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Home My WebLink AboutPCA - Northwest Elevated Tank Site Restoration Proj No. 122-018A - Acorn1316 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 June 11, 2024 Mr. Jeff Ritschard Acorn Landscaping, LLC 3680 W. Sample St. South Bend, IN 46619 dehoathkgmail.com; jeffritschardkyahoo.com RE: Project Completion Affidavit — Northwest Elevated Tank Site Restoration Project No. 122-018A Dear Mr. Ritschard: At its June 11, 2024 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $31,759. 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 Z, BOARD OF PUBLIC WORKS y, PROJECT COMPLETION AFFIDAVITA- PROJECT NAME Northwest Elevated Tank Site Restoration PROJECT NO 122-018A FINAL COST $31,759.00 CONTRACT SIGNED December 19, 2023 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Site restoration of the Northwest Elevated Tank lot after damage from painting operations WITNESSETH: of the tank. 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. Execu this 24 day of M 201 24 Signature Andrea Ritschard Printed Name Acorn Landscaping, LLC Company Name 3680 W. Sample Street Company Address South Bend, IN 46619 City, State, Zip WITNESSESS: B forme, th undersigned Notary Public in and for said country and state, personally appeared }ZCI Z0.. i{ u[ and acknowledged his/her signature to the above Project Co v 5 i` cr alle L. Wnlak ;, r,� fSa er, FuNic, State of hKW day of _ , 201� ;'i SEAL ga soseir, C r Kru-) , * Nwitw NP075"14 J8 ,, , kk,, conmissionE,Vhe� o ary Signature My Commission Expires - -e— Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Printed Name Corporate Seal 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. ILL V • !4 Date: 5/17/2024 Project Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS W�a Elizabeth A. Maradik, President Gary A. Gilot, Member J_ Murray L. Miller, Member 11�___27r Joseph R. Molnar, Vice President Briana Micou, Member /IAX. Attest: Theresa M. Heffner, Clerk Date: June 11, 2024 AFFIDAVIT AND WAIVER OF LIEN State of Indiana, County of St. Joseph SS: Andrea Ritschard being duly sworn that he/she is the Treasurer (Name of Officer) (Title) of Acorn Landscaping, LLC having contracted with City of South Bend, Public Works (Subcontractor/Supplier) (Contractor) to furnish certain materials and/or labor as follows: Site restoration & asphalt repair of service drive (Description) for a project known as Northwest Elevated Tank Site Restoration (Name of Project) located at Northwest Elevated Tank lot (Vorden Court) and owned by The City of South Bend, Indiana, Department of Public Works (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Dollars ($ ) ❑ receipt of which is hereby acknowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which 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) that the final balance due from th@ con a or is the um of Thirty one thousand seven hundred fifty nine collars and zero cents ($31,759.00 ) ❑ receipt of which is hereby acknowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified 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 ffidavit and Waiver of Lien. �t Acorn Landscaping, LLC By �G (Finn) (Authorized Representative) STATE OF INDIANA ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared 5 and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed m ffieial seal on theI'h day of 20'+ LZO- Nntary Pnhiin Aitmafiirn My Commission Expires: Residing in aL1111t BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 06/03/2024 Name Becca Plantz Department Public Works BPW Date 06/11/2024 Phone Extension 5998 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name Cynthia Simmons and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing 0 Michael Schmidt 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 Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information Acorn Landscaping, LLC ❑ Yes[:] If Yes, Approved by Purchasing ❑ No ❑ WBE Completed E-Verify Form Attached ❑ Nos Northwest Elevated Site Restoration 122-018A Water Works Capital — Distribution/ Reservoirs PO-29006 $31,759.00 Lump Sum Site restoration of the Northwest Elevated Tank lot after damage from painting operations of the tank. For Change Orders Only 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: