PUBLIC WORKS 411 N Prospect Ave

Itasca, Illinois 60143-1795 Tel: 630-773-2455 Fax: 630-773-9856

www.itasca.com

MEMORANDUM

To: Carie Anne Ergo, Village Administrator

From: Ross Hitchcock, Director of Public Worksf ~-Date: January 15, 2019

Subject: 2018 Street Resurfacing Program - Payment Estimate #4 and Final

Introduction I have received Payment Estimate #4 and final from Robinson Engineering recommending payment to Schroeder Asphalt Services Inc. in the amount of $51,485 .18 for work performed on the 2018 Street Resurfacing Program.

Discussion This payment is for concrete and asphalt patching and overlay work completed at various locations throughout the Village.

Staff Recommendation Everything appears to be in order. I recommend this item be forwarded to the Committee of the Whole agenda on January 22, 2019 for discussion and approval.

After Action Steps None

Attachments Recommendation from Robinson Engineering Contractor's statement of quantities Waivers of lean

Municipal Expertise. CommunHy Commit ment.

Mark A. Wesolowski, PE Direct Line: (815) 412-2710 Email: mwesolowski@reltd.com

Mr. Ross Hitchcock, Director of Public Works Village of Itasca Public Works 411 N. Prospect Itasca, Illinois 60143

RE: 2018 Street Resurfacing Program Payment Estimate #4 - Final

Dear Mr. Hitchcock:

January 14, 2019

Project 18-R0027

We have reviewed Invoice #2018-360 (Estimate of Payment #4) from Schroeder Asphalt Services, Inc. for work completed on the above referenced project. It is our opinion that the work has been completed in substantial conformance with the plans and specifications, as summarized below:

Tota I Earned to Date ............. ....... ...... .. ................... .................... .. .... ....... . $344,320.56 Less Previous Payments ..... .............................. ........... ................... ....... $292,835.38 Total Due Estimate No. 4 - Final.. ......................................................... $51,485.18

Therefore, we recommend that the Village Board authorize the release of funds in the amount of Fifty­One Thousand, Four Hundred Eighty-Five and Eighteen Cents ($51,485.18) at this time to the contractor, Schroeder Asphalt Services, Inc.

Very truly yours,

ROBINSON ENGINEERING, LTD.

4/tla/~ Mark A. Wesolowski, PE, CFM Senior Project Manager maw/rd r:\2015-2019\2018\18-r0027.it\construction\payouts\18-r0027 _payout #4-final .docx

Encl :

127 N. Walnut Street . Suite 200 <> Itasca, IL 60143 o (847) 250 .. 5535

www.reltd.com

·10 ASPHALT SERVICES, INC.

POBOX831 HUNlLEY, IL 60142

Bill To

VILLAGE OF ITASCA 550 W IRVING PARK ROAD ITASCA, IL 60143

Description

Final Contract Amount Less Previous Payments

PHONE: 815-923-4380 FAX: 815-923-4389

Invoice Date Invoice #

12/7/2018 2018-360

Project

2018 STREET RESURFACING-218023

Unit Quantity Unit Price Amount

1 344,320.56 344,320.56 1 -292,835.37 -292,835 . 37

Total $51,485.19

Payments/Credits $0.00

Balance Due $51,485.19

Invoice #2018-360

Invoice Date: 1217/2018

Dates Billed: 10/1712018 -1217/2018

PO#

2018 Street Resrfacing Program

Job: 218023

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

Aup 1

Aup2

Description HMA Surface Course, Mix D, N50

HMA Surface Removal 2"

Leveling Binder (Machine Method), N 50

Aggregate Base Repair

Bituminous Materials (Tack Coat)

Class D Patches, Type II , 7"

Class D Patches, Type IV, T'

Partial Deth Patching (Special)

HMA Driveway Removal & Replacement

Sidewalk Removal

Portland Cement Concrete Sidewalk 5"

Detectable Warnings

Bituminos Materials (Prime Coat)

Catch Basins to be adjusted with new Type II Frame ;

Catch Basins to be reconstructed with new Type II Fr.

Inlets to be Adjusted

Remove and Relocate Inlets

Combination Curb & Gutter Removal & Replace

Curb Removal

Concrete Curb, Type B

Steel Adjusting Rings

TPM Letters and Symbols

TPM Line 4"

TPM Line 6"

TPM Line 12"

TMP Line 24"

Topsoil Furnish and Place 4"

Sodding Salt Tolelrant (Special)

Railroad Right of Way Entry Permit

Railroad Flagger

Railroad Protective Liability Insurance

Preparation of Base

HMA Binder Course IL 19.0, N50

Message Board

PGE

Contract

Quantities

1,230

13,469

568

92

8,827

217

370

400

50

52

52

20

27,283

2

2

51

90

90

16

106

17,261

500

530

214

17

17

6,457

723

3

550

Owner

Village of Itasca

550 W Irving Park Road

Itasca, IL 60143

Unit

TON

SY TON

TON

LB

SY SY SY SY SF

SF

SF

LB

EA

EA

EA

EA

FT

FT

FT

EA SF

FT

FT

FT

FT

SY SY EA LS

LS

SY TON

WEEK

CY

Unit Price

$ 69.75 $

$ 1.70 $

$ 69.00 $

$ 16.50 $

$ 0.01 $

$ 44.00 $

$ 42.00 s $ 16.95 $

$ 27.00 $

$ 5.00 $

$ 9.45 $

$ 27.50 $

$ 0.01 $

$ 735.00 s $ 1,050.00 $

$ 420.00 $

$ 900.00 $

$ 37.00 $

$ 10.50 $

$ 27.50 $

$ 210.00 $

$ 3.95 $

$ 0.51 $

$ 0.80 $

$ 1.60 $

s 7.35 $

$ 10.00 $

$ 20.00 $

$ 2,000.00 $

$ 10,000.00 $

$ 2,500.00 s $ 0.70 $

$ 72.00 $

$ 800.00 $

$ 86.00 $

Contract

Amount

85,792.50

22,897.30

39,192.00

1,518.00

88.27

9,548.00

15,540.00

6,780.00

1,350.00

260.00

491.40

550.00

272.83

735.00

1,050.00

840.00

1,800.00

1,887.00

945.00

2,475.00

3,360.00

418.70

8,803.11

400.00

848.00

1,572.90

170.00

340.00

2,000.00

10,000.00

2,500.00

4,519.90

52,056.00

2,400.00

47,300.00

Contractor

Schroeder Asphalt Services, Inc.

P.O. Box831

Huntley, IL 60142

Previous

Quantities

Billed

1470

13767

148.58

0

2562

212

678

1478

0

421

421

20

0

2

2

0

198

115

115

1

407.3

13545

2047

449

371

0

0

0

0

0

2558

338.44

3

541

Current

Quantities

2046

0 93

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

51

51

0

0

0

1144

0

0

135

Quantities

Billed

to Date

1469.92 $

15813 $

148.58 $

93 s 2562 s

212 s 678 $

1478 $

0 $

421 $

421 $

20 $

0 $

2 $

2 $

$

0 $ 198 $

115 $

115 $

1 $ 407.3 $

13545 $

2047 $

449 $

371 $

51 $

51 $

0 $

0 $

0 $ 3702 $

338.44 $

3 $

676 $

Current

Amount

$

3,478.20 $

$

1,534.50 $

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

510.00 $

1,020.00 $

$

$

$

800.80 $

$

$

11 ,610.00 $

Amount

to Date

102,526.92

26,882.10

10,252.02

1,534.50

25.62

9,328.00

28,476.00

25,052.10

2,105.00

3,978.45

550.00

1,470.00

2,100.00

420.00

7,326.00

1,207.50

3,162.50

210.00

1,608.84

6,907.95

1,637.60

718.40

2,726.85

510.00

1,020.00

2,591.40

24,367.68

2,400.00

58,136.00

Aup3 Glas Pav Fabric 3,900 SY $ 3.87 $ 15,093.00 3899 0 3899 $ $ 15,089.13

Change Order Amount $

Total Contract $ 281,000.91

Work Completed to Date $ 344,320.56

$

Total Complete/Stored/Pendin! $ 344,320.56

Less Retalnage $

Total (Less Retainage) $ 344,320.56

Adjustments $

Less Previously Requested $ 292,835.37

Amount Due This Request $ 51,485.19

STATE OF ILLINOIS l COUNTY OF McHENRY J S.S

TO WHOM IT MAY CONCERN:

FINAL WAIVER OF LIEN

WHEREAS the undersigned has been employed by Village of Itasca

Gty#~~~~~~~~~~~ Loan#

to furnish Asphalt Paving ~~~~~~~~~~~~~~~~--'-~~~--"'--~~~~~~~~~~~~~~~~~~~~~~-

for the premises known as 2018 Street Resurfacing

of which Village of Itasca is the owner.

The undersigned, for and in consideration of Fifty One Thousand Four Hundred Eighty Five Dollars 19 /100

$51,485.19 Dollars, and other good and valuable considerations, the receipt where of 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 lliinois, relating to mechanics' liens, with respect to and on said above-described premises, and the improvements thereon, and on the material, fixtures, apparatus or machinery furnished, and on moneys, funds or other considerations due or to become due from the owner, on account of all labor, services, materials, fixtures, apparatus or machinery, heretofore furnished, or which may be furnished at any time hereafter, by the undersigned for the above­described premises, INCLUDING EXTRAS.*

DA TE 12/07 /18 COMP ANY NAME Schroeder Asphalt Services, Inc.

ADDRESS /.9- PO Bo>;~1tley, IL 60142

SIGNATURE AND TITLE r0 tlU z;}._1~ , Corporate Secretary *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, BOTH ORhl AND WRITTEN, TO THE CONTRACT.

STATE OF ILLINOIS l CONTRACTOR'S AFFIDAVIT COUNTY OF McHENRY J S.S

TO WHOM IT MAY CONCERN:

THE UNDERSIGNED, (NAME) Grace Foss BEING DULLY SWORN, DEPOSES ~~~~~~~~~~~~~~~~~~~~~~

AND SAYS THAT HE OR SHE IS (POSITION) Corporate Secretary OF

(COMPANY NAME) Schroeder Asphalt Services, Inc. WHO IS THE

CONTRACTOR FURNISHING Asphalt Paving WORK ON THE BUILDING

LOCATED AT

OWNED BY

Various Locations

Village of Itasca

That the total amount of the contract including extras is $344,320.56 on which he or she has received payment of $292,835.37 prior to this payment. That all waivers are true, correct and genuine 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 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 or for material entering into the construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to complete said work according to plans and specifications:

NAMES WHAT FOR CONTRACT

PRTCE AMOUNT

PAID THIS

PAYMENT BALANCE

DUE erv1ces, nc.

TOTAL LABOR AND MATERIAL INCLUDING EXTRAS* TO COMPLETE. $344,320.56 $292,835.37 $51,485.19 $0.00

That there are no other contracts for said work outstanding, and that there is nothing due or to bec~1e due to any person for material, labor

or other work of any kind done or to be done upon or in connection ~id work other · t<ct above.

DATE: 12/07 /18 SIGNATURE: v / (tC-e:_ I , Corporate Secretary

This waiver is valid with proof of cancelled check.

SUBSCRIBED AND SWORN TO ME BEFORE THIS 7th DAY OF December , 18 . ~~~ ~~~~~~~~~~-

WAIVER OF LIEN • PARTIAL

MATERIALS OR LABOR ILLINOIS)

STATE OF ILLINOIS

COUNTY OF KANE } SS

TO WHOM IT MAY CONCERN:

9/5/2018

WHEREAS, we the undersigned has been employed by _ ____ S.;_C_HR _ _ O_E_D_E_R_AS_P_HAL __ T_S_ER __ Vl_C_ ES-'-, _IN_C~, --- -

to furnish ASPHALT

for the premises known as 2018 STREET RESURFACING

of which _ _ _________ VIL __ L_A_G_E_O.;_F_ I_TASC---''-'-A ___________ istheOwne~ THE

undersigned, for and in consideration of ______ $_2_3~·~7_5_0_.3_0 _ _ _ ___ Dollars

Twenty Three Thousand Seven Hundred Fifty Dollars and Thirty Cents

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, on said above described building and premises under the

statutes of the State of Illinois, relating to Mechanics' Liens, on account of labor or materials, or both, furnished or

which may be furnished by the undersigned to or on account of the said building or premises.

COMPANYNAME ___ __ AL_ L_I_E_D_A_S_P_HAL __ T ____ _

ADDRESS _ ___ _ l_l_OO_ B_RAN _ _ D_T_D_RIVE _ _ ___ _

HOFFMAN ESTATES, IL 60192

Given under my hand and seal this 9/5/2018

SUBSCRIBED AND SWORN TO BEFORE ME THIS

f~l Official Seal Irene Congdon

Notary Public State of Illinois , $ My Commission Expire& OB/0712022 ~ ?,,/Vv'VVVvVV'v"•,/VVVV'V''~

ANNA RIZZO ASSISTANT SECRETARY

5TH DAY OF ---~AU~G~U~S~T~· ~2D~1~B _____ ______ _

SIGNATURE HoO~S~~ &¥J-tr=---

WAIVER OF LIEN - PARTIAL

MATERIALS OR LABOR llLLlNOIS)

STATE OF ILLINOIS

COUNTY OF KANE } SS

TO WHOM IT MAY CONCERN:

11/29/2018

WHEREAS, we the undersigned has been employed by _____ S_C_H_R_O_E_D_E_R_A_S_P_HAL __ T_S_E_R_VI_C_E_S-"-, _IN_C _ ___ _

to furnish ASPHALT

for the premises known as 2018 STREET RESURFACING

of which VILLAGE OF ITASCA is the Owner. THE -------------------------------undersigned, for and in consideration of $45,212.07 Dollars

-------~---------

Forty Five Thousand Two Hundred Twelve Dollars and Seven Cents

and other good and valuable considerations, the receipt whereof is hereby aclmowledged, do(es) hereby waive and

release any and all lien, or claim of, or right to, lien, on said above described building and premises under the

statutes of the State of Illinois, relating to Mechanics' Liens, on account of labor or materials, or both, furnished or

which may be furnished by the undersigned to or on account of the said building or premises.

COMPANY NAME ALLIED ASPHALT -------------------ADDRESS 1100 BRANDT DRIVE

HOFFMAN ESTATES, lL 60192

Given under my hand and seal this 11/29/2018

SUBSCRIBED AND SWORN

TO BEFORE ME THIS

<~/,.O,A/'.•V'<l'.rvl'-,,-'-/'·iV'V"-')-< Offici.:i l Seal ~ 1~ lmne Congdon . <, Notary Publii: State of 11 /Jnnls . 1 My Comr111ss1on Expires Otl/0.112022

···f'"' ''.A./"-/•!VVV.~/'AA./·,•'•' .-.!'

, ' J

ANNA RIZZO CORPORATE CONTROLLER

29TH DAY OF NOVEMBER, 2018

SIGNATURE ~~ Notary Signature & Seal

WAIVER OF LIEN - FINAL

MATERIALS OR LABOR IILLINOISI

STATE OF ILLINOIS

COUNTY OF KANE } SS

TO WHOM IT MAY CONCERN:

1/4/2019

WHEREAS, we the undersigned has been employed by _____ S_C_H_R_O_E_D_E_R_A_S_P_HAL __ T_S_E_R_V_IC_E_S..:.., _IN_C_. ____ _

to furnish ASPHALT

for the premises known as 2018 STREET RESURFACING

of which VILLAGE OF ITASCA is the Owner. THE ~-------------------------------

undersigned, for and in consideration of $32,320.38 Dollars

Thirty Two Thousand Three Hundred Twenty Dollars and Thirty Eight Cents

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, on said above described building and premises under the

statutes of the State of Illinois, relating to Mechanics' Liens, on account of labor or materials, or both, furnished or

which may be furnished by the undersigned to or on account of the said building or premises.

COMPANY NAME

ADDRESS

Given under my hand and seal this 1/4/2019

SUBSCRIBED AND SWORN

TO BEFORE ME THIS 4TH

ANNA RIZZO

DAY OF

ALLIED ASPHALT ~-----------------~

1100 BRANDT DRIVE ~-----------------~

HOFFMAN ESTATES, IL 60192

CORPORATE CONTROLLER

JANUARY, 2019

.• ,/....,,/'\/"~•~\ ,,,, .. ,1\1"\f•·., il ·I'.·""' .. ·'· .. ~·

.( Off:.::i;;I;' .~ ;;! .;' ~ lrenf : Cn:: ,• !· . ~ ' < Notary r:iub i:·. ~J:1 :· ... :,, :;1w "1. \

SIGNATURE NolruySigruo1"" &~ &.A.IF < IVly Corni niss1011 I: :<p1rc:" l!U/lrl i::. ;;;: .. , ( )

·~~··V\.1""•.J"\ . .F· .. ·,r ,/"L/'./VVV'....r ...,..;,

FINAL WAIVER OF LIEN STATE OF ILLINOIS

COUNTY OF

TO WHOM IT MAY CONCERN:

WHEREAS the undersigned has been employed by

to furnish

Gty# ____ _

Escrow#

Schroeder Asphalt Setvlce Inc. Gradal/ work

for the premises_k_n_o_w_n_a_s ______ 20_1_8_S_tree_ts_R_e_s_u_tfa_c_ln-=g------------------------of which Village Of Itasca is the owner.

THE undersigned, for and in consideration of One thousand five hundred eighty and 001100

$1,580.00 Dollars, and and other good and valuable considerations, the receipt whereof Is hereby acknowledged, Clo(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 on said above-described

premises, and tile improvements thereon, and on 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, furnished to this date by the undersigned

for the above-described premises, INCLUDING EXTRAS.•

DATE: December 20, 2018 COMPANY NAME: Gradall Wotx Inc.

79 E. Blecke Ave., Addison, IL 60101 SIGNATURE AND TITLE President *EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, BOTH ORAL AND WRITIEN. TO THE CONTRACT. ·-------------------------------------------coNTRActoR'~fAFFifiAvYf---------------------------- ----------------------·

STATE OF ILLINOIS

COUNTY OF TO WHOM IT MAY CONCERN:

THE UNDERSIGNED, (NAME) Manuel Robles BEING DULY SWORN, DEPOSES

AND SAYS THAT HE OR SHE IS (POSITION) _P._re;_;;s-'ld-'-e_nt'---------------- OF

(COMPANY NAME) Gradal/ Wotx, Inc. 79 E. Blecke Ave., Addlson,IL 60101 WHO IS THE

CONTRACTOR FURNISHING -=g_ra_d_al_l_wi_orlc ________________ W_O_R_K_O_N_T_H_E_B_U_IL_D_IN_G_

LOCATED AT _2_0_1B_S_tree-'--'-ts_R_e_s~u_tfa-'--'-cl_n~g-------------------~ OWNED BY Village Of Itasca

That the total amount of the contract Including extras* is $1,580.00 on which he or she has received payment of

prior to this payment. That all waivers are true, correct and genuine end delivered uncondnionaUy and that their 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 wo111 and aR parties

having contracts or sub contracts for apeci!ic portions of said worfl or for material entering info ffle construcfK>n !hereof andfhe amount due or to become

due to each, and that the items mentioned include all labor and material required to complete said wo111 according to plans and specifications:

CONTRACT PRICE f\MVVl'\ll THIS PAYMENT BALANCE DUE NAMES AND ADDRESSES WHAT FOR INC~UOING EXTRAS' PAID

Gradall Wotx, Inc. Gradel/ worff $15,800.00 $14,220.00 $1,580.00 $0.00

TOTAL LABOR AND MATERIAL INCLUDING EXTRAS TO COMPLETE

That there are no other contracts for said wort outstam:tlrtg, a net that there Is nothing due or ro become due ro any person J\Jr mare rial, laborer other wort or

any kind done or to be done upon In connection with said work other than above stated.

DATE: SIGNATURE 1e>- /;rohx SUBSCRIBED AND SWORN TO BEFORE ME THIS -"""W ______ .

*EXTRAS INCLUDE BUT ARE NOT LIMITED TO CHANGE ORDERS, CHANGE ORDERS, BOTH ORAL AND WRITTEN, TO THE CONTRACT.

OFFICIAL SEAL JENNIFER L. GRIEBEL

Notan; Pllblic-Stateof Illinois I\~" Commission !71mirA.<.! 4/0~/?M ·

FINAL WAIVER OF LIEN iTATE OF ILLINOIS

:OUNTY OF DUPAGE

·o WHOM IT MAY CONCERN:

l\IHEREAS the undersigned has been employed by

·o Furnish Pavement Marking

=or the premises known as )f which Village of Itasca

2018 Street Resurfacing

Schroeder Asphalt Services, Inc.

Gty# Loan#

is the owner.

THE undersigned, for and in consideration of One Thousand Two Hundred Eighty Three and 47/100

____ ........ ( _$_1_,2_8_3_.4_7_) Dollars, and other good and valuable considerations, the receipt whereof Is hereby acknowledged, do( es)

ereby waive and release any and all lien or claim of, or right to, lien, under the statues of the state of Illinois, relating to mechanics' liens, additionally, the

ndersigned hereby waives and releases any and all of the undersigned's rights and claims under the Illinois public construction bond act to the same

xtent. The undersigned waives and releases any and all lien or claims of, or right to lien under the statues of Illinois relating to mechanics liens end respect

>and on said above described premises, and the improvements thereon, and on the material, fixtures, apparatus or machinery fUrnlshed, and on the moneys,

mds or other considerations due or become due from the owner, on account of labor, service, material, fixtures, apparatus or machinery, heretofore furnished , or

•hlch may be finished et any time hereafter, by the undersigned for the above-described premises .

.ddltlonally, the undersigned hereby waives and releases any and all of the undersigned's rights and claims under

ie Illinois Public Construction Bond Act to the same extent the undersigned waives and releases any and all

an or claim of, or right to lien under the statutes of Illinois relating to mechanics liens.

liven under M Hand ----------llneteenth day December

and seal

- o Vario, Presl~ent

this -----

IOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corpora e name should'iie used, corporate seal affixed and title

·f officer signing waiver should be set forth; if waiver is for a partnership, the partnership name should be used, partner should sign and

esignate himself as partner.

iTATE OF ILLINOIS

:OUNTY OF DUPAGE

'.Q WHOM IT MAY CONCERN:

CONTRACTORS AFFIDAVIT

THE undersigned, being duly sworn, deposes and says that she Is: _J_o_a_n_Y_a_rl_o ___________________ _

>resident of the Superior Road Striping, Inc.

1ho is the contractor for the Pavement Marking work on the

1uilding located at _2_0_18_S_t_re_e_t_R_e_su_rf_a_c_ln""g----------------------------------owned by Village of Itasca

"hat the total amount of the contract Including extras is $12,834. 73 on which he has received payment of

$11,551 .26 prior to this payment. That all waivers are true, correct and genuine and delivered unconditionally and that there Is

o claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material

r labor or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering Into the

onstructlon thereof and the amount due or to become due to each, and that the Items mentioned Include all labor and material required to

omplete said work according to plans and specifications:

Contract Amount This Balance

Names What For Price Paid Payment Due

iuperlor Road Striping Pavement Marking $12,834.73 $11,551.26 $1 ,283.47

111 material was taken from fully paid stock and delivered to job site In our trucks.

0.00

"hat there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material,

abor or other work of any kind done or to be done upon or In connection with the said work other than stated above.

"OTAL LABOR AND MATERIALS TO COMPLETE I I s12,834.73 I s11,551 .26 I $1 ,283.471 o.ool iat there are no other contracte for said work outstanding, and that there is nothing due or to become due to any person for material, labor or

ther work of any kind done or to be done upon or In connection with said work other than above stated.

Signed this Nineteenth day of _D_e_ce_m_b_e_r_,__~,..._--+-1,-----2018

Signature 1 r.-+-'..,_."""1....,...........,~ ....... 1t-----=-------------iubscribed and sworn to before me this Nineteenth 18

STATE OF ILLINOIS

COUNTY OF DUPAGE

TO WHOM IT MAY CONCERN:

WAIVER OF LIEN TO DATE

WHEREAS the undersigned has been employed by Schroeder Asphalt Services, Inc.

For the premises known as 2018 Street Resurfacing

Of which Village of Itasca

Gty# Loan#

is the owner.

THE undersigned, for and in consideration of Eight Thousand Twenty Four and 71/100 --'"--------..:.--------------------------~

$8,024.71 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 statues of the State of Illinois, relating to mechanic' liens, with

respect to and on said above described premises, and the improvements thereon, and on 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 labor services, material, fixtures

apparatus or machinery, furnished to this date by the undersigned for the above described premises. Including extras.

Additionally, the undersigned hereby waives and releases any and all of the undersigned's rights and claims under

the Illinois Public Construction Bond Act to the same extent the undersigned waives and releases any and all

lien or claim of, or right to lien under the statutes of Illinois relating to mechanics liens.

Given under MY hand and seal

Eleventh day of December

Signature and Seal:

this

NOTE: All waivers must be for the full amount paid. If waiver is for a corporation, corpor e name shoul be used, corporate seal affixed and title

of officer signing waiver should be set forth; if waiver is for a partnership, the partnership name should be used, partner should sign and

designate himself as partner. Extras Include but are not limited to change orders, both oral and written to the contract

STATE OF ILLINOIS

COUNTY OF DUPAGE

TO WHOM IT MAY CONCERN:

CONTRACTORS AFFIDAVIT

THE undersigned, being duly sworn, deposes and says that she is: _J_o_an_Y_a_ri_o ____________________ _

President of the Superior Road Striping, Inc.

who is the contractor for the Pavement Marking work on the

building located at _2_0_18_S_tr_e_et_R_e_s_u_rf_a_ci_n.::.g __________________________________ _

owned by Village of Itasca

That the total amount of the contract including extras is $11,350.78 on which he has received payment of

$1,006.55 prior to this payment. That all waivers are true, correct and genuine 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 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 or for material entering into the

construction thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to

complete said work according to plans and specifications:

Contract Amount This Balance

Names What For Price Paid Payment Due

Superior Road Striping Pavement Marking $11,350.78 $1,006.55 $8,024.71 $2,319.52

All material was taken from fully paid stock and delivered to job site in our trucks.

That there are no other contracts for said work outstanding, and that there is nothing due or to become due to any person for material, ,. ,.. .<l/'ie'

labor or other work of any kind done or to be done upon or in connection with the said work other tha_n ~ted..~!:!gy:e-~·-~~ \)

Subscribed and sworn to before me this Eleventh

STATE OF ILLINOIS

COU~UPAGE

TO WHOM IT MAY CONCERN:

WAIVER OF LIEN TO DATE

WHEREAS the undersigned has been employed by Schroeder Asphalt Services, Inc.

For the premises known as 2018 Street Resurfacing

Of which Village of Itasca

Gty# Loan#

is the owner.

THE undersigned, for and in consideration of One Thousand Six and 55/100 ....;..;.;.;....;._ ______ ...;...;;. _______________________ _ $1,006.55 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 statues of the State of Illinois, relating to mechanic' liens, with

respect to and on said above described premises, and the improvements thereon, and on 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 labor services, material, fixtures

apparatus or machinery, furnished to this date by the undersigned for the above described premises.

11.ddltionally, the undersigned hereby waives and releases any and all of the undersigned's rights and claims under

Iha Illinois Public Construction Bond Act to the same extent the undersigned waives and releases any and all

len or claim of, or right to lien under the statutes of Illinois relating to mechanics liens.

Given under MY hand

Fifth day of September

Signature and Seal:

\JOTE: All waivers must be for the full amount paid. If waiver is for a corporation, or

Including extras.

and seal

Jf officer signing waiver should be set forth; if waiver is for a partnership, the pa ship name should be used, partner should sign and fosignate himself as partner. Extras Include but are not limited to change orders, both oral and written to the contract

STATE OF ILLINOIS

:::OUNTY OF DUPAGE

ro WHOM IT MAY CONCERN:

CONTRACTORS AFFIDAVIT

THE undersigned, being duly sworn, deposes and says that she is: ..:J..:.o..:.se"'p..:.h..:.Y..:.a:;;.;n;..:·a ___________________ _

i/ice President of the Superior Road Striping, Inc.

Nho is the contractor for the Pavement Marking work on the

)Uildlng located at _2_0_18_S_tre_e_t_R_e_s_urf_a_c_ln_,,g'-----------------------------------'wned by Village of Itasca

rhat the total amount of the contract Including extras is $11,350. 78 on which he has received payment of

$0.00 prior to this payment. That all waivers are true, correct and genuine and delivered unconditionally and that there is

10 claim either legal or equitable to defeat the validity of said waivers. That the following are the names of all parties who have furnished material

>r labor or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering into the

:onstructlon thereof and the amount due or to become due to each, and that the items mentioned include all labor and material required to

·omplete said work according to plans and specifications·

Contract Amount This Balance

Names What For Price Paid Payment Due )uperior Road Striping Pavement Marking $11,350.78 $0.00 $1 ,006.55 $10,344.23 \II material was taken from fully paid stock and delivered to job site in our trucks.

rhat there are no other contracts for said work outstanding, and that there is nothing due or to become du o any person for material, abor or other work of any kind done or to be done upon or in connection with the said work other than

roTAL LABOR AND MATERIAL TO COMPLETE $11,350.78 $0.00

'hat there are no other contracts for said work outstanding, and there is nothing due or to become due to any per

•ther work of any kind done or to be done upon or in connection with said work other than above stated.

Signed this Fifth day of _s;;;.e;;.:;P;.:;te::..:.m;..:;b:..:e;;..r ---=--+-.....,,....::;;...-.!........,1,.--AA>µ,;.,l-l'l1'u.i=

Signature

>ubscribed and swam to before me this Fifth ~--------------/

STATE OF ILLINOIS

COUNTY OF COOK }ss TO WHOM IT MAY CONCERN:

FINAL WAIVER OF LIEN

WHEREAS the undersigned has been employed by Schroeder Asphalt Services, Inc. -----------''-----------------------~

to furnish storm sewer installation ------------------------------------------------for the premises known as 2018 Street Resurfacing Program

of which Village of Itasca is the owner. __________________ __,..___ ____________________ _ THE undersigned, for and in consideration of Three Thousand Five Hundred Dollars and No Cents ($ 3,500.00 ) 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 on said above-described premises, and the improvements thereon, and on 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 12/20/2018

SIGNATURE AND TITLE

COMPANY NAME

--AQQRESS

\

Galaxy Underground, Inc.

9233 W. Cherry Avenue, Franklin Park, IL 60131

President • Extras Include but are not limited to change orders, both oral and written, tq:_ tract.

STATE OF ILLINOIS

COUNTY OF COOK SS

TO WHOM IT MAY CONCERN:

CONTRACTOR'S AFFIDAVIT

Theundersigned ___________ D_o_m_e_n_i_c_a_R_u~g~g~ie_r_i _______ _ being duly sworn, deposes

and says that he or she is ____ ~p.._re_s_id_e_n_t ______________________________ _

of Galaxy Underground, Inc. who is the

co~rac~r fum~h~g _____ s_to_r_m_s_e_w_e_r_i_n_~_a_l_~_t_~_n ___________________ ~~ on fue b~~~g

located at ______ 2_0_1_8_S_t_re_e_t_R_e_s_u_rf_a_c_in__,g...._P_ro_,g.._r_a_m _______________________ _

ownedby ______ V_i_lla-"'g_e_o_f_lt_a_s_c_a _____________________________ _

That the total amount of the contract including extras* is $ 3,500.00 on which he has received payment of

$ 0.00 prior to this payment. That all waivers are true, correct and genuine 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

materials or labor, or both, for said work and all parties having contracts or sub contracts for specific portions of said work or for material entering Into the construction thereof and the amount due or to become due to each, and that the items mentioned Include all labor and materials required to complete said work according to plans and specifications:

NAME AND ADDRESSES WHAT FOR CONTRACT PRICE

AMOUNT PAID THIS PAYMENT TOTAL DUE INCLDG EXTRAS•

Galaxy Underground, Inc. Labor & Equipment 3,500.00 0.00 3,500.00 0.00

Total Labor And Material Including Extras* To Complete 3,500.00 0.00 3,500.00 0.00

That there are no other contracts for said work outstanding, and that there Is nothing due or to become due to any person for material, labor or other work of any kind done upon

or In connection with said work other than above stated.

DATE 12/20/2018

Subscribed and sworn before me this 20th

Signature:

day of __ J:s_, ·-v.-==o,..;..,~-e_ih_. , _ff_-=_-=_-=--=-~-· 201a

Uul1an Materials Company

127171

FINAL WAIVER

TO ALL WHOM IT MAY CONCERN:

Whereas, The undersigned Vulcan Construction Materials, LLC CENTRAL DIVISION has

been employed by SCHROEDER ASPHALT SERVICES

to furnish STONE for the building - and premises known as

2018 STREET RESURFACING OWNER: VILLAGE OF ITASCA ITASCA, IL

Now, Therefore, the undersigned, for and in consideration of the sum of **Twelve Thousand One Hundred Seventy Five Dollars and Fifty Three Cents** ($12,175 .53) Dollars, and other good and valuable consideration, the receipt whereof is hereby acknowledged, does hereby waive and release any and all lien or claim, or right to lien, under the statutes of the State of Illinois relating to Mechanics' Liens, with respect to and on said above-described premises, and the improvements thereon and on the materials furnished, and on the moneys, funds or other consideration due or to become due from the owner on account of materials heretofore furnished by the undersigned for the above described premises, to or on account of the said SCHROEDER ASPHALT SERVICES.

Witness our hand on this l l TH day of DECEMBER, 2018

SCHROEDER ASPHALT SERVICES

11022 S. GRANT HIGHWAY

MARENGO, IL 60152

VULCAN CONSTRUCTION MATERIALS, LLC CENTRAL DIVISION