HomeMy WebLinkAboutPCA- Neighborhood Infrastucture - Ford & Walnut Proj No 121-048C- Milestone1316 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
November 12, 2024
Mr. Dustin P. Hilary
Milestone Contractors North, Inc.
24358 State Road 23
South Bend, IN 46614
dhilary&milestonelp. c om
RE: Project Completion Affidavit — Neighborhood Infrastructure — Ford St. & Walnut St.
Intersection — Project No. 121-048C
Dear Mr. Hilary:
At its November 12, 2024 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $467,264.65.
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 BREANA N. MIcou
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT -- %
PROJECT NAME Neighborhood Infrastructure: Ford St and Walnut St Intersection
PROJECT NO 121.048C FINAL COST $467,264.65
CONTRACT SIGNED 12/20/2022 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Neighborhood Infrastructure
WITNESSETH:
The work under the above contract between the City of South Bend and the undersigned contractor having been
completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever
arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and
Standards of the City of South Bend which were a part of the above Contract.
Executed this I 27th da, of __September 2024 Milestone Contractors North, Inc.
Company Name
Signature 24358 SR 23
Dustin P. Hilary, Director of Emating, Griffith -South Bend Company Address
sti
Primed Name South Bend, IN 46614
City, State, zip
WITNESSESS:
Before me, the undersigned No Public in and for said coup and state, �+� ..
1 Y h7' (f - n 1 ALISlIA KRUEGER
Dustin P. Hilary _ , and acknowledged his/her signature to the above Pn� 0. tion A*rdev*.`/A►! Ex0es
•: SEAL -1 June 5, 2030
the 27th gof sepWNber 2024 =0 _`= Comrris$ion Number NP0653W G
U Porte County
Notary ._rgnature My Commission Expires 6/5/2030
Alisha Krueger
Printed Name County of Residence LaPorte
If the Contractor is a corporation, the following certificate will be executed.
I, _ Danielle Paym , certify that I am Secretary of the Corporation executing this release; that
Dustin P. Hilary _ who signed this release on behalf of the contractor was then u
Direof Estimatina. GrHill South Bend of said Corporation; that said release was duly signed for and on Lyly /
rporation by ut�ek of its governing body, and is within the scope of corporate powers: `��� �,ontr a c»°'s
0100RATf
Secretary's Signatwe a i CorperanW `
Danielle Payne y':• SEAL .r n
Printed Name
DEPARTMENT OF PUBLIC WORKS APPROVAL 'i', bNb'
This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained'Ib!
�I.rr Date: 11 /1 /2024
Con�fuction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
vt�a Z"�-P1
Elizabeth A. Maradik, President Joseph R. Molnar, Vice President
Gary A. Gilot, Member Briana MMiicou, Member
Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk
Date: November 12, 2024
State of Indiana, County of St. Joseph
SS:
Dustin P. Hilary ^ being duly sworn that he/she is the Director o_f_Estimating
(Name of Officer) (Title)
of Milestone Contractors North, LLC (F/K/A Inc.) having contracted with City of South Bend
(Contractor) (Owner)
to furnish certain materials and/or labor as follows; Road Reconstruction
(Description)
for a project known as Neighborhood Infrastructure: Ford St. and Walnut St. Intersection
_ (Name of Project)
located at Ford St. and Walnut St. Intersection
and owned by
City of South Bend
(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 aclotowledged; or
❑ the payment of which lies 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;
Owner
(FINAL WAIVER,) that the final balance due from the eontrawor is the sum of 73, 709.48
Seventy -Three Thousand Seven Hundred and Nine Dollars 48/100 �$
❑ receipt of which is hereby acknowledged; or
® the payment of which has been promised as the sole consideration for this AMdavit 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, fttrnished 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 f rnishod to the undersigned for acid , and Rhin the scope of this Affidavit
and Waiver of Liev. �
Milestone Contractors North, LLC (F/K/A Inc.) By
(Firm) (Authorized Reprascntetivo)
STATE OF INDIANA )
SS:
ST, JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared Dustin P. Hilary
and acknowledged the execution of the foregoing Affidavit and Waiver of Lien.
October IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 16th day of
202 4
Notary Public signature
My Commission Expires: 02/01 /2031
"-- John Conway
Residingin _ LaPorte County, Indiana _ f Notary Public Name
U4"RY PGB/ JOHN CONWAY
SEAL • Dwnmission Number: NP0746553
My Commission Expires
9�OF 1N0\P 02101/2031
MAINTENANCE BOND
Bond No. MNT30179350
KNOW ALL PERSONS BY THESE PRESENTS, That we Milestone Contractors North, Inc.
of
24358 State Road 23, South Bend, IN 46614 , hereinafter
referred to as the Principal, and Continental Casualty Company
as Surety, are held and firmly bound unto City of South Bend ,
of 227 West Jefferson Blvd., South Bend, IN 46601 , hereinafter
referred to as the Obligee, in the sum of Forty Six Thousand Seven Hundred Twenty Six Dollars and 47/100
Dollars ($ 46,726.47 ), for the payment of which we bind ourselves, our legal representatives, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said Principal entered into a contract with the City of South Bend
December 20
St. and Walnut St.
dated
2022 , for Project No. 121-048C; Neighborhood Infrastructure - Ford
WHEREAS, said contract provides that the Principal will furnish a bond conditioned to guarantee for the period of
Three ( 3 ) year(s) after approval of the final estimate on said job, by the owner, against all defects in
workmanship and materials which may become apparent during said period, and
WHEREAS, the said contract has been completed, and was approved on —S P p r e m h e r 2 3 , 20 9 A
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that, if the Principal shall indemnify the
Obligee for all loss that the Obligee may sustain by reason of any defective materials or workmanship which
become apparent during the period of Three ( 3 ) year(s) from and after May 2Q, 2 n 214
then this obligation shall be void, otherwise to remain in full force and effect.
SIGNED, SEALED AND DATED this 30th day of September 2024
Milestone
By
P. Hillary, Director of Estimating
Continental Casu
By
Forth F4591
Angela M. Riley,
Ott alc to.,s���ii�
`o�RPORgrF�Os'�
c
�11 N V I
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Nten By These Presents, That Continental Casualty Company. an Illinois insurance company. National Fire Insurance Company of Hartford. an
Illinois insurance company, and American Casualty Company of Reading. Pennsylvania, a Pennsylvania insurance company (herein called "the CNA Companies"), are
duly organized and existing insurance companies having their principal offices in the City of Chicago. and State of Illinois, and that they do by virtue of the signatures
and seals herein affixed hereby make, constitute and appoint
Angela M. Riley , Individually
of Carmel, IN their true and lawful Attorney(s)-in-Fact with full power and authontt_ • hereby conferred to sign seal and execute for and on their behalf
bonds. undertaknrgs and other obligatory instruments of similar nature
Iu I'ulimited amouuts -
Suretv Bond No: MNT30179350
Principal: Milestone Contractors North, Inc.
Obligee: City of South Bend
and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their insurance companies and all the acts of
said Attorney. pursuant to the authority hereby given is hereby ratified and confirmed
This Power of Attorney is trade and executed pursuant to and by authority of the By -Laws and Resolutions, printed below, duly adopted, as indicated, by the
Boards of Directors of the insurance companies.
In Witness Whereof the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this
9th day of January, 2024.
g*SUAggc�
i OpMOMTE � �? CCU A, `M(COfO4CT��
• ♦ s S wLr ri.
0 SEAL :
`ay }% t r9
fa>i7 � MAahC� s �
State of South Dakota, County of Minnehaha. ss.
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company o0�1 f Readin Pennsylvania
k�
Lary Kasten Vice President
On this 9th day of January, 2024, before me personally came Lam, Kasten to me known, who, being by me duly sworn, did depose and say. that he resides in the
City of Sioux Falls, State of South Dakota: that he is a Vice President of Continental Casualty Company, an Illinois insurance company, National Fire Insurance
Company of Hartford an Illinois insurance company, and American Casualty Company of Reading. Pennsylvania, a Pennsylvania insurance company described in and
which executed the above instrument, that he knows the seals of said insurance compames; that the seals affixed to the said instrument are such corporate seals; that
they were so affixed pursuant to authority given by the Boards of Directors of said insurance companies and that Ire signed his name thereto pursuant to like authority,
and acknowledges same to be the act and deed of said insurance companies.
My commission expires M. BENT
NOTARY PUBLIC �
r L BOUTN DAKOTA B
_ March 2. 2026 ;,,,,,,,,,,,,,,,,,,,,,,, i M. Bent Notary Public
CERTIFICATE
1. D Johnson, Assistant Secretary of Continental Casualty Company, an Illinois insurance company, National Fire Insurance Company of Hartford, an Illinois
insurance company, and American Casualty Company of Reading. Pennsylvania, a Pennsylvania insurance company do hereby certify that the Power of Attorney
hereon above set forth is still in force, and further certify that the By -Laws and Resolutions of the Board of Directors of the insurance companies printed below are still
in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said insurance compames this 30th day of September , 2024 .
�� ( %NSURq Continental Casualty Company
4.pE ��� c� a National Fire Insurance Company of Hartford
- GowOPAre z � o con k", American Casualty Company of Reading, Pennsylvania
rorr n.
• ♦r� D ^
SEAL � `
rani s.
NAPIt B t -
D Iolmson Assistant Secretary
r Authorizing By-LAws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS OF EACH OF CONTINENTAL CASUALTY COMPANY. NATIONAL FIRE INSURANCE COMPANY OF
HARTFORD. and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA (as defined above. the "CNA Companies"):
This Power of Attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the Board of Directors of each of the above CNA
Companies at a meeting held on May 12, 1995:
"RESOLVED: That any Senior or Group Vice President may authorize an officer to sign specific documents. agreements and instruments on behalf of the
Company provided that the name of such authorized officer and a description of the documents. agreements or instruments that such officer may sign will be
provided in writing by the Senior or Group Vice President to the Secretary of the Company prior to such execution becoming effective."
This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above resolution to execute power of attorneys on
behalf of each of the CNA Companies.
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of each of the above
Companies by unanimous written consent dated the 25° day of April, 2012:
"Whereas, the bylaws of time Company or specific resolution of the Board of Duectors has authorized various officers (the "Authorized Officers') to execute
various policies, bonds, undertakings and other obligatory instruments of like nature. and
Whereas, from time to time, the signature of the Authorized Officers, in addition to being prodded in original. hard copy format, may be provided via facsimile or
otherwise in an electronic format (collectively, "Electronic Signatures"),- Now, therefore be it resolved: that the Electronic Signature of any Authorized Officer
shall be maid and binding on the Company."
This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the
following Resolution adopted by the Board of Directors of each of the above CNA Companies by unanimous written consent dated the 27th day of April, 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify
and confirm the use of a digital or otherwise electronic -formatted corporate seal. each to be considered the act and deed of the Company."
Go to www.cnasurety.com > Owner I Obligee Services > Validate Bond Coverage, If you want to verity bond authenticity.
Form F6853-6/2023
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/01/2024
Name Kvle Ludlow Department Public Works
BPW Date 11/12/2024 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
Required Information
Company or Vendor Name Milestone Contractors North, 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
Neighborhood Infrastructure: Ford St. and Walnut St. Intersection
121-048C
Infrastructure Bond, Council Appropriation
PR-00019886 PO-0020878
$467,264.65
Purpose/Description _Project Closeout
For Change Orders Only
Amount of Increase $
Previous Amount
❑ Decrease
Current Percent of Change
New Amount
Increase
Decrease
Increase
Total Percent of Change: Decrease
Time Extension Amount:
New Completion Date: