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Home My WebLink AboutPCA - Studebaker Museum Skylight Replacement Proj No 124-019 - Shaffner Heaney and Associates June 23, 2026 Craig Heaney Shaffner Heaney And Associates 2508 S Main St South Bend, IN 46614 dgreco@shaproducts.com RE: Project Completion Affidavit – Studebaker Museum Skylight Replacement – Project No. 124-019 Dear Craig: At its June 23, 2026 meeting, the Board of Public Works approved the Project Completion Affidavit for this project in the amount of $78,447. A copy of the Project Completion Affidavit is enclosed for your records. Sincerely, /s/Hillary Horvath Hillary Horvath, Clerk CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME PROJECT NO FINAL COST $78,447.00 CONTRACT SIGNED MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION WITNESSETH: Executed this ________ day of _________________, 202__________. Company Name Signature Company Address Printed Name City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared _____________________, and acknowledged his/her signature to the above Project Completion Affidavit on the ________ day of _____________, 202______. Notary Signature My Commission Expires Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. I, ____________________________________, 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 by Authority of its governing body, and is within the scope of corporate powers: Corporate SealSecretary's Signature Printed Name This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Date: Construction Manager President Member Member Member Member Attest 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. DEPARTMENT OF PUBLIC WORKS APPROVAL SOUTH BEND BOARD OF PUBLIC WORKS _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Studebaker Museum Skylight Replacement 124-019 11/26/2024 Replacement of the skylight in the Studebaker Museum 6/15/2026 June 23, 2026 FINAL WAIVER OF LIEN Craig Heaney being duly sworn that he/she is the President (Name of Officer) (Title) of Shaffner Heaney Associates, Inc. having contracted with City of South Bend (Contractor) (Owner) to furnish certain materials and/or labor as follows: Replacement of the skylight in the Studebaker Museum (Description) for a project known as Studebaker Museum Skylight Replacement (Name of Project) located at 201 Chapin St, South Bend, IN 46601 and owned by City of South Bend (Owner) and does hereby further state on the behalf of the aforementioned contractor: FINAL WAIVER that the final balance due from the contractor is the sum of Five thousand three hundred forty seven dollars and thirty five cents. ($ 5,347.35) (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, furnished 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 Shaffner Heaney Associates, Inc. By (Firm)(Authorized Representative) STATE OF __________ ) ) SS: ___________ COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Craig Heaney 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 15th day of June 20 26. My Commission Expires: 9/23/2033 Notary Public Signature Residing in St Joseph County Christina E.C. Butler, CPA CGMA Notary Public Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 06/18/2026 Name Patrick Sherman Department Public Works BPW Date 06/23/2026 Phone Extension 5601 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer Officer Name BPW Attorney Attorney Name Michael Schmidt Dept. Attorney Attorney Name Purchasing Mickey Lovy 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 Other: Ease./Encroach Required Information Company or Vendor Name Shaffner Heaney and Associates New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name Studebaker Museum Skylight Replacement Project Number 124-019 Funding Source Fund 324 Account No. PR-00034498 Amount $78,447.00 Terms of Contract Public Works Quote Request: Lump Sum Purpose/Description PCA for the project for the replacement of the main skylight at the Studebaker Museum. For Change Orders Only Amount of Increase Decrease $ ($ ) Previous Amount $ Current Percent of Change: Increase Decrease ( %) New Amount $ Total Percent of Change: Increase Decrease ( %) Time Extension Amount: New Completion Date: