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ykrz6,iN ar� A� <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS 1 <br />PROJECT COMPLETION AFFIDAVIT� <br />PROJECT NAME Two -Way Conversion of Colfax Avenue <br />PROJECT NO 115-053A FINAL COST $547,774.39 <br />CONTRACT SIGNED 5/22/2018 MAINTENANCE AGREEMENT ENDS <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 whnch were a part of the above Contract. <br />Executed this aV d of. 201 Rieth-Rdey Construction Co., Inc. <br />Company Name <br />Sign 25200 State Road 23 <br />.. � 1 ��, r Company Address <br />Printed Name South Bend, Indiana„ 46614 <br />City, State, Zip <br />WITNESSESS: <br />B fore rne, the !n rssgned Notary Public in and for said country and state, personally appeared <br />rad.acknowledged his/her signature to the above Project Completion Affidavit on <br />the ax 201�_. <br />Notar Signature My Commission Expires Jr1o� aa a <br />Printed Name h ` County of Residence 1 <br />_)SeA_ <br />If the Catraotoa a corp �r tion, the following certificate will be exe uled. <br />I, 0 + � certify that I ar r tary of the Corporation executing this release; that <br />Jq 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 />Corporation by Auth tty of its governing body, and is within the sco a of corporate powers: <br />SUE ANNE CIIt11 <br />Secretary's natu Soal Corporate Seas <br />a Pk Notary Public • Co of Indlen� <br />St Joseph County <br />Printed Gne [----My COTTIeeJom Explre>t Olot 22, 2022 <br />DEPARTMENT OF PUBLIC <br />This project is acceptable or' <br />pp approval and we recommend to the Board of Public Works that it be ordained so. <br />p J p N I <br />a ro Date: <br />Constructs "rlager <br />j <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />Gary A. Gilot,'""President GeAvieveE._Miff r ember ElisabeA3`radik,ember <br />Therese J. Dorau, Member /_aura O'Sullivan,, Member Lich M. Martin, Clerk <br />