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.;eau <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT � <br />PROJECT NAME Century Center Upgrades & Renovations <br />PROJECT NO 118-104AR FINAL COST $104,180.00 <br />CONTRACT SIGNED 4/23/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Renovate interior offices/areas at Century Center <br />_............................................... ...... ........... ...._ <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 wr a pa of th above Contract. <br />E d ted th` � o 2012 R Yoder Construction, Inc. <br />Company Name _._.M... <br />Signature 27453 CR 150 <br />Izo Company Address <br />Printed Name Nappanee, IN 46550 <br />City, State, Zip <br />WITNESSES& <br />Before me the and rsi ,pored Notary Public in and for said country and state, personally appeared <br />1, and acknowledged his/her signature to the above Project Completion Affidavit on <br />�.t. day of <br />s 1 <br />e. y Si gnatu re My Commission Expires ®- �) <br />Printed Name <br />County of Residence <br />If the Contractor i, a corporation, the following certificate will be executed. <br />I, Isc±& f, L certify that I am Secretary of the Corporation executing this release; that <br />who s' ontmactor was then <br />Corporation b Authon , f of said Corporate ; that said �1 gA��� gAVL60ned for an on behalf of said <br />y ty its cavernin9 body, and is within t e scope of q�b <br />{ State of Indiana b <br />et <br />My Commission Expires Nov 20, 2020 <br />Sec ary"s Signature <br />Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is aooeptabl f fi I approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: °i 4 • L 9 <br />Construotpo anger <br />BOARD OF PUBLIC WORKS APPROVAL Date:6 T <br />d'qttor", <br />A&L11-1 <br />Gary A. Gilot, President Genevigve E. Miller, Meat r .� EI abe h X. Mar�adik, Memb <br />rau, Member 'aura O'Sullivan, Member L"1a M. Martin, Clerk <br />