HomeMy WebLinkAboutPCA - 2023 Tree and Stump Removal Proj No. 123-002 - K & R Tree Service1316 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
October 10, 2023
Mr. Kevin J. Kenney
K & R Tree Service LLC
1724 S. Grant St.
South Bend, IN 46613
treecutterkevgyahoo. com
RE: Project Completion Affidavit — 2023 Tree and Stump Removal
Project No. 122-002
Dear Mr. Kenney:
At its October 10, 2023 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $33,105.02.
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 ALEXANDRA DOLZ-LANE MURRAY L. MILLER
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
2023 Tree and Stump removal for curb and sidewalk contract
123-002 FINAL COST $33,105.02
5/23/2023 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Tree removal, stunip grinding
W1TN ESS ETH:
The work under the above contract between the City of -South Bend and the undersigned contractor having been
completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever
arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and
Standards of the City of South Bend which were a part of the above Contract.
Executed this :?T day of SQ p , 202 3
Si azure
i KY0r) e y
Pri ted Name
K & R Tree Service
C$mp?7AmJr taffy rt T {'•
Company Address
South Bend, 1N4660+
City, State, Zip
WITNESSESS:
.Before a the undersigned Notary Public in and for said country and state, personally appeared
and acknowledged his/her signature to the above Project Completion Affidavit on
ie � day of T° 202 7 Eh
RLYNE 7OOM8f
ary Public -Seal
Nola Si nalu M Commission Expires Jun - State of Indiana
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lll on Lxptres Nov 12, 2030
Printed Nan Cowity of Residence CZ
If the Contractor is a corporation, the following certificate will be executed,.
1, 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
Corporation by Authority of its governing body, and is within the scope of corporate powers:
Secretary's Signature
Printed Name
Corporate Seal
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.
Al 64-)- Date: 10/3/2023
Cons&dction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
takL �k
Elizabeth A. Maradik, President
Gary A. Gilot, Member
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Joseph R. Molnar, Vice President
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Alexandra Dolz-Lane, Member
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: October 10, 2023
State of Indiana, County of
Kevin J. Kenney
(Name of Officer)
Of K&R Tree Service LLC
(Contractor)
Final Waiver of Lien
St. Joseph
to furnish certain materials and/or labor as follows;
being duly sworn that he/she is the
having contracted with
SS:
Owner
(Title)
of South Bend
(Owner)
2023 Tree & Stump Removal for Curb/Sidewalk
- - (Descriptlon)
foraprojectImawnas 2023 Tree & Stump Removal 123-002
(Name of Project)
located at
and owned by
City of South Bend
(Owner) - ---
and does hereby hxthher state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars 0 )
El receipt of which is hereby a0mowledged; or
❑ die payinent of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which is given
solely with respect to said amount, and which waiver shall be effsotive only upon receipt of payment thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
Fifteen Thousand Five Hundred Eighty -Eight and 37/100ths Dollars $15 5gg- _ _3T )
(� receipt of which is hereby acknowledged; or
® the payment of which has been promised as the sale consideration for this Affidavit and Final Waiver of Lien which shall
become affective only rpon receipt of such payment.
TH1MFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsncver
on the above described property and improvements thereon as account of labor or material or both, Mmished b the ttndersigned
thereto, subject to limitations or conditions expressed herein, if any; raid further cartiiied that no other party has any claim or right to a
Jlen on 1100ou111 of any work Performed or material ft nished to the undersigned for said project, and within the scope of this AffidavJt
and Waiver ofi.len.
K&R Tree Service LLC '� Commission on #C
(Finn) aft JY OMMission
STATE OF INDIANA e'" January 8,2
ST. JOSEPH COUNTY )
Before Me, the undersigned, a Notary Public, In and for said County and State, personally appeared u iY1 S �� ��
and. acknowledged the execution of tho foregoing Affidavit and Waiver of Lien.
IN WITNESS WMREOF, Ihave horcrssito subscribed my name and affixed my official seal on the 3rd day of
October 2023
o Publio S a d"
My Commission Expires; Lxm
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Residing in county,
i G�Y1�t .
Notary.lf�Name
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.�^�
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/03/2023
Name Kvle Ludlow Department Public Works
BPW Date 10/10/2023 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
K & R Tree Service
U Yes U If Yes, Approved by Purchasing
® No
❑ WBE Completed E-Verify Form Attached ❑ Nos
2023 Tree and Stump Removal
123-002
202-06-602-505-431000
PO - 0024331
$33,105.02
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