Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA� <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT� <br />PROJECT NAME McKinel Avenue and Fremont Park Im rovements Division B <br />- , , .._��..P_ w „ ._. ..... .___w <br />PROJECT NO 118-072 FINAL COST $245,920.00 <br />CONTRACT SIGNED 12/10/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Curb replacement, sidewalk installation and 2avernent resurfacing at Fremont Park. <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, a d that the contractor performed the work within the scope of the Specifications and Standards of the City <br />Be! of South 5 were a part of the above Contract. <br />Executed thi "Alb ay of/ toWalsh & Kell�lnp <br />mpany Name <br />Sign 24358 State Road 23 <br />Company Address <br />0 Hilt <br />VP of South t' Arne........... <br />Tinted Name South Bend, IN 46614 <br />City State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state„, personally appeared <br />Dustin Hilary , and acknowledged his/her signature to the above Project Completion. Affidavit on <br />the 2&tb I 4ay of i jung,,_, 201„ <br />u�y�v";�����ALISHA I<RUEGER <br />l Notary Public, State of Rndi na <br />sa. Joseph phCoumy <br />Notary nature o�ires"s <br />`` June 0b, 202 2 <br />All usaer <br />Printed Name County of Residence $t. Joseph <br />If the Contractor is a corporation, the following certificate will be executed.�� <br />Iw . Dustin Hue of said Corporation; that said release was ui signed for c oh t Ifl that <br />r m� <br />J� c�ae� aum m o signed n d this release on behalf of the contractor � I p ( <br />y g q � nko <br />C rs " in Auth I y f • governing body, and is within the scope of corporate powers:Rl RATc <br />Secr ary"s Signature <br />�t1.ro 7rila,Seel <br />t <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL �' <br />This project is acce table r a pproval and we recommend to the Board of Public Works that it be ordain �s'or iJ i r mf g "I <br />Date: —75 19 <br />Constructio ger <br />OARD OF PUBLIC WORKS APPROVAL *zah <br />e-5c"Giloi <br />�_� ,,,�.�-�sident Gene teve E. Miller, bar radik, Member <br />Therese J orau, ember aura O'Sullivan, ber 4LIda M. Martin, Clerk <br />