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LO <br />cc <br />N i <br />ri re <br />C = I <br />� ¢ u <br />Y U di <br />?L <br />Q Z W W <br />o CAo <br />F-Z 8 <br />01 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS` <br />PROJECT COMPLETION AFFIDAVIT' <br />mOffice Improvements <br />PROJECT NAME Code Enforcement ITITITm .. _...___ .... <br />PROJECT NO, N/A FINAL COST $8,894 _........w <br />CONTRACT SIGNED 2/12/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION J x ansionmof the Inspector area in Code Enforcement office. <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having <br />been completed, the City of South Bend, its officials and agents are hereby released from all claims and <br />demands whatsoever arising under or by such contract, and that the contractor performed the work within the <br />scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. <br />t._m June 2019 <br />��,ct�tcc ��s o _, � <br />, <br />SignatL <br />Eric Brown, President <br />Printed Name <br />c <br />WITNESSES <br />Brown & Brown General Contractors, Inc. <br />Company Name <br />124 S Elkhart St <br />............... <br />Company Address <br />Wakarusa, IN 46573-0487 <br />City/State/Zip <br />Before me, the undersigned Notary Public in and for said country and state, personally <br />appeared Eric Brown , and acknowledged his/her signature to the above Project Completion <br />Affidavitdavviit on the 28th day of t111 _._._. , 201 9 <br />id <br />Notary Signature <br />Todd A. Marek <br />My Commission Expires 4/3/2025 <br />Printed Name County of Residence Marshall Co., IN <br />f the Contractor is a corporation, the following certificate will be executed. <br />I, Hannah M. Aitken ..................... certify that I am Secretary of the Corporation executing this release; that <br />Eric Brown 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 />I <br />f,orp, ration by Aud �rity of its governing body, and is within the scope of corporate powers: <br />Secretta°y's Sigmatwbre <br />Hannah M. Aitken Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be <br />ordained so. <br />Date: <br />Construct` "llanager <br />BOARD OF PUBLIC W I "S A <br />Q A. Gr p �I lent <br />M <br />�;L�'um L. O'Sul i`v n, 'herese J <br />PPROVAL Date: <br />Gencv�ve E. Miller„ Member Elizabeth A. Maradik, Member <br />