Change Order No 1 & PCA - Fat Daddys Building Demolition Proj No 118-066 - R&R Excavating

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CITY OF SOUTH BEND, INDIANA s . BOARD OF PUBLIC WORKS ^' PROJECT COMPLETION AFFIDAVIT ` PROJECT NAME Fat Daddy's Building Demolition Base Bid Plus Alt. 1 & 3 PROJECT NO 118-066 FINAL COST $504,000.00 .......... W CONTRACT SIGNED 12/11/2018 MAINTENANCE AGREEMENT ENDS Complete asbestos abatement, building demolition, site clearing, restoration and sidewalk replacement according to the intent of the plans and specifications at the former Fat Daddy's PROJECT DESCRIPTION Buildin . WITNESSETH: The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Executed this 6th day ofJ11ne 019 R&R Excavating, Inc. Company Name Signature a 705 S. Bei ,er Street Robert P. Loudin, Jr. Company Address Printed Name Mishawaka, IN 46544 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Robert P. Loudin, and acknowledged his/her signature to the above Project Completion Affidavit on r. he 6th day of June 201 9 " " Not .._.. _..._.__ . ry gnature aM�a REB�(-A L9/28/2024 Rebecca S. Blackston °'``' ;votarstate or;ra;r, �.....___.. �.�{�_�� St. Joseph Printed Name ` i' iFWftence a� xpioas If the Contractor is a corporation, the i gj"r3*t5t ttfic Q ftW jt fCta �24. I, William Loudin a Corporation executing this release; that Robert P . Loudin Jr. who signed this release on behalf of the contractor was then Operations an, ' er of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers'; Secretary's Signature Corporate Seal William Loudin .. ..... ................ - - ................... . Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable fr f a;l approval and we recommend to the Board of Public Works that it be ordained so. Date: ® t Qi_. Construction.. ger BOARD OF PUBLIC WORKS APPROVAL Date. IG> .'•d .. Gary A„ Gilot, President Genevieve E. Miller, Member Elizabeth A. Maradik, Member ' erese J. Dor e I°er Laura O'Sullivan, Member L;t da M. Martin, Clerk