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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />w <br />PROJECT NAME -Fire Station #9 Demolitions <br />PROJECT NO 117-088 FINAL COST $96,500.00 <br />CONTRACT SIGNED 11/28/2017 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Complete the demolition of five houses within the Citv of South Bend. <br />WITNESSETH: <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 t 2nd day R&R Excavatino, Inc. <br />y/ February 201 8 Company Name <br />Z <br />Signa e 705 S. Beiger Street <br />Frank Wruble Company Address <br />Printed Name <br />Mishawaka , IN 46544 <br />City, State, Zip <br />WITNESSES& <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Frank Wruble , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 2nd day of February 201 8 <br />Notary Signature My Commission Expires 9/28/2024 <br />Rebecca S. Blackston <br />Printed Name County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />William Loudin certify that I am Secretary of the Corporation executing this release; that <br />Frank Wruble who signed this release on behalf of the contractor was then <br />Project Manager of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation byAuthority of' goner . g body, and is within the scope of corporate powers: <br />Secretary's Signature <br />William Loudin <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This project is acceptable f fil I approval and we recommend to the Board of Public Works that it be ordained so, <br />Date: <br />Constructlon&ager <br />Vk A BOARD OF PUB,iIC WORKS APPROVAL ky 11 Suza na <br />Gary A. G�ilot, President WPri6bei-g, Member <br />Therese J. Doifau, Member James A. Mueller, Member <br />Date: <br />.4--.- <br />r1zaI5-eth A. Maradik, Member <br />I'L(Ma M. Martin, Clerk <br />