Project Completion Affidavit - Century Center Lower Level Restroom Remodel Project No 118-082A - Brown and Brown

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CONSENT OF SURETY COMPANY TO FINAL PAYMENT ALA DOCMIENT G 70 7 OWNER ARCHITECT CONTRACTOR SURETY OTHER PROJECT: Bond Number: PB02026900035 (name, address) Century Center Lower Level Restroom Remodel; Project No. 118-082A TO (Owner) City of South Bend Board of Public Works ARCHITECT'S PROJECT NO: County -City Building Room 1316 CONTRACT FOR: South Bend, IN 46601 CONTRACT DATE: 12/11/2018 CONTRACTOR Brown & Brown General Contractors, Inc., P. O. Box 487, Wakarusa, IN 46573-0487 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Philadelphia Indemnity Insurance Company Bala Cynwyd, PA on bond of (here insert name and address of Contractor) Brown & Brown General Contractors, Inc. P. O. Box 487 Wakarusa, IN 46573-0487 ,SURETY COMPANY, ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of South Bend Board of Public Works County -City Building Room 1316 South Bend, IN 46601 as set forth in the said Surety Company's bond IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 7th Attest: CIO::, (Seal): S-4869 day of August 12019 Philadelphia Indemnity.Insurance Company Surety Company l ,, Title ,OWNER, Signature of Authorized Representative Jennifer L. Kasmia NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CON TRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition A IA DOCUMENT G707, CONSENT OF SURETY COMPANY TO FINAL PAYMENT, APRIL 1970 EDITION I AIAS ONE PAGE C 1970, THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C, 20006