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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -Newman Center Site Development, Division B and C <br />PROJECT NO 117-06OR FINAL COST $215,1201.70 <br />CONTRACT SIGNED 8/21/2017 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION ROW Work along Sample, Eddy, and Boyer <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 />Execute dj4k 19thl9k 't,, F 05;X, N, HRP Construction Inc. <br />_,a V 0 7MI <br />Company Name <br />Signature 5777 Cleveland Road, P.O. Box 266 <br />Matthew D. Cain, President Company Address <br />Printod'Name <br />South Bend, IN. 46624 <br />City, State, Zip <br />WlTNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />M , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 1 9th day of February 201 8 <br />Notary Signiture My Commission Expires 3/06/24 <br />Cindy Vanheste <br />Printed Name County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, Nancy Knap ik certify that I am Secretary of the Corporation executing this release; that <br />Matthew D. Cain who signed this release on behalf of the contractor was then <br />President 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 Signifturt Corporate Seal <br />Nancy Knapik <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable forfin _0approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />CL4 <br />Construction Mahager <br />Gary A. Gilot, President <br />Therese J. Dorau, Member <br />BOARD OF PUBLIC WORKS APPROVAL <br />Suzanne M,-Ixoiaefg, mvwr <br />14 ( <br />A. Mueller, Member <br />Date: A 5�1131do& <br />V ii <br />X <br />F­ <br />­77., 1r17M- el radik, Member <br />M. Martin, Clerk <br />