HomeMy WebLinkAboutPCA - Monroe Circle Demolition Proj No. 123-048 - Green Demolition Contractors1316 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. Michael Brough
Green Demolition Contractors, Inc.
315 Brighton Street, Suite 1
LaPorte, IN 46350
j asonk greendemolitioninc. com
RE: Project Completion Affidavit — Monroe Circle Demolition — Project No. 123-048
Dear Mr. Brough:
At its August 13, 2024 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $1,489,400.
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;.
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT..
PROJECT NAME Monroe Circle Demolition
PROJECT NO 123-048 FINAL COST $1,489,400.00
CONTRACT SIGNED 6/13/2023 MAINTENANCE AGREEMENT ENDS
Demolition of the Housing Authority of South Bend's multi-tennant buildings along Monroe
PROJECT DESCRIPTION Circle
WITNESSETH:
The work under the above contract between the City of South fiend 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.
Ex,1Vd tkis 18th_ day of June .2024
t atur
_i Bro
Printed Name
Green Demolition Contractors, Inc.
Company Name 315
Brighton St Ste I
Company Address
LaPorte. IN 46350
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared _Michael
J Brough_, and acknowledged his/her signature to the above Project Completion Affidavit on
the 18th_ day of J e 2024
7(',
NET M DOMMER
ary Public - Seal
Notary, ignat A , My Commission Expiresunty -State of Indiana
,-- � q h e+ M � m4 ime r ion Expires Feb 16, 2031
Printed Name County of Residence
If the Contractor is a corporation, the following certificate will be executed.
I, _Michael J Brough , certify that I am Secretary of the Corporation executing this release; that
_Michael J Brough 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
CrM i i Authority of its governing body, and is within the scope of corporate powers:
Secretary' Aignature Corporate Seal
mlcWkef .J brava%
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.
Aa& Date: 8/2/2024
Con uction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
VlLa
Elizabeth A. Maradik, President
Gary A. Gilot, Member
IV - 4 7-111-
M
Joseph R. Molnar, Vice President
Briana Micou, Member
�,V
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: August 13, 2024
Final Waiver of Lien
State of Indiana, County of LaPorte SS:
Michael J Brough . being duty sworn that he/she, is the President
(Name of Officer) (Tide)
of Green Demolition Contractos In&erg contracted with City of South Bend
(Contractor) (Owner)
to furnish certain materials and/or labor as follows: demolition
('Description)
for a project known as Monroe Circle multi -tenant building demolition
(Name ofProjeot)
located at Monroe Circle
and owned by City of South Bend
(owner)
and does hereby further state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL. WArM) that there is due from the Contractor fhe 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 Fined Waiver ofLien 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 the contractor is the sum of Seven t f usand
four hundred seventy dollars and zero cents Y�?$
❑ 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.
'I'HBREFORE, 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, famished 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 famished to the undersigned for said project; and within the scope of this Affidavit
and Waiver ofLlen.
Green Demolition Contractors Inc By
(Firm) (Authorized Rep tative)
STAOVINDIANA )
1 o rTt } SS:
KPH COUNTY }
Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared i c J rov
and acknowledged the execution of the foregoing Affidavit and Waiver of Lion.
IN WITNESS OF, I have hereunto subscribed my name and affixed my official seal on the S day of
v�N� 202
o Public Sigiature
My Commission Expires:
Residing in Coutitys
JANET M DOMMER
Notary Public - Seal
Porter County - State of Indiana
Commission Number NP0746920
My Commission Expires Feb 16, 2031
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 08/2/2024
Name Kvle Ludlow Department Public Works
BPW Date 08/13/2024 Phone Extension 9157
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 — Re uired or 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
Information
Company or Vendor Name Green Demolition Contractors, Inc.
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
U Yes U If Yes, Approved by Purchasing
® No
MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos
Monroe Circle Demolition
123-048
River West DA TIF
PR-00024630 PO-0024348
$1,489,400.00
Purpose/Description _Project Closeout
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 ( %)
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Decrease ( %1