Laserfiche WebLink
°,y9&7Yl <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME GEMINI AT WASHINGTON-COLFAX ROOF IMPROVEMENTS <br />PROJECT NO 118-080A FINAL COST $133,295.00 <br />CONTRACT SIGNED 9/25/2018 MAINTENANCE AGREEMENT ENDS <br />Work includes selective demolition, EPDM roofing, and associated accessories at the Gemini <br />PROJECT DESCRIPTION Washin ton -Colfax A artment Buildin in South Bend, IN. <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 jted this 23rd day of August 2019 Dudeck Roofing and Sheet Metal <br />Company Name <br />Signature 1634 Franklin Street <br />Catherine Dudeck Company Address <br />Printed Name <br />South Bend, IN 46613 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Catherine Dudeck and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 23rd day of August 9 , <br />Notary Signature My Commission Expires <br />Printed Name County of Residence rs C <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Catherine Dudeck certify that I am Secretary of the Corporation executing this release; that <br />Catherine Dudeck 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 voratn by Authority of its F91 <br />verning ody, a is within the scope of corporate powers: <br />eretary's inature <br />Corporate Seal <br />Catherine Dudeck <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fl approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: z° <br />Constructi anager <br />Gary A. Gilot, President <br />BOARD OF PUBLIC WORKS APPROVAL <br />Genevieve E. Miller, <br />Date: 't e , a e, ( <br />Elizabeth A. MaradW, Member <br />erese J. P6rau, Mefter L,,,, aura O'Sullivan, Member """" N lrida M. Martin, Clerk <br />