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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: