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Home My WebLink AboutPCA- Fun FX Demolition 1000 Sample St. - 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 JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS November 26, 2024 Mr. Michael J. Brough Green Demolition Contractors, Inc. 315 Brighton Street, Suite 1 LaPorte, IN 46350 michaelggreendemolitioninc.com; janet&greendemolitioninc.com RE: Project Completion Affidavit — Fun F/X Demolition — 1000 Sample St. — Project No. 123-014R Dear Mr. Brough: At its November 26, 2024 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $550,000. 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 r PROJECT COMPLETION AFFIDAVIT x� PEACE ay I� PROJECT NAME Fun F/X Demolition 100 Sample Street PROJECT NO. 123-014R FINAL COST $550 000 CONTRACT 4/23/2024 MAINTENANCE AGREEMENT ENDS SIGNED PROJECT DESCRIPTION Demolition of 1000 W. Sample St. (Former Fun F/X Building) 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 61h day of November, 2024. igna Michae 3 Broueh Printed Name Green Demolition Contractors, Inc. Company Name 315 Brighton Street, Suite 1 Company Address Laporte, IN 46350 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared M c L is eU fir, , and acknowledged hi/her signature to the above Project Completion Affidavit on a day of av4t.4 , 20. JANET M DOMMER Notary Public - Seal Nota Signatu�re My Commission Expires Porter County - State of Indiana CO 116sion Number Npot74ttm Jah e+ tit Gvl e r My Commission Expires Feb 16, 2031 Printed Name County of Residence If the Contractor is a core ration, the following certificate will be executed. I, Hl'e qef Jmy , certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then pr c!ae-(ew of said Corporation; that said release was duly signed for and on beb�alfof said Corporatign by thority of its governing body, and is within the scope of corporate powers.' Secrytaky, Si r = Corporate Seal ,dam - , Printed Nar6 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. ,L.4�(v- Date: 11/18/2024 Cockruction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Vila Elizabeth A. Maradik, President Gary A. Gilm, Member 7'z_^ I' 4 9�' Murray L. Miller, Member Joseph R. Molnar, Vice President Briaann,((Micicou, Member 1 '"' "N Attest: Theresa M. Heffner, Clerk Date: November 26, 2024 FINAL WAIVER OF LIEN STATE OF Indiana SS Cty # COUNTY OF LaPorte I Escrow # TO WHOM IT MAY CONCERN: WHEREAS the undersigned has been employed by Green Demolition Contractors Inc to furnish demolition services for the premises known as 1000 W Sample St, South Bend, Indiana of which City of South Bend is the owner. THE undersigned, for and in consideration of Ninety-six thousand five hundred eighty dollars and zero cents $96,580.00 Dollars and other good and valuable considerations, the receipt whereof is hereby acknowledged, do(es) hereby waive and release any and all lien or claim of, or right to, lien under the statutes of the State of Illinois relating to mechanics' liens, with respect to and said above -described premises, and the improvements thereon, and the material, fixtures, apparatus or machinery furnished, and on the moneys, funds or other considerations due or to become due from the owner, on account of all labor, services, material, fixtures, apparatus or machinery, heretofore furnished, or which may be furnished at any time hereafter, by the undersigned for the above described premises, INCLUDING EXTRAS.* DATE November 6, 2024 SIGNATURE AND TITLE ' f% / / V / *EXTRAS INCLUDE BUT ARE NOT L(MITW WCHANGE ORDE COMPANY NAME Green Demolition Contractors Inc ADDRESS 315 Brighton St Ste 1, LaPorte, IN 46350 CONTRACTOR'S AFFIDAVIT STATE OF Indiana SS COUNTY OF LaPorte TO WHOM IT MAY CONCERN: THE UNDERSIGNED, (NAME) Michael J Brough BEING DULY SWORN, DEPOSES AND SAYS THAT HE OR SHE IS (POSITION) President OF (COMPANY NAME) Green Demolition Contractors Inc WHO IS THE CONTRACTOR FURNISHING demolition WORK ON THE BUILDING LOCATED AT 1000 W Sample St, South Bend, IN OWNED BY City of South Bend That the total amount of the contract including extras* is $ 550,000.00 on which he or she has received payment of $ 453,420.00 prior to this payment. That all waivers are true, correct and geniune and delivered unconditionally and that there is no claim either legal or equitable to defeat the validity of said waivers. That the following are the names and addresses of all parties who have furnished material or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work labor and material required to complete said work according to plans and specifications: NAMES AND ADDRESSES WHAT FOR CONTRACT PRICE INCLDG EXTRAS* AMOUNT PAID THIS PAYMENT BALANCE DUE Green Demolition Contractors Inc $ 550,000.00 $453,420.00 $ 96,580.00 $ - 315 Brighton St Ste 1 LaPorte, IN 46350 All material taken from our fully paid stock and delivered to jobsite in our trucks. All benefits are paid in full. No outside rental equipment used. TOTAL LABOR AND MATERIAL INCLUDING EXTRAS* TO COMPLETE. $ 550,000.00 1 $453,420.00 $ 96,580.00 $ - That there are no other contracts for said work outstanding, and that there is nothing due or to becoWtoerson for material, labor or other work of any kind done or to be done upon or in connection with said work other than abov DATE: November 6, 2024 SIGNATURE: SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF D V Cr- 20 Z *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT NOTARY PUBLIC :JANET M DOMMER otary Public - Seat Prorterl.,County - State of Indianasion Number NP0746920Mission Expires Feb 16, 2031 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/18/2024 Name Kvle Ludlow Department Public Works BPW Date 11/26/2024 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 E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Fun F/X Demolition 100 Sample Street 123-014R ARP Funding PR- 00030442 PO- 0030913 $55 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: