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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -Gemini at Washington -Colfax Apartments Mason !y and Stair Repair <br />PROJECT NO 118-0806 (Division B) FINAL COST $186,439.00 <br />CONTRACT SIGNED 10/23/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Replacement of fire stairs at the Gemini at Washinaton/Colfax Apartments <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 the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above Contract. <br />Exec ed this day of 14 201 Paul's Welding, Inc. <br />Company Name <br />Signature 7930 West 1000 North <br />_1(me Company Address <br />Prinked Name Nappanee, IN 46550 <br />City, State, Zip <br />WITNESSESS: <br />fore me, Ltheundersigned Notary Public in and for said country and state, personally appeared C -elL. .. , and acknowledged his/her signature to the above Project Completion Affidavit on <br />t ay of A-� 201_1 d <br />:,A <br />< <br />Notary Signature 0 My Commission Expires <br />Let&.tl C`1410ej/1�11 <br />Printed Name 11) County of Residence <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, certify that I am Secretary of the Corporation executing this release; that <br />— r.4 Li I i fe r— who signed this release on behalf of the contractor was then <br />pet"i Ln�,4 of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />KENDRA GINGERICH <br />Secretary's Signature Notary Public HiCorporate Seal <br />tle'r SILAL <br />State of Indiana <br />Printed Name My Commission Expires February 15, 20215 <br />DEPARTMENT OF PUBLIC WORKS APPROVAL - <br />This project is acceptable for ?i a pproval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />Construction ger <br />BOARD OF PUBLIC WORKS APPROVAL Date: L d,) L) C) <br />-vqc b fl_ <br />Gary A. Gil 4, President Genevieve E. Miller, Member Eriz—abeth A. Maradik, Member <br />Laura L. O'Sullivan, Member <br />.. . ...... . <br />-Lin a M. Martin, Clerk' <br />