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Home My WebLink AboutPCA - Miami Hills TIF Project-Windows & Siding Proj No. 122-027 - H & H Renovations, Inc.1316 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 August 13, 2024 Mr. Issak Hayut H & H Renovations, Inc. 1875 Old Alabama Rd., Suite 765 Roswell, GA 30076 issak&hhrenovationsinc. com RE: Project Completion Affidavit — Miami Hills TIF Project - Windows and Siding Project No. 122-027 Dear Mr. Hayut: At its August 13, 2024 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $1,584,305. 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 Hefner 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 PROJECT NO. CONTRACT SIGNED PROJECT DESCRIPTION ;c►V TIT kF. Hi rr:ArF. y, r x ISfiS Miami Hills TIF Project — Windows and Siding 122-027 FINALCOST $1,584,305.00 02/28/2023 MAINTENANCE AGREEMENT ENDS N/A Replace windows and install vinyl siding at Miami Hills apartment complex 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 ofthe above Contract. Executed this 26th day of July 12024 Signature f Issak Printed Name OFFICIAL SEAL DAVIO HAYUT NOTARY PUBLIC-GEORGIA COBB COUNTY My Gomm. Expires January 23, 2428 H&H Renovations, Inc. Company Name 1875 Old Alabama Road, Suite 765 Company Address Roswell, GA 30076 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared Issak Hayut , and acknowledged his/her signature to the above Project Completion Affidavit on the 26th day of July , 2024 of Si na re My Commission Expires D Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, Mazal Lew , certify that I am Secretary of the Corporation executing this release; that Issak Hayut who signed this release on behalf of the contractor was then Owner of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authori of its governing body, and is within the scope of corporate powers: Secretary's Signature Corporate Seat Mazal Levy 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. J Date: 07/30/2024 Project Manager BOARD OF PUBLIC WORKS APPROVAL CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS vA ® I' l Elizabeth A. Mamdik, President Joseph R. Molnm, Vice President Gary A. GiloS Member Briaa. Mi—, Member / M—y L. Miller, Member Attest Theresa M. Heffner, Clerk Date, August 13, 2024 FINAL WAIVER OF LIEN S 5�111 ��v' �I�� being duly sworn that he/she is the d (AW T y_ (Name of Officer) (Title) of H&H Renovations, Inc. having contracted with City of South Bend (Contractor) (Owner) to furnish certain materials and/or labor as follows: Window and vinyl siding installation at Miami Hills apartments (Description) for a project known as 122-027 Miami Hills TTF Project — Windows and Siding (Name of Project) located at 3534 High Street, South Bend, IN 46614 and owned by Miami Hills MF Il, LLC (Owner) and does hereby further state on the behalf of the aforementioned contractor: FINAL WAIVER that the final balance due from the contractor is the sum of One million five hundred eighty four thousand three hundred five dollars ($ 1,584,305) (Amount Written Out) ® 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 Affidavit and Waiver of Lien. _ o H&H Renovations, Inc. (Firm) Date By ( (uthorized rese tive) STATE OF ) b SS: hCOUNTY > Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared and acknowledged the execution of the foregoing Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of 20 My Commission Expires: _J c, yI Z3 Not Public S' nature Residing in (—dI p County OFFICIAL SEAL DAVID HAYLIT NOTARY PUBLIC-GEORGIA COBB COUNTY Notary Public Nam BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/30/2024 Name Zach Hurst Department DPW BPW Date 08/13/2024 Phone Extension 3057 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 — 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 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 Purpose/Description Information H&H Renovations, Inc. ® Yes ® If Yes, Approved by Purchasing ❑ No ❑❑ MBE Completed E-Verify Form Attached ❑ Yes No Miami Hills TIF Project— Windows & Siding 122-027 South Side DA TIF PO-0022202 $1,584,305.00 Lump Sum Contract Project Completion Affidavit and Waiver of Lien for windows and siding installation at Miami Hills Apartments. 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: