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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS.' <br />PROJECT COMPLETION AFFIDAVIT xt- <br />PROJECT NAME Century Center Site Signs <br />PROJECT NO 118-035B FINAL COST $152,030.00 _ <br />CONTRACT SIGNED 2/26/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Remove 1 existing sign and install 2 new si ns at Century Center <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 Ben which were a part of the above Contract,. <br />P <br />c s �q ""� day of 201 Burkhart Sign Systems <br />1 xeout Company Name <br />Signature 1247 Mishawaka Ave <br />AA �/� � �s_ � � �� � Company Address <br />Printed Name South Bend, IN 46615 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />. . .h and acknowledged his/her signature to the above Project Completion Affidavit on <br />theo?544L day of J9A&A44d, 2019 _0ryggsgNrqarr�M <br />No g" <br />y SignatureExpires <br />scion <br />Ile r . <br />. in y Comm. F�cpires . <br />Printed Name S Qunty:of �sidence <br />I, __„ _ ..... � " ��°l tk i `'ret ry of the Corporation executing <br />If the Contractor is a corporation, the follovTm erti this release; that <br />�__W . �`., OI+g this release on behalf of the contractor was then <br />of sal& eA-1 that said release was duly signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This project is acceptable for fp® a pproval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />Construction Idager <br />Gary A. Gifdi, President <br />BOARD OF PUBLIC WORKS APPROVAL Date: v T <br />Genevieve E. IVliiller, V1r4 gnber Elizabeth A. Maradik, Member <br />