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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />ogsounr bBN <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT ass <br />2016 Traffic Calming Solar Speed Indicators <br />116-035 FINAL COST $27,312.00 <br />12/13/2016 MAINTENANCE AGREEMENT ENDS <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above Contract. <br />Executed 'a 1y'h ay of V-Uir Li 201-1 Martell Electric, LLC <br />Company Name <br />Signatu 4601 Cleveland <br />Company Address <br />Printed Name South Bend, IN 46628 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, p I ec <br />r%r�nf,�eP' A'OuJ/J , and acknowledged his/her signature to the above Pro j cL,,gN jetion p,R�y' AVDWIN.. <br />Notary PuIft. State of Indiana <br />the day of me 201-7 p1""" <br />1� y :k;_�_ St Joseph County <br />�n^ _ - -� Ip� LL : SEAS ,; Commission M 663664 <br />1 I-JW- (— ��q�MpuN s`�: My Commission Expires <br />Notary Signature My Commission Expires <br />bruary 28, 2023 <br />JR&WA5AJ.Du1i Q <br />Printed Name County of Residence &r ::r�VA <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, certify that I am Secretary of the Corporation executing this release; that <br />who signed this release on behalf of the contractor was then <br />of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This p�acceptable r al approval and we recommend to the Board of Public Works that it be ordained so. <br />\.,// Date: 3 • 2 I ' 1 `I <br />Constructi C <br />nager <br />BOARD OF PUBLIC WORKS APPROVAL Date: 8` ? ( i <br />Gary A. Gil t, President Suzanna M. Fritzberg, Member Elizabeth A Maradik, Member <br />Therese J. Dora , Member <br />