HomeMy WebLinkAboutPCA - MarMain Apartments Roof Replacement Proj No. 122-061 - Slatile Roofing & Sheet Metal1316 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
January 9, 2024
Mr. Gerald Longerot
Slatile Roofing and Sheet Metal Co., Inc.
1703 S. Ironwood Dr.
South Bend, IN 46613
michael. albert(a, slatile. com
RE: Project Completion Affidavit — MarMain Apartments Roof Replacement
Project No. 122-061
Dear Mr. Longerot:
At its January 9, 2024 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $484,062.
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 Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME
MarMain Apartments Roof Replacement
PROJECT NO
122-061 FINAL COST $484,062.00
CONTRACT SIGNED
2/14/2023 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION
Roof Replacement at MarMain Apartments
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.
Execu ed this 1 day of _December 20X 23
S' nature
Michael Jackson
Printed Name
Slatile Roofing and Sheet Metal Co. Inc.
Company Name
1703 S. Ironwood Dr.
Company Address
South Bend, IN 46613
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared \��`LI C
Michael Jackson and acknowledged his/her signature to the above Project Completion Affidavi", nr •.• ' 6'%
the 21 st day of December 2023 z.
=Q. Q p
Notary S&AtAire My Commission Expires �L42s/i/U3c� ; O CO c.
n
Amy Marquez
Printed Name County of Residence �/ '%,STA1.,,
If the Contractor is a corporation, the following certificate will be executed.
I, Ann Longemt certify that I am Secretary of the Corporation executing this release; that
Michael Jackson who signed this release on behalf of the contractor was then
Controller h i i/of said Corporation; that said release was duly signed for and on behalf of said
Corporation by Authority of its governlrlg bodand is within the scope of corporate powers:
Q Corporate Seal
Ann Lon erot 2 LU
Printed Name
DEPA TMENT OF PUBLIC WORKS APPROVAL
This project is acceptable for final,approvol,and'we recommend to the Board of Public Works that it be ordained.so.
Date: 1 /2/2024
Co truction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
vl� (4 �Tt
Elizabeth A. Maradik, President Joseph R. Molnar, Vice President
Gary A. Gilot, Member
772wy �
Briana Micou, Member
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: January 9, 2024
Final Waiver of Lien
State of Indiana, County of St. Joseph SS:
Michael Jackson being duly sworn that he/she is the Controller
(Name of Officer)
(Title)
of Slatile Roofing and Sheet Metal Co. Inhavingcontractedwith City of South Bend
(Contractor) (Owner)
to furnish certain materials and/or labor as follows; Roofing and Sheet Metal
{Description)
for a project known as Mar_ -Main Apartments
(Name of Project)
located at 125 W. Marion South Bend, IN 46601
and owned by City of South Bend
(Owner)
and does hereby fiu•ther state on the behalf ofthe aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars ($ )
❑ receipt of which is hereby acluiowledged; or
❑ the payment 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 effective only upon receipt of payment thereof by the
undersigned;
(FINAL WAIVER) that the final balance due from the contractor is the sum of
Twenty Four Thousand Two Hundred Three Dollars and 10/100 24;203.1
❑ receipt of which is hereby aoknowledged; or
® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall
become effective Only Upon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever
on the above -described property and improvements thereon an account of labor or material or both, Banished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any; and farther certified that no other party has any claim or right to a
Tien on account of any work performed or material Banished to the undersigned for said project, thin the scope of this Affidavit
and Waiver ofLien.
Slatile Roofing and Sheet Metal Co. Inc. By
(Firm) (Auth zed Representative)
STATE OF MIANA )
SS:
ST, JOSEPH COUNTY }
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 21 st day of
December 200< 23
,.SPRY P Ue �, Notary b Signature r
Ivey Commission Expires: �!U La�/26 LLB 0 . '
�)� Amy Marquez
Residing in % County, Notary Public Name
OF
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 1/2/2024
Name Kvle Ludlow Department Public Works
BPW Date 1/9/2024 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 and 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
MarMain Apartments Roof Replacement
122-061
River West DA TIF
PR- 00021364 PO-0021898
90
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