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CITY OF SOUTH BEND, INDIANA Aj <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Century Center Fire Pump Replacement <br />PROJECT NO 117-038 FINAL COST $50.615.00 <br />CONTRACT SIGNED 12/21/2017 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Installation of new fire and jockey pumps at the Century Center. <br />WITNESSETH: <br />The work Linder 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 tWq 3rd day of August .2018 <br />Mark Manninen , N,ranch Manager <br />Printed Name <br />Corey A Barnes <br />_Najary2j"o Seal State of Indiana <br />St Joseph County <br />My Commission Expires 0812812020 <br />Shambaugh & Son, L.P. <br />Company Name <br />56575 Twin Branch Drive, Suite A <br />Company Address <br />Mishawaka, IN 46545 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and slate, personally appeared <br />Mark Manninen and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 3rd day of August .2018 <br />Not Signature My Commission Expires <br />Printed Name County of Residence <br />If the Contractor is a corporation, the following certificate will be executed. <br />certify that I am Secretary of the Corporation executing this release; that <br />who signed this release on behalf of the contractor was then <br />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 Signature <br />Printed Name <br />Corporate Seal <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for I proval and we recommend to the Board of Public Works that it The ordained so. <br />Date: 3 <br />Construction 4tiger <br />BOAR7DrF P71131-11C WTKS APPROVAL Date: q a <br />Gary A. Gil6t, President Suzanna M. Fritzberg,Member Elizabeth A. Maradik, Member <br />Therese J. Dorau, Member James A. Mueller, Member M. Martin, <br />