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Home My WebLink AboutPCA - South Bend Medical Foundation Demolition - Proj No 123-076 - The MRD Group 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. Gerald Blomberg The MRD Group, Inc. 4777 W. Lincoln Ave. West Milwaukee, WI 53219 gozelskikthemrdgroup.net RE: Project Completion Affidavit — South Bend Medical Foundation Demolition — Project No. 123-076 Dear Mr. Blomberg: At its August 12, 2025 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $1,638,562.50. 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/HiIlary Horvath Hillary Horvath, Clerk Enclosures HH ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou PROJECT NAME CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT South Bend Medical Foundation Demolition PROJECT NO 123-076 FINAL COST $1,638,562.50 CONTRACT SIGNED 6/11/2024 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Demolition of the South Bend Medical Foundation 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. xecuted this 28th day of_ February ,2025 Signature Gerald Blomber Printed Name The MRD Group, Inc. Company Name 4777 W. Lincoln Ave. Company Address West Milwaukee, Wl 53219 City, State, Zip WITNESSESS: Before lone, the undersigned Notary Public in and for said country and state, personally appeared Gerald Blomberg and acknowledged his/her,,oihkiikerlp the above Project Completion Affidavit on � the 28th day of I" ebrUarV , 242��.; � '0() UPN1A./r_ l RY Notary Si tore 'may Co.rrrmission Etpires May 6 2028 Mary Okupniak y Printed Name Ci Rye Milwaukee If the Contractor is a corporation, the following cdo- Gerald Blomberaceri�rit IVlE1ryetary of the Corporation executing this release; that Gerald Blomberg Who signed this release on behalf of the contractor was then President 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: , . 'm&mt�' Secretalys 9iiFature Corporate Seal Gerald Blomberg No Seal 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. ,L_44�61t'- _ Date: 7/25/2025 Congkuction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President Gary A. Gilot, Member 7yG.n,,y 4 7-0-, Murray L. Miller, Member 1'1:�2_ff Joseph R. Molnar, Vice President Breana Micou, Member Attest: Hillary R. Horvath, Clerk Date: August 12, 2025 FINAL WAIVER OF LIEN For value received, The MRD Group, Inc hereby waives rights and claims for lien on land and buildings about to be erected, erected, altered, or repaired and to the appurtenances thereunto, City of South Bend for Payment Application #7 Dated 02/26/2025 Same being situated in St. Joseph County, State of Indiana described as Medical Foundaton Demolition for all labor performed and for all materials furnished for the erection, construction, alteration or repair of said building and appurtenances, but only to the extent of the final payment in the amount of Eighty -One Thousand, Nine Hundred Twenty -Eight and 12/100 Except as listed and attached to this certificate, Contractor unconditionally waives and Releases Owner of any and all claims now existing on the Project for delay, acceleration, Extensions of time, indemnity, damages, or change in the Contract Price for Extra Work. Signature Gerald Blomberg, President Print Name The MRD Group, Inc. Company Name 02/26/2025 Date Subscribed and Sworn tome this 26th day of February 20 25 Notary Public Signature & Seal �� """''!1 My Commission Expires May 16th , 2028 �.�'`yk`...... ,�� DZpRY PU16 : ' 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 The MRD Group, 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 South Bend Medical Foundation Demolition 123-076 River West DA TIF PR-00032530 PO-0031911 $1,638,562.50 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: