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Home My WebLink AboutPCA - Studebaker Museum HVAC Replacment Proj No 124-020 - Herrman & Goetz1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA46601-1830 PHONE 574/235-9251 FAX 574/ 235-9171 CITYOFSOUTH BEND DAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS August 26, 2025 Ms. Kathleen Herrman Herrman & Goetz, Inc. 3419 N. Home St. Mishawaka, IN 46545 kherrman@hgservices.com RE: Project Completion Affidavit - Studebaker Museum HVAC Replacement - Project No. 124-020 Dear Ms. Herrman: At its August 26, 2025 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $84,400. 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/ Hillary Horvath Hillary Horvath, Clerk Enclosures HH ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARYA. GILOT MURRAY L. MILLER BREANA N. MICOU ��SouTII eF�o CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS c PROJECT COMPLETION AFFIDAVIT X` Y Il� PROJECT NAME Studebaker Museum HVAC Replacement PROJECT NO. 124-020 FINAL COST $84,400.00 CONTRACT December 171h, 2024 MAINTENANCE AGREEMENT ENDS SIGNED PROJECT Replacement of two HVAC units at the Studebaker Museum. DESCRIPTION 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. Executed this t day of , 20� z Signature �4\�Q\zje-f\� k 11i�, v' c v\-N q 11 Printed Name rlwan w Company Name 54 f9 K. ttyr-ft �f Company Address kE&h41W0A0^ irf Al•S44C City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said co appeared KA}I&IM k rrry n , and acknowledged his/her signature to th a4Mgy �,c��i `nn�t�P4},diana Affidavit on the 11 day of XJA A 04 E, 20_3,5 S1, Joseph County Commission Number NP0750192 My Commistion Expires 071i6l2031 Sign Lure r _ My Commission Expires /1 b/ it i Printed Name County of Residence S�, J'a eo/" If the Contractor is a corporation, the following certificate will be executed. certify that I am Secretary of the Corporation executing this release; that 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 Corporation b?y Authority of its governing body, and is within the scope of corporate powers: Secretary's Signature Corporate 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. Date: 8/14/2025 Con.&Auction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS 1W14 Elizabeth A. Maradik, President Gary A. Gilot, Member 7y2,,,,y 4 9-114+ Joseph R. Molnar, Vice President Breeaannuaa M�� icou, Member (/ f Murray L. Miller, Member Attest: Hillary R. Horvath, Clerk Date: 8/2612025 FINAL WAIVER OF LIEN "1qP(� \ Ear �� .SLaC•'f"MQV� being duly swom that he/she is the v t �� S (Name of Officer) (Title) of Herrman & Goetz Services having contracted with The City of South Bend (Subcontractor/Supplier) (Contractor) to famish certain materials and/or labor as follows: HVAC units at the Studebaker Museum (Description) for a project known as Studebaker Museum HVAC Replacement (Name of Project) located at 201 Chapin St South Bend IN 46601 and owned by The City of South Bend 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 Forty Four Thousand, Eight Hundred Dollars ($ 44,000.00) (Amount Written Out) ❑ 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, famished 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. Date\\ /1 Go iix. Ac Byaj�l i7i �,UP IF irm) (Authorized Representative) STATE OF IV ) ) SS: B • ✓e na , th COUNTY ) Before m , Ote, the undersigned, a Notary Public, in and for said County and Stale, 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 "'A i+ 20 249 My Commission Expires: Public 11 day of Residingin 5'•.J0S5Pk, County JArnl F , Notary Public Name Jami E Kinner Notary Public Seal State of Indiana St. Joseph County Commission Number NP0750192 My Commission Expires 0711612031 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 08/21/2025 Name Patrick Sherman Department Public Works BPW Date 08/26/2025 Phone Extension 5601 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 ❑ Mickey Lovy Check the Appropriate Item I Professional Services Agreement ❑ Contract ❑ Open Market Contract ❑ Bid Opening ❑ Quote Opening ❑ Proposal Opening ❑ Chg. Order, No. I-1 Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Michael Schmidt ❑ Amendment/Addendum ❑ Bid Award ❑ Quote Award ❑ C/O & PCA No. ❑ Traffic Control Information Herrman & Goetz All Submissions U Proposal ❑ Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes ® PCA ❑ Resolution Ease./Encroach Yes U If Yes, Approved by Purchasing ® No ❑ MBE Completed E-Verify Form Attached ❑ WBE Studebaker Museum HVAC Replacement 124-020 PO-0035504 324-10-102-121-443001--PROJ00000524 $84,400.00 Lump Sum ❑ Title Sheet ❑ Yes ❑ No Final project closeout of replacement of two end of life condensing units at th Studebaker Museum. For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: Increase Decrease Increase Decrease New Completion Date: