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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME 2018 Rum Village Dog Park Construction <br />PROJECT NO 1060-2018 FINAL COST $143, 57,31 <br />CONTRACT SIGNED 6/12/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Installation of a Dog Park at Rum Village Park <br />vvI 111 = 1 ri. <br />#NAME? <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the <br />City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such <br />contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South <br />Bend which were a part of the abo,v✓e1 Contract. <br />Exealisday of "7 i o VP�yyi I� 201� R. Yoder Construction <br />i�� <br />i <br />Company Name <br />ture <br />gna27453 CR 150 <br />Randy Yoder Company Address <br />Printed Name Na an IN 46550 <br />PATRICIA KAY KAYLOR ....� <br />Notary Public- Seal City, Sta ro Zip <br />WITNESS SS: State of Indiana <br />My Commission Expires Nov 20, 2020 <br />t .5.�" day of 201. <br />Notary Signature My Commission Expires November 20, 2020 <br />Patricia Kay K2 for <br />Printed Name County of Residence Elkhart <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Be h Yoder , certify that I am Secretary of the Corporation executing this release; that <br />Randy Yoder who signed this release on behalf of the contractor was then <br />President 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 Sibnature Corporate Seal <br />Beth Yoder <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project 1 . G pt ble for final approval and we recommend to the Board of Public Works that it be ordained so. <br />11X1 Date: <br />12 <br />Construction Manager <br />BOARD OF PUBLIC WORKS APPROVAL Date: ,b/ <br />Gary A. Gilot, President Suzanna M. Fritzberg, Member Elizabeth A. Maradik, Member <br />, <br />James A. Mueller, Member <br />M. Martin, <br />