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Home My WebLink AboutPCA - Drewry's Brewery Cleanup Phase I Proj No 119-031C - Indiana Earth1316 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 December 10, 2024 Mr. Mark Osler Indiana Earth, Inc. 10343 Mckinley Ave. Osceola, IN 46561 Earth92incksbc global.net RE: Project Completion Affidavit — Drewry's Brewery Cleanup Phase I — Project No. 119- 031 C Dear Mr. Osler: At its December 10, 2024 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $447,827.83. 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 4 SouTif Ul CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS •G PROJECT COMPLETION AFFIDAVIT ,P'll,{� X 1865 PROJECT NAME Drewer 's Brewery PROJECT NO. 0 C,,, FINAL COST $447,827.83 CONTRACT ,Id J— 0 , MAINTENANCE AGREEMENT ENDS SIGNED PROJECT DESCRIPTION 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 fiom 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. Execute of Si nature Company Naive PC- ro 3q--3 ►�n�lc► fey �U-e, Printed Name Company Address (5- 1 n cL 1 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared MarIL65It r , and acknowledged his/her signature to the above Project Completion Affidavit on the Zq41n day of Qcka b e—r , 20 :O . Notary Signature My Commission Expires 2-0 3 d Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, V-- 0S.L0'�D� , certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then iC �1 of said Corporation; that said release was duly signed for and on behalf of said Corpo n ri o its goveMin body, and is wither the scope of corporate powers: Secretary's Signature Corporate Seal Printed Narne gDIEPAR'TMEI`1T OF PIUBLllC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. &"A ,L-44a!�elu'- Date: C struction Manager 11 /18/2024 CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS ta�q Elizabeth A. Maradik, President 4'." aft Gary A. Gilot, Member Murray L. Miller, Member Joseph R. Molnar, Vice President Briana Micou, Member Attest: Theresa M. Heffner, Clerk Date: December 10, 2024 Stato of.l diana, County of Marls Osler Cxgame of Officer) o;= Indiana Earth Inc. (Contractor) _ St Joseph T__ s s: being duly svwrt4liathelsho is Clio President hiving coutraetcd With City or South Bend (Owner) Yoflira7ishcerteiu[neiana@stano%rlaborbarollov�s; Outbuildin and Demolition Debris (l]esexlptiort) for aprojcctlmovvitas — Dreweryis Brewery--,---- (Narno of Project) - located at 1408 Elwood Ave. South Bend IN and ownerlby Cityof South Bend _ (owner) and does hereby further state on the behalf: of the Aforementioned subcontractor/supplier: (PARTIAL 14TA1VER) thatthoro is due firom the Contractor the Gum of ❑ receipt of which Ls hereby aclnowledged; or (Title) El the payment of which lies been promised as the sole consideration for this Affidavit and Final Waiver ofLlerimhich is given solely with respect to said amount, and which waiver shall be offective only upon receipt of payment thereof by the urideisigned; (FIWAL. WAIVER that the final balance due ii-oin the contractor is tho Simi of Twent r� i w - housand Three Hundred Ninety_One 39/100 _�� 22,391 _�9 ❑ receipt of whiah is hereby afowledged; or she payment of which has been promised as tho solo consideration for 419a Affldavlt And Final Waiver of Lien which shall become efFeetivo only upon receipt of such payment. T'H13IEFORE, the undersigned waives and releases unto the ovrnor of slid premises, any and till lions or claims whrilsoevar on the above -described property and inlprovemen'¢s thereon tm acco-twt of labor or material or both, furnished b the undersigned thsrato, subject to limitations or conditions oxprwsed herein, if any; and further certified that rio other party has/ Any claim or right to a lien on €recount of any work performed or material ftlmished to the undersigned for sal Wet, and Iliin � scope, of this Affidavit and Waiver ofLlen. (Firm) (Authorized Reprose Live) STATE OF WDIANA ) SS: ST. JOSEPH COUNTY ) Mark Osier Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared and acknowledged the executlon of the foregoing Affidavit acid Waiver of Lien. IN WITNESS WHEREOF, I slave hcreunto subscribed my name and affixed my official seal on the 29th day of October _ 202 4 — Notary Public Signature — My Commission Expires: 5/31 /2030 Rosidingin St Joseph county, Indiana Roxan_ne_Laurene Alford Notary Public Name �R- ;:" .,, ROXANNE LAUREN'r. ALFORD �e;%, Notary Public, State of Indiana ° r s St. Joseph County _' SEAL; 4 _Commission Numler NP0741524 ' r • ••',P My Commission Expires BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/27/2024 Name Kvle Ludlow Department Public Works BPW Date 12/10/2024 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 Indiana Earth, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Information U Yes U If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Drewry's Brewery Cleanup Phase I 119-031C ARP Funding PR- 00030871 PO- 0030582 $447,827.83 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: