Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME <br />-Newman Center Window and Door Repair <br />PROJECT NO <br />117-001 FINAL COST $130,600.00 <br />CONTRACT SIGNED <br />3/28/2017 MAINTENANCE AGREEMENT ENDS <br />Rremove existing exterior windows and doors from the building exterior and <br />installing new <br />PROJECT DESCRIPTION <br />storefront windows, storefront doors, and insulated metal doors. <br />LN19 1111111110 1 *S1*8111 M.1 <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 hs Y111 day of "'Y"gea)z ivq 201 J.W. Werntz & Son, Inc. <br />MJA�z Company Name <br />Signature 1002 Kerr Street <br />&V12 Company Address <br />Printed Name South Bend, IN 46601 <br />City, State, Zip <br />WITNESSES& <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Ae0Wc/r' A)Lfdid Lff, and acknowledged his/her signature to the above Project Completion Affidavit on <br />the e,7i day of ZJV01) q 1/ 201 �' <br />Notary, itfriature My Commission Expires <br />County of Residence <br />Printed Ndme 5 , <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, )0jJTNj (° A' AA4dA1'7-k _, certify that I am Secretary of the Corporation, executing this release; that <br />1'47-AFIA' who signed this release on behalf of the contractor was then <br />-Aiix)cl-e- ive of said Corporation; that said release was duly signed for and on behalf of said <br />Corpor by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature Corporate Seal <br />A j7 (- <br />--Z <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable fo final approval and we recommend to the Board of Public Works that it be ordained so, <br />Date: <br />Constructiop 'ItFriager <br />BOARD OF PUBLIC WORKS APPROVAL, Date: ld,31), <br />Gary A, Gilot, President Suzanna M,, Fritzberg, Member Eliza`Hlh A Viradik-, Member <br />11 <br />Therese J. VbKu, Member <br />James A. Mueller, Member <br />M, Martin, Clerk <br />