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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Four Winds Field Landscaping <br />PROJECT NO 1075-2018 FINAL COST $32,955.00 <br />CONTRACT SIGNED Nov. 27th, 2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Landscaping on first and third baselines outside of Four Winds Field. <br />WITNESSETH: <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 above Contract. <br />q, <br />Exe ,tdd this _ day of e,,, 201 Foe le Landscape Inc. <br />Company Name <br />o'iature � 52215 N. Lilac Rd. <br />a 'L t I fttitt Company Address <br />P Int :d Name South Bend, IN 46628 <br />City, State, Zip <br />W:TNESSESS: <br />the day of , 201 9 <br />_...m.. <br />Not, &&mature My Commission Expires <br />Us,4 M 140M )Ni u IK <br />Printed Name County of Residence <br />If the Conn actor, is a <br />�I <br />Baas <br />-, <br />the following certificate will be executed. <br />certify that I am Secretary of the Corporation executing this release; that <br />....................... µµµ_, _ 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 />LL,N__ <br />wemii g body„ gad is within the scope of corporate powers:: <br />_ Corporate Seal <br />Printed Wnie "h <br />DEPA TMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so... <br />Date: <br />Construction Manager <br />Gary A. Gil", resident <br />Therese J. C drau, Merfr6er <br />BOARD OF PUBLIC WORKS APPROVAL <br />Genevieve Miller, Member <br />Laura O'Sullivan. Member <br />Date: ,41 3 --.� <br />Meth A. Maradik, Member <br />nda M. Martin, Clerk <br />(ZAI-6ZOA, , <br />