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CITY 0 <br />BOA <br />PROJECT <br />PROJECT NAME <br />PROJECT NO. <br />CONTRACT SIGNED September 13, 2016 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION FLIR Camera Installation <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having <br />been completed, the City of South Bend, its officials and agents are hereby released from all claims and <br />demands whatsoever arising under or by such contract, and that the contractor performed the work within the <br />scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. <br />Executedthis 6th dayof January 20 17 <br />Q1 �1 6�) <br />Signature <br />David J. Delp <br />Printed Name <br />Michiana Contracting, Inc. <br />Company Name <br />P.O. Box 929 <br />Company Address <br />Plymouth, In. 46563 <br />City/State/Zip <br />WITNESSES <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />David J . D e 1 p, and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 5t _Aday of n u r y t , 201 7 <br />My Commission Expires March 27, 2022 <br />Name County of Residence m a r sh a l l <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Pamela S. Delp , certify that I am Secretary of the Corporation executing this release; that <br />- David J . Yt e 1 p — who signed this release on behalf of the contractor was then <br />Vice —President of said Corporation; that said release was duly signed for and on behalf of said <br />Co, tioAuthority <br />on . �governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Pamela S. Delp Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be <br />ordained so. nn <br />V l/. Date: S 17 <br />Construct n anager <br />BOARD OF PUBLIC WORKS APPROV L Date: <br />t,2 <br />Gary A. Gilot, President Suzanna . Fritzberg, e r <br />Ja s A. Mueller, Member Therese�ber, <br />Elizabeth A. Maradik, Member <br />M. Martiri, <br />GiJt.E.c.,L-- <br />