HomeMy WebLinkAboutPCA- 2023 Traffic Calming Divisions 1-5 - Selge Construction Co.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 JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
October 22, 2024
Mr. Justin Butler
Selge Construction Co., Inc.
2833 South I Ph Street
Niles, MI 49120
jbutlerkselgeconstruction. com
RE: Project Completion Affidavit — 2023 Traffic Calming Divisions 1-5 — Project No. 122-
014C
Dear Mr. Butler:
At its October 22, 2024 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $2,070,804.81.
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/hh
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BRIANA N. MIcou
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS -
PROJECT COMPLETION AFFIDAVIT
2023 Traffic Calming
122-014C FINAL COST $2,070,804.81
4/25/23 MAINTENANCE AGREEMENT ENDS
Speed Tables
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.
Executed this 10th da of ❑ ober 20 24
=iaJutler, Vice President
Printed Name
Selge Construction Co., Inc.
Company Name
2833 South 11th Street
Company Address
Niles, MI 49120
City, State, Zip
WITNESSESS:
Before me, the undersigned Notary Public in and for said country and state, personally appeared
Justin Butler , and acknowledged his/her signature to the above Project Completion Affidavit on
t erfl th day of October 20 24
i . -,,
Notary Signature My Commission Expires
Allison Swinehart
Printed Name
10/27/2027
l
'1 y."
Berrien �; �\•,,..riqYPrL2,,.�.`_
' W. 0 ,
'�`h'r8Y`. r3
If the Contractor is a corporation, the following certificate will be executed. + klyC"'Mias. —i
I, Allison Swinehart certify that I am Secretary of the Corporation exe4tin4this%leas iat
Justin Butler who signed this release on behalf of the con1trrwas, ftA;
Vice President of said Corporation; that said release was duly signed fog IQ t�ekzal a spi'd,,
p,oration by Authority of its governing body, and is within the scope of corporate powers:I I'll �'•, f1_tt{./-+.r{', G` `..•`'
tF11[IfLL��
Secretary's Signature Corporate Seal
Allison Swinehart
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.
AaA Date: 10/15/2024
Const ction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President Joseph R. Mohiar, Vice President
Gary A. Gilot, Member Briana Miicou, Member
Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk
Date: October 22. 2024
County of Residence
Final Waiver of Lien
Michigan
State of>ld 0, County of Berrien SS:
Justin Butler being duly sworn that he/she is the Vice President
(Name of Officer) (Title)
of Selge Construction Co., Inc. having contracted with City of South Bend
(Contractor) (Owner)
to furnish certain materials and/or labor as follows; Speed Tables
(Description)
for a project known as 2023 Traffic Calming - Project No. 122-014C _
(Name of Project)
located at Throughout the City of South Bend
and owned by City of South Bend
(owner) and does hereby further state on the behalf ofthe 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 the contractor is the sum of
One Hundred Thousand Five Hundred Sixty One Dollars and Fifty Two Cents ($100,W1.52)
❑ receipt ofwhioh is hereby aclamwledged; or
® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall
become effective only upon receipt of such payment.
TIiERBFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever
on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned
thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a
lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit
and Waiver of Lien.
Selge Construction Co., tnc. By
M ich i a n Tir1 `) (Authorized Representative)
STATE OF�A )
Berrien ) SS:
ti do,6rol�u COUNTY )
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared --Justin Butler
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. 10th
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my, f�i tal sea] on e, day of
October 20o 2024
�8taryPublicSignature,•'`--.-
My Commission Expires: 10/27/2027 NO'
Pvauc'��►l'r'.
car vrrar r3ertr�ieu'.3�
Allison Swinehartr My min t
Residingin Michigan County, Berrien Notary Public Name r
Acting in the County of e
f++r+ru a i o�titi�►ti���
MAINTENANCE Bond B3291304
KNOW ALL BY THESE PRESENTS, 'That wc, i n
as Principal, and The Cincinnat'lnsurance Comps
a corporation organized under the laws of the State of OH and duly authorized to do business in
tite State of � IN , as Surely, are I€eld and firmly bound unto City_of_South Bend. Indiana -
Board of Public Works 227 W Jefferson Blvd South Bend IN 46601
as Obligee, in the penal su€n of Two Hundred Seven Thousand Eighty Dollars and 48/100
{$ 207,080.48 )
to which payment well and truly to be trade we do bind ourselves, our and each of our Heirs, executors, administrators, successors
and assigns jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a Contract with the
City of South Bend. Indiana - Board of Public Works dated -April 25, 2023 _
for 2023 Traffic Calming Project No. 122-014C
WHEREAS, said Contract has been completed, wid was approved on
day of
NOW. THEPEFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall guarantee that the work
will be free of any defective materials or workmanship which became apparent during the period of
3 Years year(s) following completion of the Contract then this obligation shall be void, otherwise to remain in
[it]l force and elfect_ provided however, any additional warranty or guarantee whether expressed or implied is extended by the
Principal or Manufacturer only, and the Surety assumes no liability for such a guarantee.
Signed and sealed this 10th day of
'A Insuran..C,°9
4
CORPORATE
S E A L
OHIO
October
2024
Sel e Construction Co. Inc. (Seal)
(Seal)
Justin Butler, Vice President
(Seal)
The Cincinnati Insurance Company
Tracie House Attorney -in -Fact
THE CINCINNATI INSURANCE COMPANY
THE CINCINNATI CASUALTY COMPANY
Fairfield, Ohio
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY and THE CINCINNATI CASUALTY
COMPANY, corporations organized under the laws of the State of Ohio, and having their principal offices in the City of Fairfield,
Ohio (herein collectively called the "Companies"), do hereby constitute and appoint Tracie House
its true and legal Attorney -in -Fact to sign and deliver on behalf of the Companies as Surety, at any place within the United States,
the following surety bond:
Surety Bond Number: B3291304
Principal: Selge Construction Co., Inc.
Obligee: City of South Bend. Indiana - Board of Public Works
This appointment is made under and by authority of the following resolutions adopted by the Boards of Directors of The Cincinnati
Insurance Company and The Cincinnati Casualty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the President or any Senior Vice President be hereby authorized, and empowered to appoint Attorneys -in -Fact
of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and
may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or
revoke any such appointment or authority. Any such writings so executed by such Attorneys -in -Fact shall be binding upon the
Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.
RESOLVED, that the signature of the President or any Senior Vice President and the seal of the Company may be affixed by
facsimile on any power of attorney granted, and the signature of the Secretary or Assistant Vice -President and the Seal of the
Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such
facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified
by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid
and binding on the Company.
IN WITNESS WHEREOF, the Companies have caused these presents to be sealed with their corporate seals, duly attested by their
President or any Senior Vice President this 16th day of March, 2021.
ee
STATE OF OHIO }SS:
COUNTY OF BUTLER }
THE CINCINNATI INSURANCE COMPANY
THE CINCINNATI CASUALTY COMPANY
On this 16th day of March, 2021 before me came the above -named President or Senior Vice President of The Cincinnati Insurance
Company and The Cincinnati Casualty Company, to me personally known to be the officer described herein, and acknowledged that the
seals affixed to the preceding instrument are the corporate seals of said Companies and the corporate seals and the signature of the
officer were duly affixed and subscribed to said instrument by the authority and direction of said corporations.
Keith C lt, Attorney at Law
Notary Public — State of Ohio
My commission has no expiration date.
Section 147.03 O.R.C.
I, the undersigned Secretary or Assistant Vice -President of The Cincinnati Insurance Company and The Cincinnati Casualty Company,
hereby certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certify that the said
Power of Attorney is still in full force and effect.
Given under my hand and seal of said Companies at Fairfield, Ohio, this 10th day of October , 2024 .
9
Y`[ORPORATE •`[oRPORAIE =
=SEAL SEAL'
�S
DXIU DXIO
BN-1457-S (3121)
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/15/2024
Name Kvle Ludlow Department Public Works
BPW Date 10/22/2024 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
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Previous Amount
Information
Construction Co.
U Yes U If Yes, Approved by Purchasing
® No
❑ WBE Completed E-Verify Form Attached ❑❑ Nos
2023 Traffic Calming Div 1-5
122-014C
Div. 1 PR-23274 PO-23430 Div. 2 PR-23277 PO-23429 Div. 3 PR-23279 PO-23419
Div. 4 PR-23281 PO-23411 Div. 5 PR-23282 PO-23428 Div. 6 PR-23283 PO-23426
$2,070,804.81
_Project Closeout
Increase
❑ Decrease
Increase %
Current Percent of Change: Decrease
New Amount $
Increase
Total Percent of Change: Decrease
Time Extension Amount:
New Completion Date: