HomeMy WebLinkAboutPCA - Plaza Park Improvements Proj No. 122-047 - Acorn Landscaping LLC1316 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
June 13, 2023
Mr. Jeff Ritschard
Acorn Landscaping LLC
3680 W. Sample St.
South Bend, IN 46619
rebecca.matthys03 kemail. com
RE: Project Completion Affidavit — Plaza Park Improvements
Project No. 122-047
Dear Mr. Ritschard:
At its June 13, 2023 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $144,964.58.
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
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
CITY OF SOUTH BEND, INDIANA p
BOARD OF PUBLIC WORKS
r �
PROJECT COMPLETION AFFIDAVIT
Plaza Park Im rovements
122-047 FINAL COST $144,964.58
7/26/2022 MAINTENANCE AGREEMENT ENDS
Base Bid only (no alternates)
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.
ecute this - / �1* - day of 7vi -4 2 Acorn Landscaping LLC
Company Name
Si re 3680 W. Sample St. _
V �c Company Address
Printed Name South Bend, IN 46619
City, State, Zip
WITNESSESS:
Bef m VS0 undersigned Notary Public in and for said country and state, personally appeared
, and acknowledged his/her signature to the above Project Completion Affidavit on
44,91 day of lC , 20f— ate.
otary ignature My Commission Expires rsher
G� Notary Public Seal Slate of Indrana
[ St Joseph County
rnted Name County of Residence Commission Num0er NP0703483
U
Expues OB/O1/2025
If the Contractor is a corporatio the following certificate will be executed.
I, {'� l ESC. r certify that I am Secretary of the Corporation executing this release; that
who signed this release on behalf of the contractor was then
of said Corporation; that said release was duly signed for and on behalf of said
Ca orate n by Authority of its governing body, and is within the scope of corporate powers:
5ecre 's Signatur
_r- ZmAti I 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.
Z_a�Gu- Date: 6/5/2023
Consybction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
le�zm
Joseph R. Molnar, Vice President
Jordan V. Gathers, Member
Attest: Theresa M. Heffner, Clerk
Date: June 13, 2023
Final Waiver of Lien
State ofindiana, County of '�_ _ SS:
�
being duly sworn that he/she is the
1r.(me Naof t7ffleor) 4
(Title)
of �'� 1 1 (\ . hsving contracted with Rm �j t
(Contractor) (Qwncr}
to famish certain materials andlor labor as follows: Wl ►J ` 1 V l �C� laY) U "al ) no Y k
for a project known as
located at
and owned by
tuanuip[tvn) ! .
-R�au_
�i�< �YYI►n,n1�l.R1P ���
and does hereby Author state on the behalf of the aforedmentioned subcontractor/supplier:
(PARTIAL WAiVlM that there is due 8tom the Contractor the sum of
Dollars $
❑ receigt of whioh is hereby aoltnowlcdged; or
❑ tlto payment of which has been promised as the sole consideration for this Affidavit and final Waiver of LlerrwhLeh is given
solely will( respect to said amount, and which waiver shall be affective only upon receipt of payment thereof by the
undersigned;
-(FINAL WAIVi R) that the al balance due kom Pie contract r is the sum or
❑ receipt of which is here y acicrtowledr.ged;
the payment of which has been promised as the sole consideration for this Affidavit and Huai Waiver of Lien which shall
become effective only 11ponreccipt of such payment.
THRREFORE, the undersigned waives and releases unto the Owner of said promises, any and all liens or claims whatsoever
on the above•dcscribed property and improvements thereon an account of labor or material or both, Aunished b the undersigned
lhemlo, suThlect 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 performed or material ihmished to the undersigned for said project, and within the scope of this Affidavit
and Waiver of Lletr.
{ 11y
STATE OF 1NDIANA um ) 711'11
(Authorized Representative)
SS:
ST. JOSEPH COUNTY ) r r
Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared r f _lj"� J
and acknowledged the executian of tho foregoing Affidavit and Waiver of Lion.
IN WITNESS VfMREOF, I have hereunto subscrlhed my narno and afOxed my official seal on the _ _ day of
Voli rV 1 20f! 2M3,
�.
otary iPtrblic Signature � -
my Commission aphos: 1
Residing in xL County, . LJf�f�c�S,L--,�-. _ ....,�,i Ps►bIia��dt�ty
Dana Fisher
Notary Public Seal State of Indiana
St Joseph County
Commission Number NPO-1034e3
My Commission Fxplfes O6i01i20025
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 06/5/2023
Name Kvle Ludlow Department Public Works
BPW Date 06/13/2023 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
Information
Company or Vendor Name Acorn Landscaping LLC
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
U Yes U If Yes, Approved by Purchasing
® No
MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos
Plaza Park Improvements
122-047
PO# 0017960-1 Acct. No# 17758
$1
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