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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Hibberd Plaza Im rovements Base Bid and Alternates 3, 4, & 9 <br />PROJECT NO 117-063R FINAL COST $479,998.27 <br />CONTRACT SIGNED 3/13/2018 MAINTENANCE AGREEMENT ENDS <br />......... ..._._........ _..._ <br />PROJECT DESCRIPTION <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 South Bend which were a part of <br />the above Contract. <br />Executed this q, any of f✓�� �� , 201 V' R. Yoder Construction, Inc. <br />tL Company Name <br />Signature f P.O. Box 69 <br />Company Address <br />Printed Name Nappanee, IN 46550 <br />City, State, Zip <br />WITNESSESS: <br />Be re me, the underst ned Notary Public in and for said country and state, personally appeared <br />t, 'and acknowledged his/her signature to the above Project Completion Affidavit on <br />day of etP 201 g <br />ary Signature My Commission Expires <br />Printed Name County of Residence f <br />If the executed. <br />g who sin ry the Corp executing this release; that <br />Motor is corporation,the following certificate <br />am Secretary ns f�execu� t I, to of oration <br />.... 9,µ ,lh bpiplof,t k?p,tf s hen <br />Corporation b Authority governing of said Corporation; psaid rel . s rl � t for and or behalf of said <br />p y rit of its overnin body, and is within the o �e of corp"' 9 " p ° <br />��ta:�y rdl, ,eai <br />State of Indiana <br />rye ignalure My Commission Expires Nov 20. 2020 <br />Secretary's Corporate Seal <br />A120—' <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for 'n pproval and we recommend to the Board of Public Works that it be ordained so. <br />_ Date: <br />p Construction er <br />d <br />N ��✓✓. <br />BOARD OF PUBLIC WORKS APPROVAL Date: � .. P� 9 <br />.,w <br />w <br />A I <br />Gary A. Gilot, President Suz,ofia M. I rikz . r, Member Elizabeth A, Maradik, Member <br />Therese J. Dorau, Memb <br />er <br />J*H-Ar—Mvetter, Member <br />e'" <br />"Ur a,l)e 'a"". " 1kvQA <br />M. Martin, <br />r <br />