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Home My WebLink AboutPCA - Sibley Center Exterior Renovations Proj No. 121-021 - Slatile Roofing & Sheet Metal1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 25, 2023 Mr. Gerald Longerot Slatile Roofing and Sheet Metal Co., Inc. 1703 S. Ironwood Dr. South Bend, IN 46613 michael. albert&slatile. com RE: Project Completion Affidavit — Sibley Center Exterior Renovations — Project No. 121- 021 Dear Mr. Longerot: At its April 25, 2023 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $228,940. 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 Hefner 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 PROJECT NAME Sibley Center Exterior Renovations PROJECT NO 121-021 FINAL COST $228,940.00 CONTRACT SIGNED 5/10/2022 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Window replacement and masonry repairs at the Sibley Center. WITNESSETH: The work under the above contract between 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. Executed this o-k '44 day of , 2023 Signature Printed Name Slatile Roofing & Sheet Metal Company, Inc. Company Name 1703 S. Ironwood Dr. Company Address South Bend, IN 46613 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared CSC ,A c�1I c , and acknowledged his/her signature to the above Project Completion Affidavit on the aU ` "\ day of 202 A NotarySignature My Commission Expires Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, A h/N, certify that I am Secretary of the Corporation executing this release, that who signed this release on behalf of the contractor was then Pf2's 5.. 0 Filet 7— of said Corporation; that said release was duly signed for and on behalf. Df said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signatur A,y k �D �G � RaT� Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Aal&& ,L-Uuf- Date: 4/10/2023 CorL46uction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member M Joseph lR;. Molnar, Vice President O `Fy Jordan)�V. Gathers, Member Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: April 25, 2023 AF-FIDAVIT AND WAIVER OF LIEN d FINAL PARTIAL �PAYMENTTO FOLLOW State Of Indiana, County of St. Joseph SS: f i 1.Olhc��C being duly sworn states that he is the.�P�. of Slatile Roofing & Sheet Metal Co.. Inc. (Subcontractor/Supplier) Furnish certain materials and/or labor as follows: (Contractor) Ma �,n n,w a -(1 A For a project known as h\ Q A L located at: �;� trl�> 61("� - (� and owed by �\1111�(1 Ufd (Owner) and does hereby further state on behalf of the aforementioned subonctractors/supplier:. PARTIAL Waiver that is due from the contractor the sum of: Dollars ($: Receipt of which is hereby acknowledged: or The payment of which has been promised as the sole considertion ofthis Affidavit and Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be affective only upon receipt of payment thereof by the undersigned: (FINAL WAIVER) that the final balance due from the contractor is the sum of T t Ko'_Y 4Cc_tCl��s;t�:i'�ti Sri ° -�c�l :� (`ICY-4Dollars ($ Receipt of which is hereby acknowledged; or 0he payment of which has been promised as the sole consideration for this Affidavit and dFinal Waiver of Lien which shall become effective upon receipt of such paymenat. THEREFORE, The undersigned wiaves the releases unto the Owner of the said premises, any and all lein or claim whatsoever on the above -described property andimprovedments thereon on account of LABOR or matieral or both, furnished by the undersigned thereto, subject or conditions expressed herein, if any: and further certifies that no other party has a claim or right to lien on account of any work performed or material furnished to the underisgned for siad pri aid prpotr)i;Yrydlithin the scope of this affidavi and waiver. Slatile Roofing & Sheet Metal Co. Inc. By Title- 4i� (Firm) (Authorized Rep _ +?ntativS)� P z WITNESS MY HAND AND D NOTARY SEAL, this�� dar�jb c�c 20 COMM: 669400 (NOTARY PUBLIC My commission Expires: June 21, 2023 Printed: Michelle McIntyre Residing in St. Joseph County State of Indiana BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/10/2023 Name Kvle Ludlow Department Public Works BPW Date 04/25/2023 Phone Extension 9157 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Re uired or 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 n Other: n Ease. /Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Information Slatile Roofing & Sheet Metal Company, Inc. ❑ Yes ❑ If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Sibley Center Exterior Renovations 121-021 RWDA TIF 13644 $228,940.00 Purpose/Description _Project Closeout For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase % Decrease ( %) Increase % Decrease ( %1