HomeMy WebLinkAboutPCA - Potawatomi Pool Demolition - Proj. No. 124-023A - Green Demolition Contractors Inc.1316 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
August 12, 2025
Mr. Michael Brough
Green Demolition Contractors, Inc.
315 Brighton St., Ste. 1
LaPorte, IN 46350
mikeggreendemolitioninc.com; janet&greendemolitioninc.com
RE: Project Completion Affidavit — Potawatomi Pool Demolition — Project No. 124-023A
Dear Mr. Brough:
At its August 12, 2025 meeting, the Board of Public Works approved the Project
Completion Affidavit for this project in the amount of $195,900.
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
PROJECT NAME
PROJECT NO
CONTRACT SIGNED
PROJECT DESCRIPTION
WITNESSETH:
CITY OF SOUTH BEND, INDIANA fry
BOARD OF PUBLIC WORKS
PROJECT COMPLETION AFFIDAVIT
Potawalomi Pool Demolition
124-023A FINAL COST $195,900.00
3/1 1/2025 MAINTENANCE AGREEMENT ENDS N/A
Demolition of the Potawatomi Park Pool House and Pool
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 u d is day of 441 , 202 5
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S i X
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11
�a e J BrovglA
Printed Name
GreeK beWldl,4(b-A a�+ge`�ors -LAC.
Company Name
Company Aqjrcss
L4 fo r +e , ZN 44950
City, State, Zip
WiTNESSESS: ,, II
Before me, the undersigned Notary Public in and for said country and state, personally appeared N11C Q J Oft4and
acknowledged his/her signature to the above Project Completion Affidavit on LJ
the Ae' dav of J �2026 JANET M DOMMER
Notary Public - Seal
Porter County - State of Indiana
Commission Number NP0746920
Notary ignature My Commission Expires My Commission Expires Feb 16, 2031
Printed Name County of Residence
If the Contractor is a corporation, the following certificate will be executed.
i C_6I'e t ..� r"Y4, certify that I am Secretary of the Corporation executing this release; that
(1C lAQ4 ( B deX11A who signed this release on behalf of the contractor was then
Secretary'
s
AAM "C A
Printed Name
of said Corporation; that said release was duly signed for and on behalf of said
ty of its governing body, and is within the scope of corporate powers:
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.
&y& �� Date: 7/25/2025
ConYoction Manager
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Joseph R. Molnar, Vice President
Breanr�a�M, icou, Member
Corporate Seal
Murray L. Miller, Member
Attest: Hillary R. Horvath, Clerk
Date: August 12, 2025
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 Potawatomi Park Improvements Pool House Demo
of which City of South Bend is the owner.
THE undersigned, for and in consideration of Nine -thousand seven hundred ninety-five dollars and zero cents
$9,795.00 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 25, 2025
SIGNATURE AND TITLE
*EXTRAS INCLUDE BUT ARE
D TO CHANGE
COMPANY NAME Green Demolition Contractors Inc
ADDRESS 315 Brighton St Ste 1, LaPorte, IN 46350
, BOTH ORAL AND WRITTEN, TO THE CONTRACT
CONTRACTOR'S AFFIDAVIT
STATE OF Indiana SS
COUNTY OF LaPorte
TO WHOM IT MAY CONCERN:
THE UNDERSIGNED, (NAME) Michael J Brough BEING DULY SWORN, DEPOSES
AND SAYS THAT HE OR SHE IS (POSITION) President OF
(COMPANY NAME) Green Demolition Contractors Inc WHO IS THE
CONTRACTOR FURNISHING demolition WORK ON THE BUILDING
LOCATED AT Potawatomi Park Improvements Pool House Demo
OWNED BY City of South Bend
That the total amount of the contract including extras* is $ 195,900.00 on which he or she has received payment of
$ 9,795.00 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
$ 195,900.00
$ 186,105.00
$ 9,795.00
$ -
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.
$ 195,900.00
$ 186,105.00
$ 9,795.00
$ -
That there are no other contracts for said work outstanding, and that there is nothing due or to bec We
du 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 abo t
DATE: June 25, 2025 SIGNATUR j
SUBSCRIBED AND SWORN TO BEFORE ME THIS A5 DAY OF f4j,e ?0;r5-
*EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE
ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT
NOTARY PUBLIC
JANET M DOMMER
Notary Public - Seal
Porter County - State of Indfana
Commission Number NP0746920
My Commission Expires Feb 16, 2031
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 07/25/2025
Name Kvle Ludlow Department Public Works
BPW Date 08/12/2025 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
Information
Company or Vendor Name Green Demolition Contractors, Inc.
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
U Yes U If Yes, Approved by Purchasing
® No
MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos
Potawatomi Pool Demolition
124-023A
River East DA TIF Fund 429
PR-00038793 PO-0037119
$195
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: