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Home My WebLink AboutPCA - Riverside Shoulder Repair Proj No 124-059 - Acorn Landscaping LLC1316 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 January 14, 2025 Mr. Jeff Ritschard Acorn Landscaping LLC 3680 West Sample St. South Bend, IN 46619 j effritschardgyahoo. com RE: Project Completion Affidavit — Riverside Shoulder Repair — Project No. 124-059 Dear Mr. Ritschard: At its January 14, 2025 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $17,569. 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/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 e' PROJECT NAME Riverside Shoulder Repair PROJECT NO 124-059 FINAL COST $17,569.00 CONTRACT SIGNED 10/22/2024 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Removal of asphalt, replaced with topsoil and seed. Sidewalk extension. 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. E cute this `t).0 t day of 202Acorn Landscaping Company Name Si ftr 3680 West Sample St. Sc ar Company Address Printed Name South Bend, IN 46619 City, State, Zip WITNESSESS: Notary Public in and for said country and state, personally appeared I acknowledged his/her signature to the above Project Completion Affidavit on My Commission Expires Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, JoAnna Vitale Notary Public Seal State of Indiana Marshall County Commission Number NP0739664 My Commission Expires 31812030 certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL Corporate Seal This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. t Date: 12/27/2024 Co ction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS C� Elizabeth A. Maradik, President Gary A. Gilot, Member 'f,o", 4 Murray L. Miller, Member Joseph R. Molnar, Vice President Breana Micou, Member Attest: Theresa M. Heffner, Clerk Date: January 14. 2025 FINAL WAIVER OF LIEN Jeff R.itschard being duly sworn that he/she is the OWin,er (Name of Officer) (Title) of Acow, La vxdscapEv,,g, LLC. having contracted with Cit Of SOuth gevLd (Subcontractor/Supplier) (Contractor) Remove old asphalt, replace W/ topsoU aVA seed, pour small to furnish certain materials and/or labor as follows: s0ew6t0Z (Description) for a project known as 124-0,59 RLVersl,de SholAder 12epai r (Name of Project) located at ALme tzivers�de Dr. sho-older getweewJoHr'e Dr. aln,d Lathrop PL. and owned by G.tl�j, Of Sou h geln,d (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplies FINAL WAIVER that the final balance due from the contractor is the sum of Sevewteew T-hotxsawd l=lve Huvtidred avzd sixt -N%Ine DoUcirs O°/loo (Amount Written Out) ❑ 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. 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, 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. ja0/ay k0r-vA ✓r Z_L C By (Firm) Authorized Representative) STATE OF i vt d�aln a_) JoAnne Vitale .SS'F otary Publlc Seal Slele of lndlene Memhell County (pm M.- Numw,Ireer39104 31B12030 _St J osep h_ COUNTY) My Commission CIP Before me, the undersigned, a Notary sal Coup . I I J__JA.-.e.. and State, personally appeared 0 'A' BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/27/2024 Name Kvle Ludlow Department Public Works BPW Date 01/14/2025 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 Acorn 1 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 Riverside Shoulder Repair 124-059 Local Roads & Bridges PR-00035803 PO-0033905 $17,569.00 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: