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Home My WebLink AboutPCA - Martin Luther King Jr. Center Demolition Project Proj No. 121-066 - Ritschard Bros.1316 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 December 12, 2023 Ms. Rachelle L. Dolniak Ritschard Bros., Inc. 1204 W. Sample St. South Bend, IN 46619 rit 1204 kdatacruz. com RE: Project Completion Affidavit — Martin Luther King Jr. Center Demolition Project Project No. 121-066 Dear Ms. Dolniak: At its December 12, 2023 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $312,092. 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 MURRAY L. MILLER BRIANA MIcou CITY OF SOUTH BEND, INDIANA _ BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME Martin Luther King Jr. Center Demolition Project PROJECT NO I21-066 FINAL COST $312,092.00 CONTRACT SIGNED 12/20/2022 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Demolition of the MLK Jr. Center. 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. ecuted this loth da of November 12023 Ritschard Bros., Inc. Company Name Signature 1204 W. Sample St. Rachelle L. Dolniak Company Address Printed Name South Bend, IN 46619 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said coll4tN 1 taitiP4tbte' personally appeared Rachelle L. Dolniak , and acknowledged his/her signatutr 't000 c&qy&�,e�ct Completion Affidavit on the 1 th d of Nov -ember 2023 Ate.' S Notary Signature My_Coriimission l!kpires : 2 / 0 / 28 Michaela Ritschard N •. A08 L\G Printed Name County esidence _. �PS� Joseph If the Contractor is a corporation, the following certificate will b�ecQEdA P��`� I, Donald Ritschard, Jr. certify that I am Secr/ fe*q uAtfic Corporation executing this release; that ac4slle L. Dol i who signed this release on behalf of the contractor was then r s ' d t id Corporation; that said release was duly signed for and on behalf of said Corp atio A y Aut4 ity - g g b9 y, and is within the scope of corporate powers: Donald Ritsc Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL Corporate Seal This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. �„A Date: 11/14/2023 Cor0mction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS 121� �& Elizabeth A. Maradik, President Gary A. Gilot, Member P'2, y 4 ",�zi` Joseph R. Molnar, Vice President Briana Micou, Member 6,1 /V Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: December 12, 2023 nu4. r. cove J.-r.Jrn, onv ruu trvima ix anrrli 140.)000 r. AFFIDAVIT AND WArVER OF LIEN State of Indiana, Cotnty of St. Joseph SS: Rachelle L. Dolniak being duty sworn that he/she is the president (Name of Officer) (Title) of ..Ritschard Bros.-, Inc. having cotit=tedwith City of South Bend, Dept. of Public Works (Subcontractor/Supplier) (Contractor) to furnish certain materials .and/or labor as follows: Demolition and Site Work (Description) for a project Imown as Martin Luther King .Jr. Center Demolition (Name of.Proj6ct). locatddat .1522 Linden- Avenue, South Berid, IN 46628 and ownedby City. of South Bend •(Owner) and :does hereby"f iither.•state on the behalf of 6e aforementioned-subcontractor/supplidr. (PARTTAI. WAIVER)• that-iberie' s due from.the Contractorth'e suni of Dollars (S ) ❑ iecdipt of *hich. is hereby •acknowledged; or ❑ the -payment -of whieh-liaslden.prouused as the sole, consideration for .this Affidavit and Final Waiver of Lien which is giden. solely vriTh respect ta.said amount, and which waiver'shall be effective only upon receipt of payment thereof by.the undarsigzzied; • , .. .. • . . r QM4AL WAIVER) that the final balance.dne •from the'conttactor:is ithe.ium.bf Fifteen Thousand. Six HundKed Four Doliars and'60/f00 ($15',604.60 ) ❑ receipt :of whnicb ' s-hereby•ack ao'vvledgcd; or ❑X 'he'pa tvhicli lies .been promised.as the sole consideration f6r:this Affidavit%aud Final Waiver of Lien which shall become effective onl�r uprna ieceipt.of such payment. THEREFORE, tho'undersigned waives an&ielease's unto the Owner of saidpremis6s, any and all liens or claims whatsoever on the above-da'scn-bed property and •improvements ;thereon an account of labor or r ak&ial or both, famished b the undeisigned thereto, stibje�f Co;limitatioz� or conditions exptessed-bere"m,:if any; and further•certified fiat no. other party has any claim or right to a lien'oa account of anYW6rk performed or.material famHhed to the undersigned for said project, and. within the scope of this Affidavit and Wairier•ol'Lien. Ritschard Bros., Inc. .gym (Rum) (Authorized Representative) STAT$ OF iNDIANA ) SS: ST..JOSBPRCOUNTY $efore me, fhe vndexsigned, allotary.Public,.k and;for•said County and State, personally appeared Rachelle L. Dolniak and acknowledged the execution Oft '� tbltd6 Affida-6t and Waiver of Lien. IN WITNESS wHEREQP" I� {d ubscribed my nano and affixed my official seal on the 0 th day of N.ORsmbP_r, 2023i�� G Tq N6 Public Signature My Commission Expires: G Michaela Ritschard Residing in S t . Joseph �'.� ....... is Notary -Public Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/5/2023 Name Kvle Ludlow Department Public Works BPW Date 12/12/2023 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 Ritschard Bros.. Inc. U Yes U If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Martin Luther King Jr. Center Demolition Project 121-066 American Rescue Plan Fund #263 PROJ - 298 PO-0020807 $31 Purpose/Description 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