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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: