Change Order No 2-PCA - Downtown Bridge Striping Project No 117-129 - The Airmarking Co

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CITY OF SOUTH BEND, INDIANA°E BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT" PROJECT NAME Downtown Bridge Stri ipinq Base & Alt.#2 PROJECT NO 117-129 FINAL COST $86,357.15 CONTRACT SIGNED 12/21/2017 _ MAINTENANCE AGREEMENT ENDS Work to be performed shall include equipment to hydro -blast existing striping and multi - component striping of the bridges crossing St. Joseph River and the East Race at LaSalle PROJECT DESCRIPTION Avenue, Colfax Avenue, and Jefferson Boulevard. WITNESSETH: �_...._._._........�...._�� .�...._.__. The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Execrte ris ay of �C�� 201 �S The Airmarkin Co., Inc. Company Name u'ria i 1544 N. SR 25 P.O. Box 526 Company Address Printed Name Rochester, IN 46975 City, State, Zip WITNESSESS: Before meq the undersigned Notary Public in and for said country and state, personally appeared Ec, l._ bL� E and acknowledged his/her signature to the above Project Completion Affidavit on the ST 1� day of 201 % Notary Signature My Commission Expires EtT Printed Name County of Residence F L,log If the Contractor is a cor aoration„ the following certificate will be executed. I, ,E certify that I am Secretary of the Corporation executing this release; that who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authow°it of its governing body, and is within the scope of corporate powers: Secretary's Sign e Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable fo? a pproval and we recommend to the Board of Public Works that it be ordained so. Date: t Construction er BOARD OF PUBLIC WORKS APPROVAL Date: / / V (� Ga A. GiO President �anMi.. �nber Eliza et A. Maradik ry„Member T erese J. D ;rau, ernber James A. Mueller, Member .. Linda M. Martin, Clerk