Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -Century Center Masonry Restoration: Phase III <br />PROJECT NO 117-037 FINAL COST $170,454.00 <br />CONTRACT SIGNED 6/27/2017 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Rework deteriorated masonry areas and clean tarnished areas at the Century Center. <br />WITN'ESSETH: <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 this 21st day of December .2017 Ziolkowski Construction Inc. <br />Company Name <br />e <br />SigAature 4050 Ralph Jones Drive <br />Bi,11--Favors, President 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 a d <br />Rj 1 1 tiasrnr and acknowledged his/her s,ignat re to the SAMSF BACNCompletion A 'davit on <br />1H <br />the 21st day of Decembg-r—,2017 Notary Public- Seal <br />State of Indiana <br />commission comission Expire,�, Mar 1, H2O <br />Signature my Jrw­ ]2n <br />Shannon Reidenbach <br />Printed Name <br />County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />... .. . .............Chap lec! T.ow4c2 certify that I am Secretary of the Corporation executing this release; that <br />B 1- 11 TR A. 17 0 r S who signed this release on Ibehalf of the contractor was then <br />Presi-d-ent I'll of said Corporation; that said release was duly signed for and on behalf of said <br />qprp?ratio,n by Authority of its J verning body, and is within the scope of corporate powers: <br />Secretary's Si'gnature Corporate Seal <br />Charles Lewis <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable to fir I approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />Constructio��)fl�-ger <br />,BOARD t3F PUBLIC WORKS APPROVAL Date: <br />Gary A. Gilot, President Suzanna M. Fritzberg, Member Efiia15eth A. Maradik, Member <br />Therese J. D6Kau, M6mber James A. Mueller, Member <br />IJ96a M. Martin, Cle�k <br />