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a <br />0 <br />N <br />N i <br />Zz Cr <br />� <br />U- <br />U os <br />J w <br />ZjJrLL <br />0 <br />J >- LLLLIi E <br />a <br />�Fy0Z <br />JZ <br />cc <br />i <br />m� <br />ao <br />20 <br />i <br />�r�dbk UYN MJ„� <br />CITY'' OF SOUTH BEND, INDIANA x,µ <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT:ry <br />PROJECT NAME Ce�ntur r Center Convention Hall A-B New Entry <br />PROJECT NO 115-017A FINAL COST $96,325.00 <br />-...._ .._. m�.__.........�.w�,.__. <br />CONTRACT SIGNED 1002018 _ MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Addmcr,new entry to convention hall. <br />WITNESSETH: _. _......_ .. .. _ _._..... _.... <br />_ u. _...._._......... <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 />EX( <br />d di day of Set 201 9 General Contractors, Inc. <br />_.. <br />Brown &Brown Gene mm_ ww�� <br />Company Name <br />�µ <br />Signa tpr'e' 124 S Elkhart St. <br />Eric Brown Company Address <br />Printed Name <br />Wakarsa IN, 45'S'73 <br />City, State, Zip <br />WITNSSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Eric Brown , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 9th day of Set , 2019 <br />Notary Sign ture My Commission Expires <br />Bradley A. Romine <br />Printed Name <br />County of Residence <br />2/12/2027 <br />Marshall Co.. Indiana <br />If the Contractor is a corporation, the following certificate will be executed. <br />I. Hannah M. Aitken certify that I am Secretary of the Corporation executing this release; that <br />Eric Brown who signed this release on behalf of the contractor was then <br />President of said Corporation; that said release was duly signed for and on behalf of said <br />Co ration by Authority o its go erntng body, and is within the scope of corporate powers: <br />Secretary s &gnature <br />_ .. Corporate Seal <br />Hannah M. Aitken <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />project p approval and we recommend to the Board of Public Works that it be ordained so. <br />This ro'ect is <br />Date: <br />acceptable a or a ro <br />Constructio Hager <br />- BOARD OF PUBLIC WORKS APPROVAL Date: , cm <br />j" eV <br />Gary A. Gs""lot, President Genevieve E Millen, Memb Elizabeth A. Maradik, Member <br />h rase .. , orauu e���.�,-....,..m. ra. O Sullivan, Member <br />M <br />da M. Martin, Clerk r" � <br />