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CITY OF SOUTH BEND, INDIANA W <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -Leighton Parking Garage Entrance Repair <br />PROJECT NO 118-038 FINAL COST $28,025.00 <br />CONTRACT SIGNED 5/2212018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Remove and replace storm runoff drain. <br />WlTNESSETH: <br />The work under the above contract between the City of South Bond and the undersigned contractor having been completed, <br />the City of South Bend.149, officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract,,apd2tAt the con actor performed the work within the scope of the Specifications and Standards of the City <br />i, c of <br />of South Bend w ch re of the above Contract. <br />71" , 4 SePte Executed thi "a ��f -PbOf' 2018 Walsh & Kelly Inc. <br />Company Name <br />24358 State Road 23 <br />Company Address <br />Name South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS�: <br />Before me the undersigned Notary Public In and for said country and state, personally appeared <br />Dustin' Hilary and acknowledged his/her signature to the above Project Completion Affidavit on <br />the <br />nature <br />Alisha Kru <br />Printed Name <br />201 8 <br />7 7L—SH—A KRUEGER <br />Notary <br />'Public,State of Indiana <br />EAL'i <br />st, J05 eph County <br />Mymi"iowliwpExpires <br />June 05.. 20,22- <br />June 5, 2022 <br />County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />�i, J. Wchael ScMum certify that I am Secretary of the Corporation executing this <br />Dimin fh I= who signed this release on behalf of the contractor <br />YP of Soi±h..A--ud Are" of said Corporation; that said release was duly signed for an,ftq,,�vhdf tit 1�� <br />Corporation b Au i of its I Zni body, and is within the scope of corporate powers: c. <br />Secretary's ature J! Michael Sdiaum <br />p <br />1W <br />16 <br />J. chaum <br />ial <br />Sitc <br />Printed Name <br />1tviv\10 <br />DEPARTMENT OF PUBLIC WORKS APPROVAL 010�§ J'go <br />This project is acceptable for fir I approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />Constructione,v g r <br />Gary A. GildIr, President <br />BOARD JOPUBLIC WORKS APPROVAL <br />Am�,4 <br />'�tffanna M. Fritzberg, Krembdr <br />Therese J. Dorau, Member James A. Mueller, Member <br />Date: ✓0 A <br />Elizabeth A. Maradik, Member <br />"LWa M. Martin, Clerk <br />