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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME <br />Wastewater Treatment Plant Headworks Influent Gates lira roveq <br />PROJECT NO. <br />117-026 FINAL $635,731.06 <br />COST <br />CONTRACT <br />12/12/2017 MAINTENANCE AGREEMENT 05/31/2022 <br />SIGNED <br />ENDS <br />PROJECT <br />Installation of Stainless Steel Isolation Gates and Electric Actuators <br />DESCRIPTION <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having <br />been completed, the City of South Bend, its officials and agents are hereby released from all claims and <br />demands whatsoever arising under or by such contract, and that the contractor performed the work within the <br />scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. <br />Executed this 2 0 t h <br />tem <br />dayof of S e 2019 <br />_ber <br />, <br />HRP Construction, Inc. <br />Signature <br />Company Name <br />Nancy Knapik <br />5777 Cleveland Road <br />Printed Name <br />Company Address <br />South Bend, Indiana 46628-9418 <br />City/State/Zip <br />WITNESS <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />per,, and acknowledged his/her signature to the above Project Completion Affidavit <br />onJhe anti day of 5Prr�PmhPr .201 i is <br />Cindy <br />Printed N <br />VANHESTE <br />St.Joseph countyMy Commission Expires 3/06/24 <br />Commission Number 681273 <br />My Commission Fxnirnn <br />County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, Nancy Knapik certify that I am Secretary of the Corporation executing this release; that <br />Nancy Knapik who signed this release on behalf of the contractor was then <br />Vice P n R P r � @E 1A orporation that said release was duly signed for and on behalf of <br />said Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />-r?V--, <br />SecretaWs Signature <br />Nancy Knapik <br />Printed Name <br />Corporate Seal <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be <br />ordained so. <br />Constru � Date: Og- 23- Z019 <br />ction Manager <br />IIO IIID OF PUBLIC S APPROVAL <br />• <br />Gary A. Gilot, Presirl .11t �_ <br />Elizabeth A. Maradik, Member Therese T! <br />Date: �..� t �c2D�_ <br />Genevieve E. Miller, Member Laura O'Sullivan, Member <br />. Xt,..,A- <br />