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Home My WebLink AboutPCA - 2023 Curb & Sidewalk Program - Premium Concrete Services Inc1316 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 25, 2025 Ms. Becky Yeakey Premium Concrete Services, Inc. 712 Richmond Street Elkhart, IN 46516 beckykpremiumservices. rg_oup RE: Project Completion Affidavit — 2023 Curb & Sidewalk, Divisions A-E — Project No. 123- 001 Dear Ms. Yeakey: At its March 25, 2025 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $956,974.57. 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 PROJECT NAME PROJECT NO. CONTRACT SIGNED PROJECT DESCRIPTION CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS x ,PE C";,- � PROJECT COMPLETION AFFIDAVIT 2023 Curb and Sidewalk 123-001 FINAL COST $956,974.57 08/22/2023 MAINTENANCE AGREEMENT ENDS Curb and sidewalk construction in South Bend (Divisions A, B, C, D, E) 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 cu of NOV �� , 20 Premium Concrete Services, Inc. Si nature Company Name Becky Yeak y 712 Richmond Street Printed Name Company Address Elkhart, IN 46516 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared b d acknowledged his/her signature to the above Project Completion Affidavit on the day of VE01 Not Iy Signature My Commission Expires wj 1 '�' Lau Printed Name County of Residence (KflAP-7- If the Contractor is a corporation, the following certificate will be executed. I, Mau yewag , certify that I am Secretary of the Corporation executing this release; that gec'Lqy 00-6 L'I who signed this release on behalf of the contractor was then P161 &C4 of said Corporation; that said release was duly signed for and on behalf of said Corporation by A ority of its governing body, and is within the scope of corporate powers: Secreta s Signature Corporate Seal May y>P_a2w Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL 9 This project is acceptable for final approval and we recommend to the Board of Public Works that it e a a ordained so. CY a Date: 12/23/2024 cc o < o Cons ction Manager CITY OF SOUTH BEND, INDIANA Z J W W BOARD OF PUBLIC WORKS M ¢ LL, O 2 yyyy�� O Elizabeth A. Maradik, President Joseph R. Molnar, Vice President W T8Q fixx- �UJC�1 <Z voZZ Gary A. Gilot, Member Breana Micou, Member l 05 O ¢tqU E Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk J W Date: March 25, 2025 > FINAL WAIVER OF LIEN Becky Yeakey being duly sworn that he/she is the President (Name of Officer) (Title) of Premium Concrete Services, Inc. having contracted with City of South Bend (Subcontractor/Supplier) (Contractor) to furnish certain materials and/or labor as follows: Curb and Sidewalk Construction for a project known as 123-001 2023 Curb & Sidewallc located at South Bend and owned by The Citv of South Bend (Description) (Name of Project) (Owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: FINAL WAIVER that the final balance due from the contractor is the sum of Three hundred twenty-three thousand, six hundred thirty-five and twenty-five cents (Amount Written Out) 323,635.25 ❑ 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. Premium Concrete Services, Inc. By (Firm) STATE OFTN DI AN ) SS: E RA,P, COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared and acknowledged the execution of the foregoing Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the �ksyc bcK 20.4 �h day of My Commission Expires: o1I N tary Public Signature Residing in CLK � A ( r.T' County JCEO, JANEE M TOWNER NOTARY PUBLIC SEAL ELKHART COUNTY, STATE OF INDIANA MY COMMISSION EXPIRES FEBRUARY 12, 2026 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date: 3/11/2025 Name: Gemma Stanton Department of Public Works — Engineering Division BPW Date: 3/25/2025 Phone Extension: 9083 Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Required. for All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ® PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Reauired Information Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Premium Concrete ❑ Title Sheet U Yes❑ If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes No 2023 Curb & Sidewalk 123-001 Motor Vehicle Highway / Major Moves 202-06-602-505-431000 / 412-06-600-506-431000 Division A - $55,159.10; Division B - $330,167.35; Division C — $243,834.34; Division D - $164,367.88; Division E - $163,445.90 Project closeout (PCA and waiver of lien) For Chan e Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Increase % Decrease Increase % Total Percent of Change: Decrease Time Extension Amount: New Completion Date: