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Home My WebLink AboutPCA - 2023 Concrete Repairs Proj No 123-022 - Milestone Contractors1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA46601-1830 PHONE 574/235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS September 23, 2025 Mr. Dustin P. Hilary Milestone Contractors, L.P. 24358 State Road 23 South Bend, IN 46614 akruegerC@milestonelp.com; dhilary(@milestonelp.com RE: Project Completion Affidavit - 2023 Concrete Repairs - Project No.123-022 Dear Mr. Hilary: At its September 23, 2025 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $3,292,628.21. 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 CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME 2023 Concrete Repairs PROJECT NO 123-022 FINAL COST $3,292,628.21 CONTRACT SIGNED 8/8/2023 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Full depth HMA re Oacement of various concrete roadways throughout the City. 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 suc contract, and that the contractor performed the work within the scope of the Specifications and Standards of the C' ou Bend which were a part of the above Contract. Executed of krl 2025 Milestone Contractors North, Inc. Company Name 24358 State Road 23 P. Hila ry Director of Estimatin Griffith -South Bend Company Address l Name South Bend, IN 46614 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in Dustin P. Hilary and acknowledged his the 15th day tV1 y ,2025 N SEAL to t%W%;;SPeArkom1 June 5, 2030 CommWion Number NP0653544 La Forte County Affidavit on Alisha Krue r Printed Name County of Residence LaPorte If the Contractor is a corporation, the following certificate will be executed. I, Danielle Pa pe ,certify that I am Secretary of the Corporation executing this release; that Dustin P. Hila ry who signed this release on behalf of the contractor was then Director of Estimating Griffith -South Bend of said Corporation; that said release was duly signed for and or�pri111i?Hlls�j� Corporation by Auth 'ty of its governing body, and is within the scope of corporate powers: ```.'NN r ractorsZi�� •.•C' Secre s Si nature o �,? 0 RATE• S tmy' g — eor grAW Seal: _ _ Danielle Pa pe _ L Printed Name �L SEA DEPARTMENT OF PUBLIC WORKS APPROVAL �i •• -b ' •� �N� `�� This project is acceptable for final approval and we recommend to the Board of Public Works that it be ort��ip�1s 111o� ��4 Date: 7/25/2025 Constr tion Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS laa�k PT Elizabeth A. Maradik, President Gary A. Gilot, Member Joseph R. Molnar, Vice President Breana Micou, Member dvk� f w8ode, Murray L. Miller, Member Attest: Hillary R. Horvath, Clerk Date: September 23, 2025 P,i,l Milestone AFFIDAVIT AND WAIVER OF LIEN STATE OF INDIANA SS: COUNTY OF St. Joseph FINAL Payment to Follow John Conway being duly sworn states that they are the Project Accountant of Milestone Contractors North, LLC having contracted with CITY OF SOUTH BEND, INDIANA to furnish certain materials and/or labor as follows: Asphalt Paving & Concrete Site Work for a project known as COSB - 2023 CONCRETE REPAIRS (MCLP Job# 239716) located at SOUTH BEND, IN and owned by City Of South Bend and does further state: FINAL WAIVER: that the final balance due from the owner is the sum of one hundred sixty-four thousand six hundred thirty-one and 42 / 100 Dollars the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lien or claim whatsoever on the above -described property and improvements thereon on account of labor or material or both, furnished by the undersigned thereto, and further certifies 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. Milestone Contractors North, LLC Joh Project Accountant Subscribed and sworn to before me this: 4th day of September, 2025 Notary Public: Alisha Kr0ger My Commission Expires: June 5, 2030 County of Residence: La Porte , u;'r'a� ALISHAKRUEGER My Commission Expires SEAL * June 5, 2030 Commission Number NP0653544 La Poite County BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 09/05/2025 Name Kvle Ludlow Department Public Works BPW Date 09/23/2025 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 Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Information Milestone Contractors. L.P. U Yes U If Yes, Approved by Purchasing ® No E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2023 Concrete Repairs 123-022 River West TIF, Southside TIF, West Washington TIF, LRS PR-00025459 PO-0025871 $3,292,628.21 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: