized Representative)
STATE OF INDUINA )
) SS:
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WITNESS WDEREOF, I lave hereunto subscribed my name and affixed my official seat on the 3 r d day of
February 202 3
GNp RD g,c� '/,,�� No Public Signature
O ,
My CommissionExpiros; 2 2 2 ' AlCD `sue
Michaela Ritschard
Residingin St. Joseph County; Indiana__ = Notary Public Name
- AOBUG
111� OF It0\0\`1
�'��rrriit00
Rachelle L. Dolniak
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/03/2023
Name Zach Hurst Department DPW
BPW Date 04/11/2023 Phone Extension 3057
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ® Officer Name Chana Roschyk
and Inclusion Officer
BPW Attorney
❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
Check the Appropriate Item I
Professional Services Agreement ❑ Contract
❑ Open Market Contract
❑ Bid Opening
❑ Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
I-1 Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
Information
Ritschard Bros., Inc.
All Submissions
U Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
® PCA
❑ Resolution
Ease./Encroach
Yes U If Yes, Approved by Purchasing
® No
MBE
® WBE Completed E-Verify Form Attached ❑ Yes
No
Drewry's Brewery Fence Replacement
119-031B
ARP Funding
PR-00020167
$118,260
Closeout documentation (Waiver of Lien and Project Completion Affidavit)
for Drewry's Brewery fence replacement.
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
Increase
Decrease
Increase
Decrease
New Completion Date: