Project Completion Affidavit - Bendix Theater Lift at Century Center Project No 118-036C - Brown & Brown

Home Browse Search

LO roo N M C') t U (D co N 9 �dQU)X a ZuJ�w �5Cl) aC O 7 J n m E t E ccU CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS " f PROJECT COMPLETION AFFIDAVIT PROJECT NAME Bendix Theater Lift at Century Center PROJECT NO 118-036C FINAL COST 82,679.58 CONTRACT SIGNED 2/1212019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Install ADA com fiant lift in Bendix Theater at Centta Center WITNESSETH: _ �.Mm.�. 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 k IT j ay of August 201 .�. Sign'atur Eric Brown .......... Printed Name Brown and Brown General Contractors, Inc Company..Name--.m._............ .......... 124 S Elkhart St. Company Address Wakarusa, IN.46573 y State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Eric Brown _ a and acknowledged his/her signature to the above Project Completion Affidavit on the 7th day of Au ust , 201 9 Notary Signature Todd A. Marek Printed Name My Commission Expires 4/3/2025 County of Residence Marshall Co., Indiana ..... > If the Contractor is a corporation, the following certificate will be executed. I, Hannah M. Aitken certify that I am Secretary of the Corporation executing this release; that b Eric Brown mm mITmmmm ..__ who signed this release on behalf of the contractor was then _ President _ of said Corporation; that said release was duly signed for and on behalf of said Cor ration by • uthority of its governing body, and is within the scope of corporate powers Seretarv's Signature Hannah M. Aitken Printed Name Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for fM al approval and we recommend to the Board of Public Works that it be ordained so. ......_ Date: • 1 . 1' Construction e ' gr WARD OF PUBLIC WORKS APPROVAL Date: 0" �� . 6 ary A. GINot, President Genevieve E. Miller, Member Elizabeth A. taradik, Member Therese J, au, Me �ber�� Laura O'Sullivan, Im nda M. Martin,