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Home My WebLink AboutPCA - 2022 Curb & Sidewalk, Round I Proj No. 122-001 - Milestone Contractors North1316 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 July 25, 2023 Mr. Dustin P. Hilary Milestone Contractors North, Inc. 24358 State Road 23 South Bend, IN 46614 akrueger&mile stonelp. com RE: Project Completion Affidavit — 2022 Curb and Sidewalk, Round I (Div. 1 & 2) Project No. 122-001 Dear Mr. Hilary: At its July 25, 2023 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $618,546.38. 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 M► 80ARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME Curb and Sidewalk Round 1 Div 1 + 2 PROJECT NO 122-001 FINAL COST $618 546,38 CONTRACT SIGNED 7/2612022 MAINTENANCEAGREEMENT ENDS PROJECT DESCRIPTION Curb and Sidewaik replacement at various locations 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 co and that the actor performed the work within the scope of the Specifications and Standards of the City of Sauth�n which were a 43s of the above Contract. Executed 5 of J 2i1�3 Milestone Name North Company Nae F - 24366 State Road 23 Printed Name Company Address South Bend IN 45614 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personaltyElm appeared AL1SIiAFfRt1EGER and acknowledged his/her signature to the above Project Con[,... o; My Cornnrission Expires the day f 20'F 23 SEAL • June 5, 2030 '�. =ale Commission Number NP0653544 '.'FvFe La Pate County Note �gnature My Commission Expires 6/5/203 Alisha Krue er County of Residence LaPorte Printed Name If the Contractor is a corporation, the following certificate will be executed. I• Danielle Payne certify that I am Secretary of the Corporation executing this release; that 1IIIr►I Dustin P. Hilo who signed this release on behalf of the co ntracto r was tF j ►►►► D of said Corporation; that said release was duly signed for and on t�'I�C�I6dt�..idfo s•��f Corporation by Aut ty of its governing body, and is within the scope of corporate powers: ��'��= • ......... • c ;�o��' �, CRGTF S Secretary's Signature - 1cXrA :.r} Danielle Pa ne 'e. Printed Name •r�i �NbICIN�• ��•= DEPARTMENT OF PUBLIC WORKS APPROVAL •��►►f! I l ill►�� This project Is acceptabie to final approval and we recommend to the Board of Public Works that it be ordained so. Z a Z44� Date: C struction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member Joseph R. Molnar, Vice President Jordan V. Gathers, Member Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: July 25, 2023 04 r-, State oflnscums, County of Saint Joseph ss: Jen Timmons being duly Mum that hNahe is the Project Accountant (Name ofoffi-) (py1111) of Milestone Contractors North, Inc.hsyrg emo-actadwRh CiTy. of South Bend Dept. of Public Works (Contractor) (Owner) to llvnish cermin meteride md/or labor ea Rgowa: Concrete _-. _. Neaalptlon) for a pmjcctknown as Curb and Sidewalk Round I (DivI + 2) (Name ofPro)eat) located at Various Locations and owned by City of South Bend and does hereby father s sm on the behalf othhe aforementioned sutamuractoussuppller: (PARTIAL WAIVER) Watthm, is due from the Contractor the sum of Dollars ❑ racelptofwhich ishembyeolmowledged;or ❑ the paymentofw1d le has been promhedas the aolaoomidoredon for this Affidavit and Phial WalverofLimurbLch is given sololy with respeat to add amount, and which waives shall he effective only upon rocelpt of payment thereof by the undersigned; ((PENAL WAIVgR�tLttir am`bel co duehom the cmrtr of 30.927.32 thtr[y thousand nine �iun ldregtwenty-seven and SL/ l UU (S ❑ reenlist afwfiiah is hereby acdmowledged;or ® the payment of which has been promised as the tole consideration for this Affidavit and Final Waists of Lin which shell heeoms affnative only nponreceipt of much payment. THEREFORE, the undersigned waives and leases unto the Owner afsaid promises, any and all liens or claims whatsoever on the above-deanlbedpropevty and improvements therms an account of labor or material or both, famished b the undersigned thereto, subject to limitation orcanditiona expressed hereto, if any; and fathercarefled_ that no other party has my claim or right m a Jim on mcouN ofany "]it performed or materiel famished to the undarsignod W(0014 Jostled, and within the scope of this Affidavit and Waiver of Lim. Milestone Contractors North, Inc g' f/YYI/'!I V71, (Ashorimd Raprsannslive) STATEOFINDIANA mc) ) as: ST. JOSEPH COUNTY Eaten me, the mderelgned, allota , Public, In and for said County and Share, personally appeared Saint Joseph and aoWnwImped the execuHm of the foregoing Affidavit and Waiver of Lim. IN WITNESS WHEREOF,Ihaw hseunto Subscribed my acme and affixed my offieiNSe pre 26th dayof June 202; bllo Slgnemre 2L My ConmAebn Expires: June 5, 2030 LaPorte Alisha Krueger Raddingln Costly, Indiana NosryPubga Nam ..Mf,.•^•., f¢:' ; QISHANRUESE'+. aQ'Commesbn 77 •: $fAL • Jura h, M30 �jF��: CaIIYIYSsion Nun!;+r P'�: ., BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/5/2023 Name Kvle Ludlow Department Public Works BPW Date 07/25/2023 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 Required Information Company or Vendor Name Milestone Contractors North, Inc. 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 2022 Curb and Sidewalk Round 1 122-001 MVH PO# 0018049-1 Acct. No# 202-06-602-505-431000 $61 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