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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Ironwood Drive Pavement Rehabilitation and Intersection BaseBid & Alternates A & B <br />PROJECT NO 117-071A FINAL COST $1 340 181.08 <br />CONTRACT SIGNED 3/13/2018 MAINTENANCE AGREEMENT ENDS <br />Reconstruction of concrete pavement along Ironwood Drive at Edison Road and resurfacing <br />PROJECT DESCRIPTION asphalt pavement south of S.R. 23 and between E. Rockne Drive and Edison Road, <br />WITNESSETH <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 crated tLs:,,day South Bend which were a part of the above Contract. <br />o of _ 0��-YL�O�-i y 201 � C & E Excavatin ,Inc. <br />a a,� Company Name <br />big Lure C. 53767 CountyRoad 9 <br />4 ti ASS Cc rD Sr?L • Company Address <br />Printed Nanie Elkhart, IN 46514 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />u✓ a ,, and acknowledged his/her signature to the above Project Completion Affidavit on <br />rLi'll- of �� 20115 <br />otary Sig ur My Commission Expires <br />Printed Nam <br />e County of Residencejl(/� <br />If the Contractor Is a c rporation, the following certificate will be executed. <br />�. vt�"" 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 />Cor oration by Authority of its gove rang body, and is within the scope of corpor <br />CRISTOL MELODY VALDEZ <br />Notary Public. State of Indiana <br />acre ryes i'gn ture"SEAL �r" Elkhart County <br />�� �', . Commission #G9g90Bate eal <br />t o p 4` My Commission Expires <br />Printed Name '��rdarrwro� February 20, 2025 <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fi l approval and we recommend to the Board of Public Works that it be ordained so. <br />�" Mom. Date: <br />Constl`uction tiger <br />Gary A. Gilot, President <br />BOARD OF PUBLIC WORKS APPROVAL Date: 0 ! V <br />uza I i ember Elizabe4Aaradik, Member <br />AIIJUk'A <br />Therese J. V6rau,Member James A. Mueller, Member t"t da M. Martin, Clerk <br />