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Home My WebLink AboutPCA - Nexus Center Roof Replacement Proj No. 121-064A - Slatile Roofing1316 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 October 24, 2023 Mr. Gerald Longerot Slatile Roofing and Sheet Metal Co., Inc. 1703 S. Ironwood Dr. South Bend, IN 46613 gerald.lon eg rot&slatile.com; debra.carothers&slatile.com RE: Project Completion Affidavit — Nexus Center Roof Replacement Project No. 121-064A Dear Mr. Longerot: At its October 24, 2023 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $196,981. 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 PROJECT DESCRIPTION WITNESSETH: CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS y PROJECT COMPLETION AFFIDAVIT Nexus Center Roof Replacement 121-064A FINAL COST $196,981.00 1/10/2023 MAINTENANCE AGREEMENT ENDS 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. Exec# d this /SO day of 20'. Slatile Roofing & Sheet Metal Co., Inc. Company Name Si nature 1703 S. Ironwood Dr. �� J� s��% Company Address Printed Name South bend, IN 46613 City, State, Zip WITNESSESS: uliiii'uuri Before me, the undersigned Notary Public in and for said country and state, personally appeared \.` \�\C Alav INWCku, C-Z and acknowledged his/her signature to the above Project Completion Afflda4on' Q J the / 7 day ofJ]WJt7IbC-1- , 20J�3 = p cc QJ; 1 Notary Su n ` ure My Commission Expires o .. `0 Printed Name County of Residence Lr��T� — ��''rr, is If the ontractor is a corporation following certificate will be executed. I, 1V AJ LD 21) e 1 certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then �9 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 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. Date: 10/17/2023 Co VIU, ction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member BOARD OF PUBLIC WORKS APPROVAL Date: 1� --2il t Joseph R. Molnar, Vice President ab� Alexandra Dolz-Lane, Member Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: October 24, 2023 AFFIDAVIT AND WAIVER OF LIEN FINAL PARTIAL aPAYMENTTO FOLLOW State Of Indiana, County of St. Joseph SS: Michael Jackson being duly sworn states that he is the Controller of Slatile Roofing & Sheet Metal Co., Inc. (Subcontractor/Supplier) Furnish certain materials and/or labor as follows: located at: 3607 S. Main St. (Contractor) Roofing and Sheet Metal For a project known as Nexus Center and owed by City of South Bend (Owner) and does hereby further state on behalf of the aforementioned subonctractors/supplier:. PARTIAL Waiver that is due from the contractor the sum of: ollars ( 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 ars and 05/100 Receipt of which is hereby acknowledged; or tars ($ 9.849.05 ) XXThe payment of which has been promised as the sole consideration for this Affidavit and Final 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 project, and within the scope of this affidavi and waiver. Slatile Roofing & Sheet Metal Co. Inc. (Firm) WITNESS MY HAND AND D NOTARYSEAL, My commission Expires: M/'Z�_X�U3U Residing in County BY • Controller 4fahnri,' ed R4n,.,,tative) this :` � / day of 20, 3 NOTARY P BLIC) �`��. Printed: Amy Marquez BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/17/2023 Name Kvle Ludlow Department Public Works BPW Date 10/24/2023 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 Slatile Roofing & Sheet Metal Co., 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 Nexus Center Roof Replacement 121-064A SSDA TIF PR-00017411 PO-0021162 $196,981.00 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