Project Completion Affidavit - Century Center Mezzanine Project No 118-036R - R Yoder Construction Inc

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��wads Md p CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT " PROJECT NAME Centu Center Storage Mezzanine PROJECT NO 118-036E FINAL COST $104,243.52 CONTRACT SIGNED 2/12/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Construction of stora a mezzanine at Centu Center 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. cuted d o �j� 201R. Yoder Construction„ Inc. Company Name Signature 27453 County Road 150 1,/m Wt,,0 ,, - _ - _ _ _ - _ . _ Company Address Printed Name Notary PuNfr stale of I64ana Nappanee, IN 46550 lkha d .Crum 4 mirftsi n #1 NP012,0458 City, State, Zip My Ccrnmissfort Expires WITNESSESS: a"tar Before me the undersigned Notary Public in and for said country and state, personally appeared , and acknowledged his/her signature to the above Project Completion Affidavit on the � � day of 3-uy\-e- 12019 Notary Signature My Commission Expires 5-' J Printed Name County of Residence eiti-har+ If the Contractor is a corporation, the following certificate will be executed. I, certify that I am Secretary of the Corporation executing this release; that tivI t. ti r who signed this release on behalf of the contractor was then of said Corporation; that said release was duly signed for and on behalf of said C Upoal,,n by tl rity of its governing body, and is within the scope of corporate powers: Secretary's ignat rre Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for fir V approval and we recommend to the Board of Public Works that it be ordained so. Date: �Construrtio ti, roger BOARD OF PUBLIC WORKS APPROVAL Date„ AJ&Ln mi Jtt tiL "I Gary A. Gilot, P esident Genevieve E. Miller, Member Elizabeth A, Maradik„ Member Therese J. OoraU, Member Laura O'Sullivan, Member inda M. Martin, Jerk