HomeMy WebLinkAboutPCA - 2022 Community Crossings Roadway Rehabilitation Proj No. 122-024R - Milestone Contractors1316 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
December 12, 2023
Ms. Alisha Krueger
Milestone Contractors North, Inc.
24358 State Road 23
South Bend, IN 46614
akrueger&mile stonelp. com
RE: Project Completion Affidavit — 2022 Community Crossings Roadway Rehabilitation
Project No. 122-024R
Dear Ms. Krueger:
At its December 12, 2023 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $4,566,395.74.
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,
Is/Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA MIcou
..a "h S•
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS =.�<
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME 2022 Community Crossings Roadway Rehabilitation
PROJECT NO 122-024R FINAL COST $4,566,395.74
CONTRACT SIGNED 8/9/2022 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Pavement improvements on Rainbow Dr, Southlea Dr, Eastmont Dr, Hill St, and Jackson St.
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.
Exertedth•s 21 t day of_Noyember 2023 _ W_. Milestone ContractorsNorth,_Inc.
� Company Name
Signature�- 24358 State Road 23
Josh .Burris Company Address
Printed Name
South Bend, IN 46614
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
__ _,10_§}j.Byfrl6__ _,and acknowledged his/her signature to the above Project Completion Affidavit on
the 21 st day f No m , 2023
ALISHA KRUEGER
Notary Sikmx<re My Commission Expires 5 03 .ogY nuy . . ,ission Expires
Alisha Krueger JnNumb 0
�;• � � uile Commission Number
NPQ653544 W
Printed Name County of Residence LaPorte 'rF' a`T'' corle County
If the Contractor is a corporation, the following certificate will be executed.
I, Danielle Paine _ �, certify that I am Secretary of the Corporation executing this release, that
Josh Burris who signed this release on behalf of the contractor was then
General Superintendent of said Corporation; that said release was duly signed for and on;,q0Pfj1f4,'
rporation by tygoverning body, and is within the scope of corporate powers:
Secretary's Signature y �ORP OR` R
Corpsrate
SEAL '•nC
Printed Name i
DEPARTMENT OF PUBLIC WORKS APPROVAL �i a, b •
�� Nb1aN�
This project is acceptable for finial approval and we recommend to the Board of Public Works that it be orda�R.t l tttj�o
&6& , � c ry Date: 12/5/2023
Conoruction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
vA�a
Elizabeth A. Maradik, President
�- --• r� Q�iil�
Gary A. Gilot, Member
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Bri��4
a��naa Micou, Member
l�
Attest: Theresa M. Heffner, Clerk
Date: December 12, 2023
P,i,l Milestone
AFFIDAVIT AND WAIVER OF LIEN
STATE OF INDIANA
SS:
COUNTY OF ST. JOSEPH
FINAL
Payment to Follow
John Conway being duly sworn states that he is the Project Accountant of Milestone Contractors North, Inc. having
contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: ROADWAY
REHABILITATION for a project known as COSB 2022 CCMG ROAD REHAB (MCLP Job# 229718) located at SOUTH
BEND, IN and owned by CITY OF SOUTH BEND and does further state:
FINAL WAIVER: that the final balance due from the owner is the sum of three hundred eighty thousand seven hundred sevenh• and
651100 Dollars
the 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 payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the above -described
property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies that no
other party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said project, and within
the scope of this affidavit and waiver.
Milestone Contractors North, Inc.
n Conway
Project Accountant
Subscribed and sworn to before me this: 22nd day of November, 2023
Notary Public:
Alisha Krue r
My Commission Expires: June 5, 2030
.... "�i
ALISHA KRUEGER
• `�;
My Commission Expires
County of Residence: La Porte
1*• SEAL :*
June 5, 2030
Comrrdssion Number NP0653544
La Porte County
Change in Utilization Plan Request Template
To be completed by Prime Contractor requestina a change in Utilization Plan:
Project Name: 2022 CCMG Road Rehab
Prime ( Milestone Contractors North
Date of Occurrence: 11/30/23
Date Request sent to PM: 12/1/2023
Sub -Contractors impacted by
Sub -contractor MBE
Name or
W�BE
SIaiccarc lE AIRF I Chc
requested change in Utilization Plan
Brief Explanation for Requested Change in Utilization Plan
a inscoLe._ __
Optional Additional Comments/Notes:
Quantity of sodding was decreased due to plan changes and excavation limits which decreased
Slussers total payment amount.
To be comoleted by Proiect Manager
Project Date of Date rec'd Change in Utilization Plan Date
Manager Occurrence (within24hours of Approved/Denied/or Requesting Approved/Denied
Date of Occurrence Additional information
for approval)
Leslie Biek 11/30/23 12/1/2023 Approved_ 12/4/2023
Notes:
Contractor
Awarded Amount
Paid to Date
Traffic Control Specialists
WBE
$
148,894.89
$
116,254.89
Slussers
WBE
$
73,459.86
$
55,577.98
Hawk Enterprises Inc
WBE
$
15,113.75
$
10,925.70
Buc Const Supply
WBE
$
7,000.00
$
9,950.00
C. Lee Const
MBE
$
39,000.00
$
59,766.54
V&R Trucking
MBE
$
36,000.00
$
50,981.00
Kennedy Expressline
MBE
$
34,000.00
$
67,754.32
1st Class Logistics
MBE
$
30,000.00
$
43,380.16
V&R Trucking
WBE
$
6,000.00
$
6,000.00
Shoshone Trucking
WBE
$
18,000.00
$
30,044.42
Difference Remaining
Remaining Payments Final Amount
$ 32,640.00 $ 32,640.00 $
$ 17,881.88
$
17,881.88
$ 4,188.05
$
4,188.05
$ (2,950.00)
$
(2,950.00)
$ (20,766.54)
$
(20,766.54)
$ (14,981.00)
$
(14,981.00)
$ (33,754.32)
$
(33,754.32)
$ (13,380.16)
$
(13,380.16)
$ (12,044.42)
$
(12,044.42)
Reason if Final Amount is less than
Awarded Amount
Change in Scope
Change in Scope
MAINTENANCE BOND
Bond No. MNT30167905
KNOW ALL PERSONS BY THESE PRESENTS, That we Milestone Contractors North Inc.
Of
24358 State Road 23. South Bend IN 46614 , hereinafter
referred to as the Principal, and Continental Casuat Company,
as Surety, are held and firmly bound unto City of South Bend
of 227 West Jefferson Blvd.. South Bend, IN 46601 , hereinafter
referred to as the Obligee, in the sum of Four Hundred Fifty Six Thousand Six Hundred Thirty Nine Dollars and 57/100
Dollars ($ 456,639.57 ), for the payment of which we bind ourselves, our legal representatives, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a contract with the City of South Bend
dated
.August 9 2022 , for Project No. 122-024R; 2022 Community Crossings Road
Rehabilitation
WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee for the period of
Three ( 3 ) year(s) after approval of the final estimate on said job, by the owner, against all defects in
workmanship and materials which may become apparent during said period, and
WHEREAS, the said contract has been completed, and was approved on Seetembr 28th, 2023
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that, if the Principal shall Indemnify the
Obligee for all loss that the Obligee may sustain by reason of any defective materials or workmanship which
become apparent during the period of Three ( 3 year(s) from and after 9 / 28 7 2 0 2 3 --
then this obligation shall be void, otherwise to remain in full force and effect.
SIGNED, SEALED AND DATED this 22nd day of November - 2023
Milestone Co(AFerc-t9es North, Inc.
f (Principal)
Continental Casualty
Angela
Forth F4591
Director of Esti
tC actors
=�r QRATf 'S
iati*/,`r ►Nd10,�e`
1 g57
PO'"TR OF ATTO&NEY APPOLYTIi``G Z'DI%WUAL ATTORNEY -IN FACT
Know Alllien By These Presents, That Continental Casualty Company, an Illinois h=rmce company, National Fire Insurance Company of
Hartford, an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company (herein called
'the CNA Companies'), are duly organized and existing insurance companies having theirprincipal offices in the City of Chicago, and State of Illinois.
and that they do by virtue of the signatures and seals herein affixed hereby mane, constitute and appoint
Angela M. Riley, Indiridually
of Indianapolis, IN their true and lawful Attomey(s}in-Fact with full power and authority hereby conferred to signseal and execute for and
on their behalf bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
SocWBWdN*-- MNT30167905
WAdpab Milestone Contractors North, Inc.
Obftm City of South Bend
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and
all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and confirmed.
This Power of Attorney is made and executed pursuaut to and by authority of the By -Laws and Resolutions, Printed on the re%wse hereof~ duly
adopted, as indicated, by the Boards of Directors of the insuance companies.
In Witness Whereo4 the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto
affixed on this 9th day of May, 2023.
Dt�sw
�tc��r 2
_ r
Continental Casualty Company
National Fire Irrstnance Company of Ha e"d
American Casualty Company of Reading, Pennsylvania
Laity Kasten Vice President
State of South Dakota, County of Minnehaha. ss:
On this 9th day of May, 2023. before me personally came Larry Kasten to me known, who, being by me duly sworn, did depose and say, that he
resides in the City of Sioux falls, State of South Dakota; that he is a Vice President of Continental Casualty Company, an Illinois insurance company,
National Fire Treasure Company of Hartford, an Illinois insurance company, and American Casualty Company of Reading. Pennsylvania, a
Pennsylvania insurance company described in and which executed the above instrument; that he knows the seals of said hni urance comVinier. that the
seals affixed to the said instrument are such corporate seals; that they v6 ere to affixed pursuant to authority given by the Boards ofDirectors of said
insurance companies and that he signed his name thereto pursuant to hike authority, and acknowledges same to be the act and deed of said insurance
companies.
as ENT
PUW
wosN►r wren
, wan+ aNaOa
Q0 M
A" .f.r...'w�WY..
My Commission Expires March 2, 2026 M seat Notary Public -
CERTIFICATE
1, D. Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford,
an Illinois insurance company, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania insurance company do hereby cert* that the
Power of Attorney herein above set forth is shill in force, and hither certify that the By -Laws and Resolutions of the Board of Directors of the insurance
companies printed on the reverse hereof is still in force. In testimony whereof I have hereuato subscribed my name and affixed the seal of the said
insurance companies this 22nd day of November , 2023.
C�4f{�h9a�✓d�3.
Forta, F6853-4-2023
Condoental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Reading, Pennsylvania
D. Johnson Assistant Secretary
Go to w sew:tnssurettr west > Owner / Obligee Services > Validate Bond Coverage, If you want to verify bond authenticity.
Authorizing By -Laws and Resolutions
This Power of Attorney is signed by Lary Kasten, Vice Prudent of each of the CNA Companies (as defined in the Power of Attorney), who has been authorized
pursuant to tha below llylaa s and Resolutions to extoAt power of attemm-s on behalf of eaeb of the CNA Companies.
ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY.
This Power o€Attaaruy is made and executed pursuant to aodby audnorixty of the faiiowing resohuion duly adopted by the Board of Directors of the Company at a
meeting held on May 12,1995:
"RESOLVED: That any Senior or Group Vice President may autimme an ofhiter to sip specific documents, agreements and instruments on belaHof the Company
provided that the name of sash authorized officer and a description of the doccawnts, agreements or instnrmens that arch offiev may sign will be pfovideal in
writing by the Senior of G" Vice President to the Secretary of dw Company prior to mch execution becooLing eCKti%*."
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors o€the Company by
umanimoas written content dated the 250, day of April, 2012:
"Wbma% the bylaws of the Company of speei6t rmohrtion of the Board of Directors has authorized %unions officers (the "Authorized Off") to executerarims
policies, bonds, undertakings and other obligatory iastramartx oflate nature; and
Whereas, fxaan time to time, the signature of the Awhmined Offices in addition to being pmvided in origmA hard copy forma; maybe posvided via fecuouleor
otherwise in an elecume format (colleetivv !y. "Eleeauroic Signatures"); Now therefore bait resohv.d; drat tle Eketro= Sigaahrre o emir Audmized Offices shalt
be ti aU and binding on the Company.*
This Power of Attamey nary be signed by digital signature and sealed by a digital or otherwise electroaiafoatnatted corporate seal under and by use authority of the
following Resohrboa adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April, 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm my cmpora2t documents signed by digital signatures sad to rati&
and ccofum the use of a digital or otherwise tlectrouic•formatted corporate seal, each to be cousidered tin act and deed of der Company.
ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD:
This Power of Attorney is made and warted pursuant to and by authority of the fallowing resolution duly adopted by the Board of Directors of the Company by
Unanimouswritten consent dated May 10,1"5:
"RESOLVED: That any Senioror Grow Vice Presidenttatay authorize an officer to sign speci& documents, agreements and msfivmbas oa behalf of the Company
presided rant the name of such authorized offices and a description of the documunts, apeements or instruments that tuts officer may sign will be provided in
u7iting by dw Senior or Grow Vim President to the Secretary of thra Coaspany prim to uses erteootion becoming e$ecthm-7
Ties Power of Attorney is signed and sealed by fsesimile under cad by the authority of the following Rawltaon adopted by fire Board of Directors of the Company by
wnsuiawus written consent dated the 250, day of April, 2012:
'PIMeas, the bylaws of lira Coaspwy or specific reschrCon of the Board of Directors hu authorized various officers (the "Authorized Offi ens") to ntasuufe various
policies, bonds, undertakings and other obligatory instruments of Woe nacre; and
Whereas, from time to time, the signature of the Authorized Offmns. in addition to being pm ided in original, had copy €ormak. may be provided via bcsim *01'
otherwise 0 an eleectrmic format (eoilediv,•]y, "Eietlrorfc SagaatKm"% Now therefore be it nsohv& that the Eket mew Sigaatme. o€arry Andmuad Officer shall
be valid and binding on the Company."
This Power of Attmuey may be signed by digital signature and sealed by a digital or odmwine electrouic•foxmatted corporate seal under and by that amsmity of use
following Rasolittion adopted by the Board of Directors of the Company by unanimous wsstten cocru t dated the 27th day ofAp % 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and eoafrm any corporate documents signed by digital 4sannres and to rarefy
and co mfiirm the rase of a digital or otherwise eieetronie•fosmautc! corporate seal, each to be considered doe act and deed of the Company."
ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANL'L
This P~ of Attorney is made and exevited pursuant to and by so&& ty of the following resolution duly adopted by the Board of Des of the Company by
unanimous written consent dated blay 10,1995:
"RESOLVED: That any Senior or Group Vice President array authorize an odhiaer to sign speaSc docutoents. agrees and kahumum an behalf of the Cody
provided that the name of such authorized offaoer and a description of the documents, agreement oa instruments that such officer rimy signs will be provided in
writing by use Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed and scaled by Win& under and by the authority of the following Resohnsion adopted by the Board ofDirectors *Rite Company by
unaaimarswritten consent dated the 256 day of April, 2012:
"Whereas, tyre bylaws of the Coa:npany or specific tmoli than of use Board of Directors has authorized %vious of mn (the "Anthotimed Offems*) to exeeuus various
polities, bonds, undertakings and other obligatory instruments of Woe aatm, and
Wberea, from time to time, the siguture of the Authorized Ofhic ess, in addition to being provided is original, hard copy format, may be provided via fatsinsik of
otherwise in an electrock format (collectively. "Electronic 5ipxmres"k Now therefore be it resohv& tsar the Electronic Sipnatrtre of any Audwn=d Offitastall
be valid and binding on than Company."
This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic-£armstted corporate seal under and by The authority of the
Wowing Resold an adopted by the Board of Duettoes of the Company by un•"izom written consent &W the 27th day of April, 2022:
"RESOLVM. That it is in the best interest of the Company to periodically ratify and confirm any corporate docume is signed by dual signatures and to ratify
and confirm the use of a digital or odrawise ekctrooic•fomutted c+uponte seal, each to be considered the art and deed of the Company."
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/5/2023
Name Leslie Biek Department Public Works
BPW Date 12/12/2023 Phone Extension 9323
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
❑ Other: ❑ 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
Purpose/Description
❑ Yes ❑ If Yes, Approved by Purchasing
® No
MBE
❑ WBE Completed E-Verify Form Attached ❑ Nos
2022 CCMG Road Rehabilitation
122-024R
GCMG, River West TIF, South Side Development TIF,Tax Incremental
Development Fund. Council Appropriation
PROJ- 00016955 PO-0018944
$4,566,395.74
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Amount of ❑ Increase $
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Previous Amount $
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Current Percent of Change:
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New Amount
$
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Total Percent of Change:
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Time Extension Amount:
New Completion Date: