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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -Leighton Deck Coatings - Phase 11 <br />PROJECT NO 117-092 FINAL COST $195.05637 <br />CONTRACT SIGNED 12/21/2017 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Repair ioints and cracking within, the top three parking decks at Leighton, Garage. <br />WITNESSETH� <br />The work under the above contract between the City of South, Bond and the undersigned contractor having been completed, <br />the Cit of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />' 0 ly ;5�uch—c;o—ntra)and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />Bend <br />of South Bend I ich were a part otAhe above Contract. <br />RAM Construction Services of Michigan, <br />16th K <br />July 2018 Inc. <br />%I . . .... Company Name <br />,--Sighature r 13800 Eckles Road <br />Robert T. Mazur, President Company Address <br />Printed Name Livonia, MI 48150 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Robert T. Mazur and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 16t day of July 2018 <br />1h, <br />otary Signature My Commission Expires July 29, 2024.__ <br />Nicole M. Seib r <br />Printed Name County of Residence Wayne County <br />If the Contractor is a corporation, the following certificate will be executed, <br />John Mazur certify that I am Secretary of the Corporation executing this release; that <br />Robert -T— Mazur who signed this release on behalf of the contractor was then <br />Presid,6n't A --I' — of said Corporation; that said release was duly signed for and on behalf of said <br />Corpo n by or��fLgovorning body, and is within the s,,p,t?[&6reRrV <br />R G <br />Notary Public, State of Michigan <br />Secretary' ignature County of Wayne <br />My Commisslon Expires 07-291-2024 Corporate Seal <br />.Joh:Ziur Acting in the County of <br />Prinf'ed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fi I proval and we recommend to the Board of Public Works that it be ordained so. <br />Q--A " I? Date: -7 <br />+ f� <br />ons , uc aon Irre, <br />BOAR 9 OF PUBLIC WOR r S APPROVAL <br />,^' <br />Gary A. Gilof,'P resident u2anna V. Fritzberg, KAember <br />Therese J. Do,rau, Member James A. Mueller, Member <br />Date: (V X, <br />Elizabeth A. Maraclik, Member <br />Linda M. Martin, Clerk <br />