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sivra q 4 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS ; <br />PROJECT COMPLETION AFFIDAVIT" <br />PROJECT NAME Civic Alleyway Repaving <br />PROJECT NO 118-110 FINAL COST $54,047.51 <br />CONTRACT SIGNED 12/20/2018 MAINTENANCE AGREEMENT ENDS <br />Mill and resurface asphalt alley, west of the South Bend Civic Theatre and Scottish Rite, from <br />PROJECT DESCRIPTION Madison St, north to Marion St. <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 thp contr�ctor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which wve1part, rf'tI above Contract. <br />Executed this -201v day',f 2019 Walsh & Kelly, Inc. <br />I've�..•�� Company Name <br />Signatb <br />Name <br />VP of South Bend Area <br />24358 SR23 <br />Company Address <br />South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />B fore me the undersigned Notary Public in and for said country and state, personally appeared <br />IA.isti-n Hi , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 2A dayf J 201 �av °�"° ALySHA KRUEGER <br />Notary Public. State of Indiana <br />�w <br />St. Joseph county <br />No Signature, t?artr1�9R?II�Srua�� <br />d" bl 7 Q2 <br />6/5/22 <br />Printed Name „ <br />County of Residence 5-�-• �J o 1� <br />If the Contractor is a corporation„ the following certificate will be executed. <br />I J. Kichael Sckut certify that I asp Secretary of the Corporation executing this cellos that <br />W Lin I who signed this release on behalf of the contractor W' atl4len <br />g , <br />� ��rrrl Ar %g r12, of said Cor'porabonp that said release was duly signed for and on`t� half of said <br />Corrpo tiorZ�)Y,' o�riZyoll�l <br />r v rning body, and is within the scope of corporate power& <br />"w1 <br />Secrtar dgnature � <br />,Corporate Seal <br />1. chae . Schau'tl <br />Printed Names <br />DEPARTMENT OF PUBLIC 'WORKS APPROVAL <br />This project is acceptable -for fin II approval and we recommend to the Board of Public Works that it be ordained so„ <br />Date: <br />C t <br />ons ruction der <br />BOARD OF PUBLIC WORKS APPROVA <br />The ese J. D rarr, Member Laura O'Sullivan, Member <br />L <br />