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�,MYf 1Yk 7R <br />CITY OF SOUTH BEND, INDIANA ft, <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT' <br />PROJECT NAME Bowman Creek Improvements <br />PROJECT NO 118-017 FINAL COST $98,240.00 <br />CONTRACT SIGNED 6/12/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Replacement and cleaning of various culvert entrances on Bowman Creek. <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 the above Contract. <br />Exeoute r"s day off 201 <br />Signature <br />Robert Kuhns, Project Engineer <br />Printed Name <br />Sel a Construction Co. inc. <br />Company Name <br />2833 S 11 th St <br />Company Address <br />Niles MI49120 <br />City, State, Zip <br />WITNESSESS: <br />Before rne, the undersigned Notary Public in and for said country and state, personally appeared <br />Robert.Kuhns z and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 10t-hday f.,_�TaI1L7�L�7 201 9 rrrr�rrxa����* <br />`- CJ. <br />Not <br />*, <br />ary Igndture My Commission Expires ai 2 2020. <br />y M PUB SIC <br />W <br />Pri ted Name icki A.Pr1eSt Count of Residence Berrien <br />t SION <br />' If the Contractor s a �e corporation, ccorporation, the following certificate <br />7.25-2020 <br />I am Secretary of the Corporation executing this rel <br />__ <br />Robert Kubnswho signed this release on behalf of the contractor was theIN .....' <br />ineev of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by A orky of its governing body, and is within the scope of corporate powers: <br />Secretary"s ignature Corporate Seal <br />Vi ki A Priest <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for f` al approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: t <br />Construction tiger <br />Gary A. Gilot, President <br />Therese J. Dotau, Member <br />BOARD OF PUBLIC WORKS APPROVAL <br />Suza <br />Me <br />Date: I C 7 <br />eth A. Mar°adik, Member <br />M. Martin, Clerk <br />