HomeMy WebLinkAboutPCA - The Hill TIF Project - Site Work Proj No. 123-030 - Majority Builders1316 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
April 9, 2024
Mr. Roger Hershberger
Majority Builders, Inc.
62900 US 31 South
South Bend, IN 46614
rhershberger&maj oritybuilders. com
RE: Project Completion Affidavit — The Hill TIF Project - Site Work — Project No. 123-030
Dear Mr. Hershberger:
At its April 9, 2024 meeting, the Board of Public Works approved the Project Completion
Affidavit for this project in the amount of $500,000.
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 'I
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
PROJECT NAME (The Hill) 511 Notre Dame Avenue TIF Project
PROJECT NO 123-030 FINAL COST $500,000.00
CONTRACT SIGNED 6/13/2023 MAINTENANCE AGREEMENT ENDS 04/09/2027
PROJECT DESCRIPTION Site work,
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.
Exec ed t s h d f March , 2024 Majority Builders, Inc.
Company Name
Signature 62900 US 31 South
Rick Slagle 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
Rick Slagle , and acknowledged his/her signature to the above Project Completion Affidavit on
the I— th day of March 202 4
<P�Y Pie
CATHF RINE A PRAI�lGE
�o;:•• �,
'o RY PUBLIC' - IN:)Ik�lq
tary Signature My Commission Expires { S( 4
o. 212-P!i
Catherine A. Prange My Commission Expires 0-1/1412027
Printed Name County of Residence C County d/b/a St. Joseph
If the Contractor is a corporation, the following certificate will be executed.
I, Mark W. Slagle certify that I am Secretary of the Corporation executing this release; that
Rick Slagle who signed this release on behalf of the contractor was then
President of said Corporation; that said release was duly signed for and on behalf of said
Corporati by h is gove 'n body, and is within the scope of corporate powers:
Sec tary's Sig ture
Corporate Seal
Mark W. Slagle
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.
Zach Hurst, PE for Date: 04/09/2024
Construction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
val�a
Elizabeth A. Maradik, President
Gary A. Gilot, Member
qrt114,
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Briajnaa MMiicou, Member
1,
Attest: Theresa M. Heffner, Clerk
Date: April 9, 2024
State of Indiana, County of —St..- -Joseph__ SS:
Rick Slagle being duly sworn, that he/she Is the President
(Natnaof Officil FTRIO)
of Majority_ Builders,, Inc. having contracted with The, Ci:ty_qf South_Bend Public -Works
(Owner)
to famish certaln materials andfor labor as follows, - _'.gaper4l contracting,_
MoscrIption),
for a project known as The Hill 511 Nqtfq,._Dame _Avenue TIFJPKqjgct _r_'
(Name of Project)
located at Dame �.A qnue,,_.South.,_
and owned by ..-City of South Bend,
and does-ifeieby Auther state on the behalf of the aforementioned subcontraotor/supplier,
(PARTIAL WAIVER) that thero is due from the Contractor the aura of
Fifty four thousand, six hundred
`:fifty - three 7dollars' and __ tiifty--s even-6ents Dollars
C1 receipt of which is hereby noluiowlodged; or
Ja the payment of which has been promised as the sole consideration for this.Alidaytand Final Waiver of Lionvithich 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) Out the final bal4nco due ftin the contractor is the mn of
receipt ofwhioh is hereby acknowledged; or
si
❑ thepaytnent of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall T
become effective onlyapon.recelpt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said promises, any and all liens or claims whatsoever
on the above-deserlbed property and improvements thereon an account of labor or material or both, famished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any, and further certified thatno other patty has any claim or right to a
lion on account of any work performed or material famished to the undersigned for sold project, and wlthin the scope of this Affidavit
and Waiver ofLien.
Majority Bdilders, Inc. BY,
(F (AuthoAiW"cntative)
STATE OF =LANA
SS:
ST, JOSEPH COUNTY
Before me, the undersigned, a Notary Public, In and for said County and Slate, personally appeared ;LRick,,§1aR1e_
and aftowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WITNESS WHEREOF, .shave hereunto subscribed my pamo and affixed my 071 seal oil the 8t: ay of
March
202
'LN6teuiyNblId-Si --gnafift
My Commission Expires:
Catherine A. Pram a'
Residing in, Michigan Coaaty, Cass
blip Name -
CATHERINE A PRANGE
01" NOTARY PUBLIC - INDIANA
I SEAL ._ Commission No. NP0721290
My Commission Expires 0711412027
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/01/2024
Name Zach Hurst
Department DPW
BPW Date 04/09/2024
Phone Extension 3057
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
— Re uired or All Submissions
❑ Professional Services Agreement
❑ Open Market Contract
❑ Bid Opening
❑ Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
❑ Other:
❑ Contract ❑ Proposal
❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Award ❑ Reject Bids/Quotes
❑ C/O & PCA No. ® PCA
❑ Traffic Control ❑ Resolution
❑ Ease./Encroach
Reauired Information
Company or Vendor Name
Majority Builders
❑ Yes[:] If Yes, Approved by Purchasing
New Vendor
® No
Yes
MBE
MBE/WBE Contractor
Completed E-Verify Form Attached
❑ ❑ No
Project Name
The Hill TIF Project — Site Work
Project Number
123-030
Funding Source
River West DA TIF
Account No.
PR-00024021
Amount
Final Contract Amount: $500,000
Terms of Contract
Purpose/Description
Closeout documents (Project Completion Affidavit and Waiver of Lien
The Hill TIF Project
For Chance Orders Onl
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount $
Increase
Current Percent of Change: Decrease
New Amount $
Increase
Total Percent of Change: Decrease
Time Extension Amount:
New Completion Date: