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Home My WebLink AboutPCA - Demolition of 215 Johnson Street Proj No 124-064 - 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 July 22, 2025 Mr. Michael Brough Green Demolition Contractors, Inc. 315 Brighton St., Ste.I LaPorte, IN 46350 mikeggreendemolitioninc.com; janet&greendemolitioninc.com RE: Project Completion Affidavit — Demolition of 215 Johnson Street — Project No. 124-064 Dear Mr. Brough: At its July 22, 2025 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $54,800. 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, Is/Hillary Horvath Hillary Horvath, Clerk Enclosures 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 Demolition of 215 Johnson St PROJECT NO 124-055 FINAL. COST 17OXOMOR $54,800 CONTRACT SIGNED 41231205 PROJECT DESCRIPTION Demolition of 215 Johnson St 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 e th' J� 4N day of —Ju17 e 1202 S Green Demolition Contractors, Inc Company Name Signaturr 315 Brighton St Ste. 1 M1bht1t?( Company Address Printed Name LaPorte, IN 46350 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared M.-. I�1aye.(J Bnaaaln and acknowledged his/her signature to the above Project 1 'o Afdavit on the day .J Lin r✓ 2025_. JANET M COMMFR Notary Public - Seal Porter County • State of Indiana Commisston !lumber MM746920 N Si My Commission Expires t Printed Name : County of Residence If the Contractor is a co oration, the following certificate will be executed. ro certify that I am Secretary of the Corporation executing this release; that I J -0 In 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 by Authority of its governing body, and is within the scope of corporate powers: Secretary's gnature r r Brpr Corporate Seal tC A� JLr 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. for Construction manager Date: 07/22/2025 CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS val�4 Elizabeth A. Maradik, President „21 Gary A. Gilot, Member Murray L. Miller, Member ME I Joseph R. Molnar, Vice President Breana Micou, Member 17 �u AB Attest: Madeline Hostetler, Acting Clerk Date: July 22, 2025 215 Johnson St 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 of which City of South Bend is the owner. THE undersigned, for and in consideration of Two thousand seven hundred forty dollars and zero cents $2,740.00 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 June 23, 2025 SIGNATURE AND TITLE *EXTRAS INCLUDE BUT ARE STATE OF Indiana SS COUNTY OF LaPorte COMPANY NAME Green Demolition Contractors Inc ADDRESS 315 Brighton St Ste 1, LaPorte, IN 46350 CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACTOR'S AFFIDAVIT TO WHOM IT MAY CONCERN: THE UNDERSIGNED, (NAME) Michael J Brough AND SAYS THAT HE OR SHE IS (POSITION) President (COMPANY NAME) Green Demolition Contractors Inc CONTRACTOR FURNISHING demolition LOCATED AT 215 Johnson St OWNED BY City of South Bend BEING DULY SWORN, DEPOSES OF WHO IS THE WORK ON THE BUILDING That the total amount of the contract including extras* is $ 54.800.00 on which he or she has received payment of $ 52,060.00 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 $ 54,800.00 $ 52,060.00 $ 2,740.00 $ - 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. $ 54,800.00 $ 52,060.00 $ 2,740.00 $ - That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material, labor or other work of any kind done or to be done upon or in connection with said work other than a DATE: June 23, 2025 SIGNATURE:bov ted it SUBSCRIBED AND SWORN TO BEFORE ME THIS 23 r DAY OF —jV K e *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT %R4000001F.I. �•m3E901AE ? V JANET M DOMMER Notary Public - Seat Porter County - State of Indiana Commission Number NP0746920 My Commission Expires Feb 16, 2031 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 07/14/2025 Name Zach Hurst Department DPW BPW Date 07/22/2025 Phone Extension 3057 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 — Required for 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 New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information Green Demolition ❑ Yes ❑ If Yes, Approved by Purchasing ® No ❑ ❑ MBE Completed E-Verify Form Attached ❑ Yes No Demolition of 215 Johnson Street 124-064 River West DA TIF PO-0037360 Final Contract Amount: $54,800 Closeout documents for the demolition of 215 Johnson Street. For Chance Orders Onl Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount $ Increase Current Percent of Change: Decrease New Amount $ Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: