Laserfiche WebLink
�},7bTXX <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />VPA MAINTENANCE STORAGE BUILDING [(BASE BID PLUS ALT.# 1, 2, & 3)(ALT.#1 = <br />PROJECT NAME UNIT PRICE $4 42.1 X3 <br />PROJECT NO 118-046R FINAL COST $388 98 .00 <br />CONTRACT SIGNED 9/11/2018 MAINTENANCE AGREEMENT ENDS <br />Build a new storage building to the west of the existing storage building at the VPA Facilities <br />PROJECT DESCRIPTION and Grounds Headouarters, <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 S d which were a part of the above Contract. <br />, 2019 The Robert Hen Corporation <br />Ex d is th day of June Company Name <br />rgnat re 404 S. Frances Street <br />Ste h n R. HenryCompany Address <br />Printed Name South Bend IN 46617 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and s <br />Stephen R. Henry , and acknowledged his/her signature to the ab <br />a e 6th � y __, 2019 <br />r 1 <br />Notary Signatur My Commission Ex i <br />E, <br />Printed Name County of Residence <br />If the Contractor is a corporation, the following certificate will be executed <br />0 ct U*8W i6 Al lavi YLE <br />' Notary Public <br />11 <br />SE q�� St,,Joseph County, State of Indian <br />I, igho 1. Hemy certify that I am Secretary of the Corporation executing this release; that <br />St hen R. Hen who signed this release on behalf of the contractor was then <br />President of said Corporation; that said release was duly signed for and on behalf of said <br />Cor�p Z11 governing body, and is within the scope of corporate powers: <br />SoeretOls Signature <br />Corporate Seal <br />John T. Hen <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fi I approval and we recommend to the Board of Public Works that it be ordained so. <br />u Date: <br />q- <br />Constructior<gYager <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />ary A. Gilot, President Genevieve E. Miller, Member Eliziath A. Malradika Member <br />r <br />Therese J Ddfeb. limber Laura O'Sullivan, Member Linda M. Martin, Clerk <br />