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��ykv� fAl Nk-gh <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT" e� <br />PROJECT NAME Unit Gardens Learning Center Site Im rovements <br />PROJECT NO 117-05OR FINAL COST $73,541.85 <br />CONTRACT SIGNED 2/26/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Installation of sanitary lateral and water service at the Unitv Gardens site, <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 />ecuted this _28th d of August 201 9 Ritschard Bros., Inc. <br />Company Name <br />ignature 1204 W. Sam le St. <br />Rachelle L. Dolma' <br />Company Address <br />Printed Name South Bend„ IN 46619 <br />City, State, Zip <br />WITNESSESS:" <br />Before me, the undersigned Notary Public in and for said cor1t_*st sally appeared <br />Rachelle L. Dolniak ,and cknowledged his/her signatur t� . above Proja ,ompletion Affidavit on <br />the 28 t day t . 1� tr'' 201 9 <br />Notaryignature My Corrnisaor �G „" 8/25 <br />Printed Name County of <br />Rolain Fozo <br />y �a�aI� ^���St Joseph <br />If the Contractor is a corporatl th M allowing ce oMe will be executed,� <br />l . �.. <br />ald Ritscl° m-w erttf that I am Secretary of the Corporation executing this release; that <br />L ,_r who signed this release on behalf of the contractor was then <br />Pr i nt of -aid rporation; that said release was duly signed for and on behalf of said <br />Corpo do y A Ph, ri y o i g ern'i bo , ar is within the scope of corporate powers: <br />Corporate Seal <br />Donald Ritschard, Jr,. <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for ,t al approval and we recommend to the Board of Public Works that it be ordained so. <br />t. • Date <br />Construo ° nagerl <br />Y <br />Gary A. Gilot, resident <br />BOARD OF PUBLIC WORKS APPROVAL <br />Genevieve E. Miller, Member <br />Dater rv-t� / al <br />t � <br />ElEaEbtfi A. Nfarddik, Member <br />J-PorTu, Member JAura L. O'Sullivan„ Member Lwnda M. Martin. Clerk <br />