The URL can be used to link to this page

Home My WebLink AboutPCA - Century Center Skyway Restroom Upgrade Proj No. 123-042 - Larson-Danielson ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MICOU 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 February 27, 2024 Mr. Brian T. Larson Larson-Danielson Construction Co., Inc. 302 Tyler St. LaPorte, IN 46350 mcd@ldconstruction.com RE: Project Completion Affidavit – Century Center Skyway Restroom Upgrade Project No. 123-042 Dear Mr. Larson: At its February 27, 2024 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $171,056. 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 February 27, 2024 LARSON-DANIELSON CONST CO. INC. LARSON-DANIELSON CONST CO. INC. 302 Tyler Street LaPorte, IN 46350 Application and Certificate for Payment SB,CTYOF-CC NRTH R/R RENO 56668 6/27/2023 56668-00004 AMERICAN STRUCTUREPOINT 7260 SHADELAND STATION INDIANAPOLIS, IN 46256 120 DR MLK JR BLVD SOUTH BEND, IN 46601 2/29/2024 Century Center Skyway N. Restroom Reno X227 W. JEFFERSON ST. SOUTH BEND, IN 46601 SOUTH BEND, CITY OFTO OWNER: FROM CONTRACTOR:VIA ARCHITECT: PROJECT:APPLICATION NO: PERIOD TO: CONTRACT FOR: CONTRACT DATE: CONTRACT NO: OWNER ARCHITECT CONTRACTOR FIELD OTHER Distribution to: $ 171,056.00 $ 4,010.00 $ 167,046.00 $ 171,056.00 $ 0.00 $ 0.00 $ 0.00 $ 171,056.00 $ 162,064.29 $ 8,991.71 $ 0.00 0.00 AMERICAN STRUCTUREPOINT 0.00 INDIANA LAPORTE 4,010.00 4,010.00 462.00 3,548.00 1. ORIGINAL CONTRACT SUM............................................. 2. NET CHANGE BY CHANGE ORDERS............................... 3. CONTRACT SUM TO DATE (Line 1 +/- 2)........................... 4. TOTAL COMPLETED & STORED TO DATE..................... 5. RETAINAGE: CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Schedule of Values is attached. The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. % of Completed Work (Columns D + E on SOV) % of Stored Material (Column F on SOV) Total Retainage (Lines 5a + 5b, or Total in Column 1 of SOV) a. b. 6. TOTAL EARNED LESS RETAINAGE................................. (Line 4 minus Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT.......... (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE............................................... 9. BALANCE TO FINISH, INCLUDING RETAINAGE.......... (Line 3 minus Line 6) NET CHANGES by Change Order TOTAL Total approved this Month Total changes approved in previous months by Owner CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS CONTRACTOR: By: ________________________________Date: __________________ ARCHITECT'S CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED............................................................ (Attach explanation if amount applied. Initial all figures on this Application and on the Schedule of Values that are changed to conform with the amount certified.) ARCHITECT: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. By: ________________________________Date: __________________ State of: County of: Subscribed and sworn to before me this day of Notary Public: My commission expires: $ (Column G on SOV) 56668-00004 2/19/2024 2/29/2024 56668 APPLICATION NO: PERIOD TO: ARCHITECT'S PROJECT NO: APPLICATION DATE: Schedule of Values Retainage Balance Balance To Finish % Comp Completed And Stored To Date Presently Stored Materials Work Completed This Period Previously Completed Work Total Contract Amount DescriptionItem ID A B C D E F G H I 100.001000AGENERAL CONDITIONS 18,000.00 18,000.00 0.00 0.00 18,000.00 0.00 0.00 100.002000ADEMOLITION 14,800.00 14,800.00 0.00 0.00 14,800.00 0.00 0.00 100.003000ADOORS/FRAMES (Material) 3,246.00 3,246.00 0.00 0.00 3,246.00 0.00 0.00 100.004000ADOORS/FRAMES (Labor) 2,300.00 2,300.00 0.00 0.00 2,300.00 0.00 0.00 100.005000ADRYWALL (Hang) 4,500.00 4,500.00 0.00 0.00 4,500.00 0.00 0.00 100.006000ADRYWALL (Tape) 10,500.00 10,500.00 0.00 0.00 10,500.00 0.00 0.00 100.007000APAINT 9,200.00 9,200.00 0.00 0.00 9,200.00 0.00 0.00 100.008000ATILE (Labor) 13,500.00 13,500.00 0.00 0.00 13,500.00 0.00 0.00 100.009000ATILE (Material 8,500.00 8,500.00 0.00 0.00 8,500.00 0.00 0.00 100.0010000APLUMBING (Material) 27,800.00 27,800.00 0.00 0.00 27,800.00 0.00 0.00 100.0011000APLUMBING (Labor) 14,200.00 14,200.00 0.00 0.00 14,200.00 0.00 0.00 100.0012000ATOILET PARTITIONS/ACC (Labor) 6,500.00 6,500.00 0.00 0.00 6,500.00 0.00 0.00 100.0013000ATOILET PARTITIONS/ACC (Mat) 22,000.00 22,000.00 0.00 0.00 22,000.00 0.00 0.00 100.0014000ACASEWORK (Material) 8,000.00 8,000.00 0.00 0.00 8,000.00 0.00 0.00 100.0015000ACASEWORK (Labor) 4,000.00 4,000.00 0.00 0.00 4,000.00 0.00 0.00 100.0016000CChange Order 001 3,548.00 3,548.00 0.00 0.00 3,548.00 0.00 0.00 100.0017000CChange Order 002 462.00 0.00 462.00 0.00 462.00 0.00 0.00 100.00 0.00 0.00 171,056.00 0.00 462.00 170,594.00 171,056.00Totals SS:LaPorteCounty of PartialState of SS:Indiana Final X WAIVER OF LIEN XPayment to Follow and does hereby further state on behalf of the aforementioned Contractor , PARTIAL WAIVER that there is due the sum of receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration of this Partial Waiver of Lien which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of such payment. FINAL WAIVER receipt of which is hereby acknowledged: or the payment of which has been promised as the sole consideration of this Final Waiver of Lien which shall become effective only upon the receipt of such payment. that the final balance due is the sum of THEREFORE, the undersigned waives and releases existing liens, rights and claims to the extent of payment only for labor, material, equipment or any combination thereof, furnished to the OWNER of said premises for improvements thereon.Company: By: WITNESS MY HAND AND NOTARIAL SEAL , THIS DAY OF My Commission Expires: Residing in: Notary: Printed Name: $8,991.71 X Whereas, the undersigned,LARSON-DANIELSON CONSTRUCTION CO., INC.,having been employed by SOUTH BEND, CITY OF to furnish certain Material and Labor , to wit: LARSON-DANIELSON CONST. CO. INC. SOUTH BEND, CITY OF and located at: Century Center Skyway North Restroom Renovation Per Plans, Specs and Contract for the building owned by: 120 DR MLK JR BLVD SOUTH BEND, IN 46601 eight thousand nine hundred ninety-one and 71 / 100 Heather R. Brown, Controller 02/10/2027 LaPorte County Stacy L. Bibian 19 February 2024 Notary No.624018 CITYSB00 56668-00004 56-668Job : Customer: Invoice: Final Waiver of Lien BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 2/20/2024 Name Kyle Ludlow Department Public Works BPW Date 2/27/2024 Phone Extension 9157 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer Officer Name BPW Attorney Attorney Name Dept. Attorney Attorney Name Purchasing Check the Appropriate Item Type – Required for 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 Larson Danielson Construction Co. Inc. New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name Century Center Skyway Restroom Upgrade Project Number 123-042 Funding Source County Fund 7304 Account No. PROJ- 00024636 PO-0024694 Amount $171,056.00 Terms of Contract Purpose/Description _Closeout For Change Orders Only Amount of Increase Decrease $ ($ ) Previous Amount $ Current Percent of Change: Increase Decrease % ( %) New Amount $ Total Percent of Change: Increase Decrease % ( %) Time Extension Amount: New Completion Date: