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HomeMy WebLinkAboutLong Term Occupancy Permit - RealAmerica Construction1316 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 May 14, 2024 Ms. Regina D. Copper RealAmerica Construction, LLC 8250 Dean Rd. Indianapolis, IN 46254 RE: Long Term Occupancy Permit — Diamond View Apartments 525 S. Main St. Dear Ms. Cooper: At its May 14, 2024 meeting, the Board of Public Works approved the Long -Term Occupancy Permit for the sidewalk on the entire block at Main, Lafayette, Monroe, & South except the Northwestern corner, the Western bike/parking panes on Main, and the parking lane to the South. This permit will be valid from June 1, 2024 to September 16, 2025 and the cost will be in the amount of $11,055.00. Please submit this payment with the Permit Manager at rowpermitsofficeksouthbendin.gov . If you have any further questions regarding this matter, please call this office at (574) 235-9254. Sincerely, Is/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Theresa Heffner, Clerk Board of Public Works FROM: Gemma Stanton, Project Engineer SUBJECT: Long Term Occupancy Permit Diamond View Apartments 525 S Main St DATE: May 2, 2024 The attached LTO permit is for the sidewalk on the entire block bounded by Main, Lafayette, Monroe, and South except the northeastern corner, the western bike/parking panes on Main, and the parking lane on South. The developer will coordinate with the ROW Permits Office and Construction Manager to ensure safe and accessible routes throughout the project. Enclosed please find the following attachments: • Long Term Occupancy Request Application • Performance Bond and ROW and Completion Bond • Engineer's Cost Estimate (for bond calculation) • ROW Closure Exhibit • Site Fence Plan Please call with your questions. 4SpUTH & U d W a PEACE x x 1865 City of South Bend/Public Works 227 W. Jefferson Blvd., Suite 1316 South Bend, IN 46601 Application and Permit Long Term Occupancy of City Right -of -Way Applicant: RealAmerica Construction Applicant Address: 8250 Dean Road, Indianapolis, IN 46254 Project Site Address 520 S. Lafayette Blvd., South bend, IN 46601 Date: 3/7/2024 Note: Occupancy limited to street(s) immediately in front of construction site. Nature and extent of Occupancy (e.g.: proposed construction activities, equipment proposed to occupy public right-of-way, construction deliveries, etc.): We will be installation sewer and water connections. equipment that we are planning on using will be excavators, loaders, crane, skid steers and dump trucks. We will also have deliveries in Semi's and box trucks. Duration of Occupancy: 16 months Signature of Applicant: ���' D• Ceeiz, THE TERMS AND PROVISIONS OF CHAPTER 6, ARTICLE 5 and CHAPTER 18, ARTICLE 7, Sec 18-62 OF THE SOUTH BEND MUNICIPAL CODE ARE INCORPORATED HEREIN IN THEIR ENTIRETY. FAILURE TO COMPLY WITH THESE PROVISIONS SHALL RESULT IN CANCELLATON OF THIS PERMIT. THIS PERMIT SHALL BE CONDITIONED UPON THE EXECUTION AND FILING WITH THE BOARD OF PUBLIC WORKS OF A BOND IN AN AMOUNT APPROVED BY THE BOARD OF PUBLIC WORKS, CONDITIONED TO INDEMNIFY, SAVE AND KEEP HARMLESS THE CITY OF SOUTH BEND, INDIANA, FROM ANY AND ALL LOSS, EXPENSE, COST OR LIABILITY OF ANY KINDS WHATSOEVER WHICH THE CITY MAY SUFFER OR BE PUT TO FROM OR BY REASON OF ANY ACT OR THING DONE OR NEGLECT TO BE DONE, OR BY VIRTUE OF THE AUTHORITY GIVEN IN SUCH PERMIT. TO BE COMPLETED BY CITY STAFF ONLY: Bond/Fee Amount: $ 11,055.00 Date Bond/Fee Filed: Compliance with CH 6, ART 5 and CHI 8, ART 7, Sec 18-62 of the South Bend Municipal Code ❑ Fee Paid Date Issued: June 1, 2024 to September 16, 2025 Issued By: Permit Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS 7w�a Elizabeth A. Maradik, President , 6fs&-A-- Gary A. Gilot, Member Joseph R. Molnar, Vice President Briana Micou, Member Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: May 14, 2024 V 1.11.19 Indiana Department of Transportation PERFORMANCE BOND Performance Bond Number: ACCO021253 Applicant: RealAmerica Construction, LLC Permit Type: ❑ Right -of -Way ❑ Broadband x❑ Driveway ❑ Miscellaneous ❑ Other Permit Tracking Number: Scope of Project: Occupancy and use of Indiana Department of Transportation's right-of-way to be more particularly described in the issued permit(s). Relocation of existing driveway along S Main Street Know all men by these presents that we, the Undersigned (Principal -Applicant) RealAmerica Construction, LLC (Address) 8250 Dean Road , Indianapolis IN, 46240 and (as Surety) Allegheny Casualty Company (address) One Newark Center, 20th FI, Newark, NJ 07102 are hereby held and firmly bound unto the State of Indiana in the penal sum of $30,000 for the payment of which well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns. The conditions of the above obligation are such, that whereas, the above -named (Principal -Applicant) RealAmerica Construction, LLC did on make application for the permit with the State of Indiana for occupancy and use of Indiana Department of Transportation's right-of-way to be more particularly described in the permit, and the permit issued is made a part of this bond, the same as though set forth herein. Now, if said RealAmerica Construction, LLC (Principal -Applicant) shall well and faithfully do and perform the things agreed by the RealAmerica Construction, LLC (Principal -Applicant) to be done and performed according to the terms of said permit and to the satisfaction of the Indiana Department of Transportation, and shall pay all lawful claims of the contractor, vendors and laborers for labor performed and materials furnished, or other services rendered in the carrying forward, performing and completing of said permit (on file with the Department of Transportation), then this obligation shall be void, otherwise the same shall remain in full force and effect, it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder except as provided below shall in no event exceed the penal sum of this obligation as herein stated. In the event of noncompliance, the Surety shall be liable for the court costs and attorney fees spent in the collection of this bond over and above the penal sum of this obligation. This bond shall become effective on April 16, 2024 and shall continue in full force and effect until released by the State of Indiana. February 2019 1 of 2 1 P a g e IN WITNESS WHEREOF, we hereunto set our hands and seals this 16th day of April 120 24 Allegheny CAjroty Company Surety Attorney -In -Fact Power of Attorney) STATE OF rN D rf.v� ,,!�/ ) SS: COUNTY OF /r ,4A =o/ 1 RealAmeri struction, LLC Principal Personally appeared before me, s/,/ A l�J� �4 < < S , as Principal and V - o,-1 Lie AJ s I'X 4-1G 1t o /L) , as Surety and each acknowledged the execution of the above bond this / day of 1�14.r L , 20AY. Witness my hand and seal this _� day of ��,lr 20 z 1/ NOTA PUBLIC (signature) NANCY J POLL Notary Public - Hamilton County - stat Commission Number N -� My Commission Expires 15,720 NOTARY PUBLIC (printed) My Commission expires: 1; z 1577 le O 30 My County of Residence is: /i7 L L r0 N BOND NUMBER: NOTICE OF TERMINATION OF LIABILITY ❑ COMPLIED ❑ CANCELLED (DATE) By: (PERMIT MANAGER) February 2019 2of 21 P a g e ACKNOWLEDGEMENT FOR PRINCIPAL ACKNOWLEDGEMENT FOR PRINCIPAL, IF L1MJjERLIAR11LU PANY ...� NANCY J POLLEY STATE OF Notary Public • Seal COUNTY OF /f -=d 4) ' Hamilton County State of Indiana ,) Commission Number NP0739203 My Commission Expires Feb i 5, 2030 ON THE I Lo DAY OF L L , 20 .�4/ BEFORE ME PERSONALLY APPEARED 3/� g-,7AJ L S TO ME KNOWN AND KNOWN TO ME TO BE THE x1r OF A LIMITED LIABILITY COMPANY, DESCRIBED IN AND WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT (S)HE EXECUTED THE SAME AS AND FOR THE ACT AND DEED OF SAID LIMITED LIABILITY COMPANY. Notary P T lic ACKNOWLEDGEMENT OF ANNEXED INSTRUMENT Acknowledgement by Surety STATE OF New Jersey COUNTY OF Morris On this 16th day of April, 2024 before me personally came Robert F. Laing who, being by me duly sworn, did depose and say that he/she is an Attorney -In -Fact of Allegheny Casualty Company and knows the corporate seal thereof, that the seal affixed to said instrument is such corporate seal, and was thereto affixed by authority of the Power of Attorney of said Company, of which a Certified Copy is hereto attached, and that he/she signed said instrument as an Attorney -In -Fact of said Company by like authority. NOTARY PUBLIC d °'• LOURDES SCHEEL NOTARY PUBLIC STATE OF NEW JERSEY ID # 50021691 —MY COMMISSION EXPIRES AUG 2,1, 202E allegheny CASUALTY COMPANY One Newark Center, 20th. Floor, Newark, New Jersey, 07102-5207 PHONE: (973) 624-7200 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That ALLEGHENY CASUALTY COMPANY, a corporation organized and existing under the laws of the State of New Jersey, having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint Susan Bulman-Ditchkus, Lourdes Scheel, Daryl LaForge, John P. Hyland, Thomas J. Henn, Robert F. Laing, Michael D. Lapre, Artyce Johnson, Jeannie Raymond, Phillip Simons, Esteban Flores, Rosita Friedik, Belinda Johnson, Michelle Eldridge, Michael Simons, J.C. Shively, Randi Foran, Renee A. Manny, Jennifer S. Vanat, Kevin J. Garrity, Casey W. LaChapelle, Maddalena Bucciero, Thomas R. Tyrrell Christopher Terzian, David W. Cooper, Mark C. Nickel, Ihab Loubieh, Lisa Betancur, Caitlyn Magennis its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -Fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the arig inaI seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, ALLEGHENY CASUALTY COMPANY has executed and " `j. attested these presents on this 31st day of December 2021 1888 R '� STATE OF NEW JERSEY County of Essex 1l1,M1,1,11 nlllt',,' li�►k�1t Yoe PwiL AU21* EMP CAK0ALIY 00MPA fY On this 31st day of December, 2021, before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of ALLEGHENY CASUALTY COMPANY; that the seal affixed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Boards of Directors of said Company. "55�5111fiI""'' IN TESTIMONY WHEREOF, I have hereunto set m hand affixed m Official Seal, at the $►e A RI '''.� Y Y KL�- City of Newark, New Jersey the day and year first above written NRY, 2 5 I PUBLIC t� �•% '•f.,,;�rrA?I°�a`'�` Michele AAlekn, a Noto Public of New ersey My Commission Expires October 18, 2024 CERTIFICATION I, the undersigned officer of ALLEGHENY CASUALTY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Company as set forth in said Power of Attorney, with the originals on file in the home office of said company, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand on this 16th day of April, 2024 , //, � X �_0 lia James Portman, Secretary ACC-9001 (06/21) ALLEGHENY CASUALTY COMPANY ONE NEWARK CENTER, 20TH FLOOR, NEWARK, NEW JERSEY 07102-5207 STATEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS AT DECEMBER 31, 2023 ASSETS Bonds (Amortized Value) .... , ... .......................... $31,886,381 Cash, Bank Deposits & Short Term Investments ....... .......... 21,251,915 Unpaid Premiums & Assumed Balances ................. . ...... 1,024,891 Reinsurance Recoverable from Reinsurers .................. , .... 141,695 Investment Income Due and Accrued ........ < ......... ....... 277,428 Receivables from Parent Subsidiaries & Affiliates ............... 9,751 Net Deferred Tax Assets ................................... 976,282 Other Assets .......................................... . _4_67,945 TOTAL ASSETS ............... . .................',.QG..?88 LIABILITIES, SURPLUS &_C]"1'H13R FUNDS Losses (Reported Losses Net as to Reinsurance Ceded and Incurred But Not Reported Losses) ......................... $1,155,286 Loss Adjustment Expenses .................................. 252,506 Commissions Payable, Contingent Commissions & Other Similar Charges 107 Other Expenses (Excluding Taxes, Licenses and Fees) ..... ,... I ..... 118,536 Taxes, Licenses & Fees (Excluding Federal Income Tax) ............. 179,400 Current Federal & Foreign Income taxes .............. ........ I . 0 Unearned Premiums ...................................... 3,072,743 Ceded Reinsurance Premiums Payable ................... ... . 403,000 Amounts Withheld by Company for Account of Others ............. 19,158,348 Payable to Parent, Subsidiaries and Affiliates .................... 0 Other Liabilities ......................................... 289,491 TOTAL LIABILITIES .......................... $24.629.417 Common Capital Stock .................................... $1,500,000 Preferred Capital Stock ........... ........................ 3,200,000 Gross Paid -in & Contributed Surplus ..................... , .... 1,669,529 Unassigned Funds (Surplus) ................................ 28,237,342 Less Treasury Stock at Cost ........... ..................... 3,20D l0U Surplus as Regards Policyholders ................. $31f4Q6,871 TOTAL LIABILITIES, SURPLUS & OTHER FUNDS .... M6.036.288 1, John M Mruk, Treasurer of ALLEGHENY CASUALTY COMPANY, certify that the foregoing is a fair statement of Assets, Liabilities, Surplus and Other Funds of this Company, at the close of business, December 31, 2023, as reflected by its books and records and as reported in its statement on file with the Insurance Department of the State of New Jersey. IN TESTIMONY WHEREOF, I have set my hand and affixed the �sav seal of the Company, this 20th day of March, 2024. `► ALLEGHENY CASUALTY COMPANY /*•' L '�►yH►►f � � � � rrryf+, r SIGNED AND SWORN to before me on this day of , 24j•`�' ��rE L/ ••, CARY PUS C STA rF—W4 _ NOTARY ; PUBLIC cou�4rfpfr�lllllll�ti���,• Right of Way Performance and Completion Bond - Single Job Continuous Bond No. ACCO021254 KNOWALL MEN BY THESE PRESENTS: THAT WE RealAmerica Construction, LLC., as Principal, and Alle-gheny Casualty Company a corporation duly incorporated under the laws of the State of New Jersey and authorized to do business in the State of I n d i a n a, as Surety, are held and firmly bound unto City of Indiana, as Obligee, in the penal sum of Three Hundred Fifty Nine Thousand Four Hundred Ninety Seven and 50/100-- ($359,497.50) Dollars, for the payment of which we hereby bind ourselves, our heirs, executors and administrators, jointly and severally, firmly by these presents. WHEREAS, the Principal has obtained or is about to obtain a permit for purposes of performing the following work in the public right of way: Potential Replacement of Infrastructure within Right of Way (the "Permitted Work"); and WHEREAS, the Principal is required to maintain a performance and completion bond guaranteeing that either the Permitted Work will be completed in its entirety or the public right of way will be restored to its condition prior to the commencement of the Permitted Work if the Principal fails to complete the Permitted Work to the satisfaction of the Obligee. NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if the Principal shall faithfully comply with all applicable laws, statutes, ordinances, rules or regulations pertaining to the Permitted Work, and shall either complete the Permitted Work in its entirety or restore the public right of way to its condition prior to the commencement of the Permitted Work, then this obligation shall be null and void; otherwise to remain in full force and effect. This bond shall become effective on April 16, 2024 PROVIDED, that regardless of the number of years this bond is in force, the Surety shall not be liable hereunder for a larger amount, in the aggregate, than the penal sum listed above. PROVIDED FURTHER, that the Surety may terminate its liability hereunder as to future acts of the Principal at any time by giving thirty (30) days written notice of such termination to the Obligee. SIGNED, SEALED AND DATED this April 16 2024 Real ica CQriStrLiCtl , LLC Principal Alleghenf7ai11t,y C pany By: 4ert Attorney -in -fact ACKNOWLEDGEMENT FOR PRINCIPAL ACKNOWLEDGEMENT FOR PRINCIP COMPANY NANCY J POLLEY STATE OF 1 .� � s•�I NA Notary County - SPublt -Seal Hamilton County -State o{ Indiana COUNTY OF �f`1 .t t a� ) Commission Number MP0739203 ' My Commission Expires Feb 15, 2030 ON THE /-ri-/ DAY OF 14PX rL ., 20 W 41 , BEFORE ME PERSONALLY APPEARED. wAJ Ir--,4 c c S TO ME KNOWN AND KNOWN TO ME TO BE THE rc e PiCisrOE..v r OF eo ous rdvtr-celU , A LIMITED LIABILITY COMPANY, DESCRIBED IN AND WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED TO ME THAT (S)HE EXECUTED THE SAME AS AND FOR THE ACT AND DEED OF SAID LIMITED LIABILITY COMPANY. Not4j�blic ACKNOWLEDGEMENT OF ANNEXED INSTRUMENT Acknowledgement by Surety STATE OF New Jersey COUNTY OF Morris On this 16th day of April, 2024 before me personally came Robert F. Laing who, being by me duly sworn, did depose and say that he/she is an Attorney -In -Fact of Allegheny Casualty Company and knows the corporate seal thereof; that the seal affixed to said instrument is such corporate seal, and was thereto affixed by authority of the Power of Attorney of said Company, of which a Certified Copy is hereto attached, and that he/she signed said instrument as an Attorney -In -Fact of said Company by like authority. NOTARY PUBLIC "+ LOURDES SCHEEL NOTARY PUBLIC . STATE OF NEON JERSEY ID # 50021691 MY COMMISSION EXPIRES AUG 244, 2025 allegheny CASUALTY COMPANY One Newark Center, 20th. Floor, Newark, New Jersey, 07102-5207 PHONE: (973) 624-7200 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That ALLEGHENY CASUALTY COMPANY, a corporation organized and existing under the laws of the State of New Jersey, having its principal office in the City of Newark, New Jersey, does hereby constitute and appoint Susan Bulman-Ditchkus, Lourdes Scheel, Daryl LaForge, John P. Hyland, Thomas J. Henn, Robert F. Laing, Michael D. Lapre, Artyce Johnson, Jeannie Raymond, Phillip Simons, Esteban Flores, Rosita Friedik, Belinda Johnson, Michelle Eldridge, Michael Simons, J.C. Shively, Randi Foran, Renee A. Manny, Jennifer S. Vanat, Kevin J. Garrity, Casey W. LaChapelle, Maddalena Bucciero, Thomas R. Tyrrell Christopher Terzian, David W. Cooper, Mark C. Nickel, Ihab Loubieh, Lisa Betancur, Caitlyn Magennis its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal offices. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of the By -Laws of ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the 13th day of December, 2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation may appoint and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -Fact with authority to execute waivers and consents on behalf of the Corporation; and (3) the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation, to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, ALLEGHENY CASUALTY COMPANY has executed and attested these presents on this 31st day of December 2021 r� STATE OF NEW JERSEY ` •~" County of Essex Kerwk* Vice Pnl d&% AL UDGHE i1' CASUALTY OOWAW On this 31st day of December, 2021, before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said he is the therein described and authorized officer of ALLEGHENY CASUALTY COMPANY; that the seal affixed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Boards of Directors of said Company. IeAR/ AAl IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the P`+ )55P4 +gym'=: City of Newark, New Jersey the day and year first above written J'S PUBLIC= ■4A� '0.�a pax".•: +, , STATEb ,p}Michele A Ala an, a NotPublic of New Jersey My CommisNon Expires October 18, 2024 CERTIFICATION I, the undersigned officer of ALLEGHENY CASUALTY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Sections of the By -Laws of said Company as set forth in said Power of Attorney, with the originals on file in the home office of said company, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand on this 16th day of April, 2024 James Portman, Secretary ACC-9001 (06/21) ALLEGHENY CASUALTY COMPANY ONE NEWARK CENTER, 20TH FLOOR, NEWARK, NEW JERSEY 07102-5207 STATEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS AT DECEMBER 31, 2023 ASSETS Bonds (Amortized Value) ................................... $31,886,381 Cash, Bank Deposits & Short Tenn Investments ....:............. 21,251,915 Unpaid Premiums & Assumed Balances ........................ 1,024,891 Reinsurance Recoverable from Reinsurers ................. — .. . 141,695 Investment Income Due and Accrued .......................... 277,428 Receivables from Parent Subsidiaries & Affiliates ................. 9,751 Net Deferred Tax Assets ................................... 976,282 Other Assets ............................................ 467,945 TOTAL ASSETS ................................. �66.0e36.208 UMLI RPL_L15 & OTHER FUNDS Losses (Reported Losses Net as to Reinsurance Ceded and Incurred But Not Reported Losses) ............................ $1,155,286 Loss Adjustment Expenses ................................ 252,506 Commissions Payable, Contingent Commissions & Other Similar Charges 107 Other Expenses (Excluding Taxes, Licenses and Fees) .... , . , ... 118,536 Taxes, Licenses & Fees (Excluding Federal Income Tax) ............. 179,400 Current Federal & Foreign Income taxes ................... ...... 0 Unearned Premiums ...................................... 3,072,743 Ceded Reinsurance Premiums Payable ......................... 403,000 Amounts Withheld by Company for Account of Others ............. 19,158,348 Payable to Parent, Subsidiaries and Affiliates .................... 0 Other Liabilities .......................................... 289,491 TOTAL LIABILITIES .................... . . ... Common Capital Stock .............................. $1,500,000 Preferred Capital Stock .................................... 3,200,000 Gross Paid -in & Contributed Surplus .......... ... ....... 1,669,529 Unassigned Funds (Surplus) ............................... 1 28,237,342 Less Treasury Stock at Cost ....................... I ......... 3,200,000 Surplus as Regards Policyholders ................. — $31,406,871 TOTAL LIABILITIES, SURPLUS & OTHER FUNDS.. . . $56, 030,288 I, John M Mruk, Treasurer of ALLEGHENY CASUALTY COMPANY, certify that the foregoing is a fair statement of Assets, Liabilities, Surplus and Other Funds of this Company, at the close of business, December 31, 2023, as reflected by its books and records and as reported in its statement on file with the Insurance Department of the State of New Jersey, IN TESTIMONY WHEREOF, I have set my hand and affixed the t seas seal of the Company, this 20th day of March, 2024. ALLEGHENY CASUALTY COMPANY /* �J �►Natty I l l rf frhrrrr SIGNED AND SWORN to before me on this 2 day ofA 20 4,*` � L, r�.��',• C-ATAItY PUB C, STA Fco NOTARY PUBLIC _ �rr4gr e u n u �►►►►►► :MABONMARCHE Engineering • Architecture • Land Surveying RealAmerica Engineer's Estimate of ROW Cost Diamond View Apartments March 28, 2024 Description Quantity Unit Unit Price Cost 1. Construction Engineering 1 LS 1.5% $4,250.00 2. Mobilization/Demobilization 1 LS 5.0% $13,490.00 3. Maintenance of Traffic 1 LS $30,000.00 $30,000.00 4. Erosion Control 1 LS $15,000.00 $15,000.00 5. Clearing Right of Way 1 LS $20,000.00 $20,000.00 6. Tree, 6", Remove 10 EA $800.00 $8,000.00 7. Concrete Curb and Gutter, Remove 720 LFT $15.00 $10,800.00 8. Concrete Approaches and Sidewalk, Remove 891 SYD $20.00 $17,820.00 9. Compacted Aggregate, No. 53 468 TON $50.00 $23,400.00 10. HMA Surface 40 TON $120.00 $4,800.00 11. HMA Intermediate 61 TON $110.00 $6,710.00 12. HMA Base 61 TON $95.00 $5,795.00 13. PCCP for Approaches, 6" 71 SYD $140.00 $9,940.00 14. Concrete Curb and Gutter 720 LFT $45.00 $32,400.00 15. Concrete Sidewalk, 4" 480 SYD $70.00 $33,600.00 16. Sodding 4,450 SYD $6.50 $28,925.00 17. Street Tree 9 EA $600.00 $5,400.00 18. Tree Protection 9 EA $200.00 $1,800.00 19. Irrigation Allowance 1 LS $15,000.00 $15,000.00 20. Line, Solid, White, 6" 234 LFT $2.00 $468.00 Cost Estimate: $287,598.00 125.00% $359,497.50 �,�ST f No.= 143848 STATE OF _ N& Page 1 of 1 �I m I mar I I i i� MO STREET PARKING WLL REMAIN C� n OPEN ON LAFA YET TE BLVD. AND MONROE STREET n n n m n -0 n i C7n � U � O n L` m 4-J A o V> n >, w n � J � n � FT-1 U) (n 0 A n n n w A A m n A n m n A A A A A m A CH A C o A w n n AREA OF PROPOSED R/W CLOSURE TO LAST LONGER THAN THREE (3) MONTHS m A A A A A CB n A O A A A A CB O A A � n A A A A FO CB FCC FCC FCC F FCC c MH 77 West South Street ' VV VV VV VV VV VV VV VV VV VV SCALE: 1" = 30' 0 15 30 60 C O c 0 > 0 T W _° 15 a v) a � 0 5COL °> a UU N O c � Q 0 Q C O 3 a)O'^ mLL V V 2 c w ZZ OZ M U Q } O z i N O a)Z O U . 0 2 NNoLOD 1= _ Z n N 4 0 CO J H IL O U Z %0 W 0 �ma CL H Q Q W >' Z W_ Q Q 0 Z • W Z H m 0 � L0 = a 0 U � N w O Z Q J IL W H 0 J U Q LL 0 H w � J � r w w DRAWN BY: EJF DESIGNED BY: SRF PM REVIEW: SRF QA/QC REVIEW: RSP DATE: 03/09/2024 SEAL: SIGN DATE: SCALE: HORZ: 1" = 30' VERT: N/A ACI JOB # 23-0287 SHEET NO. 1 of MH I I I I I I I I -6 m I �I I � JI 0 I I I I I I I I OMH O MH Coordinate proposed entrance pavement, curbing, ADA ramp and electric West Monroe Street vault lid (load —rated) modifications with City and local electrical utility O OMH ®W — — — ®®W O VV - OMH 38.9' MH � 14 Ez1� 12 Coordinate final location of stop 7 .° 1 ��0 sign and limits of proposed pavement with City 14 2A 14 Setback (Maximum) 010' H 6. 0' 124.0 00 o Approximate Area Of And Easement N 3 For Existing Fiber Optic Lines .� E 0 o � I °4 Y PP Existing Commercial Building 3 OK �j E ry "' 2 0 2 0 w LP b 0 Future Development 0 04V 1 0. U coo 2 ° 10 6 2 14 G 117.0' o- p a 2 0 0 o O h t' 2A —I co K r") 0' 2 0 0 63.0' o 0 15 o R 0 7 0 7 7 0 7 0 6 N 2 3 00 o —1 co 0 18. 0' Typ 24. 0' 18. 0' 24 O a 13 a°4 10 OK 24.( 18. 0' OMH O OI 13 0 (13) 1 ( 13) �J 0 7 0 2 0 tv .�, v � 144.0' o 6rn 9.0' � O)T0 r o co Typ. G a °3' d 2 ,O 7— —5 O o 6. Or 0 Qua. 2 9 Qua. 2 11 0 r" Align edge of walk with doorway, typical O MH o �/oo. o 0 \\\Qu . LO 10 © ME U4 l O O 0 D7 O 10.0' Note: see Arch. Plans for patio 4 and entrance stoop dimensions, O 4" depth pavement, shown for reference only, connect patio pavement to walks where shown PROPOSED APARTMENT BUILDING (PHASE i) 10' Setback ° 7 4 7 14 0 0HH 2i 14 West South Street 44.3'f 0 For patios and walks @ existing walk, typical 5.0' 3.2' 1 0I — 0HH OMH OMH SCALE: 1" = 30' 0 15 30 60 GENERAL NOTES Current Zoning:"DT" (Downtown) Proposed Land Use: Multifamily Residential 1. The project shall be serviced by City of South Bend sanitary sewer, stormwater and water systems. 2. Building setbacks are 0' required, 10' maximum shown. 3. Proposed parking and driving areas shall be paved. 4. All radii dimension are to the edge of pavement unless otherwise noted. 5. All landscape and lighting shall be in accordance with City of South Bend ordinance. 6. See Architectural Plans for building dimensions, entrance locations, utility connections and other information. align walks with building wall or stoop as shown. 7. All sidewalk and interior curb radii are 5.0' unless shown otherwise; all parking lot planter island radii are 4.5' unless shown otherwise. 8. All vehicle parking spaces are to be YX18', including accessible spaces and aisles. Drives are 24' width, unless shown otherwise. Note: Ordinance Section 21-03 does not require any parking for sites within DT zoning. Planter islands are required every 15 spaces but per City may be relocated due to site constraints. 126 parking spaces are provided, including 6 van -accessible spaces. 9. Bicycle parking areas shall be provided in quantities and locations required as shown per City request and ordinance 21-07.02. LEGEND ## Number of 9'x18' Parking Spaces Per Bay ADA International Symbol of Accessibility, paint blue K STANDARD DUTY HMA PAVEMENT 1%" #/SY HMA Surface (165 Ibs/syd) 2%" #/SY HMA Intermediate (165 Ibs/syd) 6" Compacted INDOT #53 Aggregate or Crushed Concrete Existing Fiber Optic Line Easement or area of service to remain OStandard Duty Rigid Pavement within right-of-way per City Of South Bend O Monolithic Curbing 2A Curb Taper (2' unless shown otherwise) 0 Integral Curb and Walk O4 4" Depth Concrete Sidewalk 0 ADA Inline Ramp, no tactile surface, see plan for width OADA Sidewalk Ramp with tactile surface and 2' curb tapers, see City of South Bend and/or INDOT Details And Standards OLandscape/Greenspace Area F_7 O8 Heavy -Duty Rigid Pavement Dumpster Pad for 2-4CY dumpsters minimum, see Arch. Plans for enclosure (9'X18" walls shown) O9 6' Length Precast Concrete Wheelstops, anchor with bar 2' from edge of pavement 10 4" Pavement Marking, white (blue for ADA spaces) 11 Accessible Parking Sign (post -mount), Van -accessible 12 Stop Sign 13 Relocated Street Signage, final locations per approval from City of South Bend 14 Meet and match existing pavement or curbing, sawcut and repair per City Of South Bend and/or INDOT Details And Standards 15 Bicycle Parking Area Treated Concrete Surface (color and texture per Owner), match walk detail section depth and base; 12'X12' pad shown 16 Bicycle Parking Station - Belson Model #P5050SM Single Loop Inverted U Rack, 3 racks per station installed at 4' O/C = parking for 6 bicycles; powder coated black finish or approved equal, core drill pavement and in -ground mount with hardware per manufacturer's specifications See additional Construction Details Sheet and Details By Others For Architectural/MEP Plans and City Standards for work within public rights —of —way. Model P5D50SM I � a In -ground Mount Surface Mount 4" 36' B--- alyanixed Fjgis�y - 2�3r8` 25_1 The hot dtp galvanizing process results in an o"de et€ectire eoerostan resistant surface with multi - vaned spangle appearance Standard Powder -Coal Co{Grs s i0000400 ye3law OFarkWO red burgundy purple shy blue blue ultr8 5pnng green blue green 04040 0 40 br6wn beige Ch9nlpAij— dBrx •ratle wNte grey ZD=acn BICYCLE RACK Not To Scale C > 0 0 0 0> U L) $ C Q Q o���} (1) w Z O Z o ° C) U Ica a� OR o OZ Q V 0� � U m � Z 21) 0 N W 1. Cl)> Z N OO J H IL 0 CS ° H � Z � W Q %0 °C O° z CL LU Q Q W Z LU — ' � �in ` Z LU Z H m 00CN Q 0 H w O Z J CL LU It. DRAWN BY: EJF DESIGNED BY: EJF PM REVIEW: SRF QA/QC REVIEW: RSP DATE: 04/17/2024 SEAL: SIGNATURE: DATE: SCALE: HORZ: 1" = 30' VERT: N/A ACI JOB # 23-0287 SHEET NO. C100 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 5/2/2024 Department Public Name Gemma Stanton Works BPW Date 5/14/2024 Phone Extension 9083 Required Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Tvpe — 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: Long Term ❑ Ease./Encroach Occupancy Permit Required Information Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract RealAmerica LLC Yes ❑ If Yes, Approved by Purchasing ❑ No ❑ WBE Completed E-Verify Form Attached ❑ Nos Diamond View (525 S Main St) Purpose/Description See attached memo. 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