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Home My WebLink AboutPCA - East Race Sidewalk Repairs Proj No. 117-130 - 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 March 26, 2024 Mr. Dustin Hilary Milestone Contractors North, LLC 24358 State Road 23 South Bend, IN 46614 akrueger&mile stonelp. com RE: Project Completion Affidavit — East Race Sidewalk Repairs — Project No. 117-130 Dear Mr. Hilary: At its March 26, 2024 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $98,743. 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 East Race Sidewalk Repairs PROJECT NO 117-130 FINAL COST $98,743.00 CONTRACT SIGNED 12/17/2020 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION 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. Walsh &Kelly, Milestone Contractors Executed this a6 �L day of ;!kkA� 20 a North, Inc. Company Name Si nature 24358 SR23 OS 1 err; S 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, perso II a earl I J{ EE YOU ��y cT:S ,and acknowledged his/her signature to the above Project (�li , Stale of In the da of vA� 1 Z St. Jose h County Nove ion o 2Expires ary Si nature My Commission Expires Vb Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, b.,Ze11e- pow � , certify that I am Secretary of the Corporation executing this release; that �,,,' who signed this release on behalf of the contractor was then Gt.... �. of said Corporation; that said release was duly signed for and on behalf of said orporation by Authority of its governing body, and is within the scope of corporate powers: iU � Secretary's Sig11natur( ` Corporate Seal �O�l"i t ea 4 C- 1 al U I-) f' 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: 3/18/2024 Co ruction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS VA� �k Elizabeth A. Maradik, President Gary A. Gilot, Member Murray L. Miller, Member Joseph R. Molnar, Vice President Breana N. Micou, Member Attest: Laura D. Hensley, Acting Clerk Date: March 26, 2024 20 Milestone AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA ) SS: COUNTY OF SAINT JOSEPH ) FINAL. Payment to Follow Jennifer. Timmons being duly sworn states that they are the Project Accountant of Milestone Contractors North, LLC (F/K/A Inc.) having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: CONCRETE for a project known as East Race Sidewalk Repair 2023 (MCLP Job# 239718) locatec at SOUTH BEND, IN and owned by MILESTONE CONTRACTORS and does further state: FINAL WAIVER: that the final balance due from the owner is the sum of ninety eight thousand seven hundred fouMt !three 00/100 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, LLC (F/K/A Inc.) Jennifer Timmons Project Accountant 2o�p5`YP6A� JOHN CONWAY * SEAL * Commission Number: NP0746563 N� =Q My Commission Expires 9�OFIN��P 0210112031 Subscribed and sworn tto-before - me this: 14th day of March. 2024 Notary Public_/ih John Conmir t My Commission Expires: 2/1/31 County of Residence: LaPorte BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 03/18/2024 Name Kvle Ludlow Department Public Works BPW Date 03/26/2024 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 Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract _ Required Information Milestone Contractors North, Inc. Walsh & ❑ Yes ❑ If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos East Race Sidewalk Repairs 117-130 Curb & Sidewalk PR-00005484 PO-0006379-1 $98,743.00 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