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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME 2017 Curb and Sidewalk Div, A <br />PROJECT NO 117-008 FINAL COST $111,620.00 <br />CONTRACT SIGNED 5/23/2017 MAINTENANCE AGREEMENT ENDS <br />Removal and replacement of concrete sidewalk, concrete curb, ADA compflant concrete curb <br />PROJECT DESCRIPTION -ramps, and concrete approaches. <br />WITNESSETH: <br />The work under the v contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South)24nd, - s officials d agents are hereby released from all claims and demands whatsoever arising under or <br />officials <br />by such contr el and at the co ractor performed the work.within the scope of the Specifications and Standards of the City <br />I w al 0 <br />of South R d under <br />were a pa of the above Conte <br />this <br />th f J , <br />Exe t ��this av f January .20118 Walsh & Kelly, Inc. <br />Company Name <br />zlj <br />Si atKti <br />"e 24358 SR 23 <br />r <br />Company Address <br />Dustin Hilary, South Bend Area Manager 1� A <br />Priked Name Z South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />BNore. mkL <br />.1he undersigned Notary Public in and f6( , te, personally aid ount d appeared <br />stin ary and acknowledged his/her si , , ompletion Affidavit on <br />the L11 KRUEG R <br />I I th � 0 Jani 2018 ,, YI( P& <br />ay <br />Nolay Public„ State of Indian, <br />AA <br />SI-; = EA S1, Joseph CoUntV <br />.)n Expires <br />am sst� June 5, 2022 <br />Notary'Sitfh�ture son p,,r2622 <br />U <br />Alisha Krueger <br />Printed Name County of Residence St. Joseph <br />If theyogrractor is a corporation, the foflowing certificate will be executed. <br />I Lchael Schaium certify that I am Secretary of the Corporation executing this release; that <br />Dustin ftlm- <br />y who signed this release on behalf of the contractor was then <br />Sou th-Bimil Area Mawger of said Corporation; that said release was duly signed for and on M0169fsaid <br />�% 00e <br />ra kuthority f i?- verning body, and is within the scope of corporate powers: <br />1(rpo 14 <br />lonty <br />Secret. g(y' 'signature' J <br />S ()9dPW4ie Veal'. <br />J. Achael Schaum <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />" .......... <br />This project is, acceptable ') for fi I approval and we recommend to the Board of Public Works that it be &Opinenqp <br />­SJ,�010 Date: I . 2 . I <br />Construction ger BOA OF PUBLIC WORKS APPROVAL Da 0 <br />7X 77 A '1111,4 <br />Gary A. Gilcii, President Suza6`11'eVlvl. Fitzbd'rg,- Veo ber Elizabeth A I aradik, Member , <br />Therese J. Dorauy, , Memb'er James A. Mueller, Member M. Martin, Clerk <br />