HomeMy WebLinkAboutPCA - Wayfinding Signage Phase 3 - Geograph Industries1316 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
March 11, 2025
Mr. Greg C. Freudiger
Geograph Industries, Inc.
475 Industrial Dr.
Harrison, OH 45030
mikef(cr�geo g_raphind. com
RE: Project Completion Affidavit — Wayfinding Signage Program, Phase 3 — Project No. 123-
013
Dear Mr. Freudiger:
At its March 11, 2025 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $187,234.
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 City of South Bend Wa nfinding Signage Program Phase 3
PROJECT NO 123-013 FINAL COST $187,234.00
CONTRACT SIGNED 1/9/2024 MAINTENANCE AGREEMENT ENDS
PROJECT DESCRIPTION Installation of wayfmding signs at various locations throughout the City.
WITNESSETH:
The work under the above contract between the City of South Bend and the undersigned contractor having been
completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever
arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and
Standards of the City of South Bend which were a part of the above Contract.
Execute s �'' day of is v �u5� _ _ . 202 ° 1 Georaph Industries, Inc.
Company Name
Sign a 475 Industrial Dr.
G• VDl
Printed Name
Company Address
wr"GREGORYJ FREUDIGER
WITNESSESS: t$'4�r
*1NotaryPubkMaw lOhio
Before me, the undersigned Notary Public in and for said country and staaid My Co misem Erpiires:
C, Fy-eyntt>-w , and acknowledged his/her signature to the above� Affidavif%-R"M
the Zc 'day of Av 6vs-r 202 �1�.„Q�
Notary tune T My Commission Expires Ci a 1 a5 a a s'
&fe4v!j J. AzcvoiL-ea
Printed N e� County of Residence M > VT o
If the Contractor is a corporation, the following certificate will be executed.
I, certify that I am Secretary of the Corporation executing this release; that
G 2E - n:2 C.. F Vft-'O I L� E✓L who signed this release on behalf of the contractor was then
2 ' ; N of said Corporation; that said release was duly signed for and on behalf of said
Corpo n by Auth tty of its governing body, and is within the scope of corporate powers:
G
Secretary's Signature
Corporate Seal
tez '.: C. FrZ.FvAI b
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.
Aa& Date: 8/30/2024
Conoction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
�� i
Joseph R. Molnar, Vice President
Breana Micou, Member
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: March 11. 2025
Final Waiver of Lien
0Htn
State of-hMVsa, County of m i Lrb SS:
4c��C : f-at%,'A � t>T-12 being duly sworn that he/she is the iPr2 6 610 , IN 7-
{Name of Officer) (Title)
of LEc6a A1-i lky v:mpzc,�-S ; /ev having contracted with CiN of South Bend _
(Contractor) (Owner) w
to furnish certain materials andlor labor as fcllowst W tl'l'F r "4 0 .- S t.p N riy E C by or- 5 o v `re t S E 'P
- (Description)
for a project ]mown as
(Name of Project)
located at - C t TLl OF SO v-T H f5 E VOD r 1 U D l to f VA
and owned by City of South Bend
(owner)
and does hereby further state on the behalf of the aforementioned subcontractor/,UWW.
(PARTIAL WAIVER) that there is due from the Contractor the aura 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 Lienwhich 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) tAnt the final balance due from the contractor is the sum of t j "Q e ` h G , a
gi?)oio-:1-t7 hvhdvad ScXFyo,�e �}
❑ receipt ofwhich is hereby aclmowledged; 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-descrlbed 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 fhether 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 project, and wit1iln the scope of this Affidavit
and Waiver of Lien.
wDi�2►¢Pci 1AJDV5; n1ks' By ( ,
(Firm) (Authoriz sentative)
STATE OF b i4 io )
SS:
o A to Lt.fv ha ;OUNTY ) '
Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared 6rejq::q C.
and acknowledged the execution of the foregoing Affidavit and Waiver of Lion.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of
-- A17 L 202� I
i
Notary Pu i Signature
My Commission Expires:
Redding in tarn l u so r
�7RR7�JRf� fQC, i�Yl% a I �/lam✓��%`"'`, .
pip
f4 Comm eion Espiues:
02-2&2M
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 03/03/2025
Name
Ludlow
Department Public Works
BPW Date 03/11/2025 Phone Extension 9157
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer El Officer Name
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
❑ Other: ❑ 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
Information
Geograph Industries, Inc.
❑ Yes❑ If Yes, Approved by Purchasing
® No
F1 MBE
❑ WBE Completed E-Verify Form Attached ❑❑ No
Wayfinding Signage Program Phase 3
123-013
PR-00028908 PO-0029007
$187,234.00
Project Closeout
For Change Orders Only
Amount of ❑ Increase $
ElDecrease ($ )
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase %
Decrease ( %)
Increase %
Decrease ( %)