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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS�� <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME MIAMI STREET BASIN DRAINAGE IMPROVEMENTS <br />PROJECT NO 116-082C FINAL COST $484,870.00 <br />CONTRACT SIGNED 8/14/2018 MAINTENANCE AGREEMENT ENDS <br />Provide and install maintenance and access improvements at the Miami Basin, southwest of <br />PROJECT DESCRIPTION the intersection of Miami Street and Ireland Road. <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 />Ex this d . weber , 2019 HRP Construction, Inc. <br />Company Name <br />Signature 5777 Cleveland Road <br />Matthew D. Cain, President <br />Printed Name <br />Company Address <br />South Bend, IN 46624 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Matthew D . Cain, wP9��' @ 6tedged his/her signature to the above Project Completion Affidavit on <br />theme day of 5eptenube:r _„ 201 9 <br />N ar Si nature 9oAa,,r Noiar A L. VAI <br />3/06/24 <br />y g +. t�� C pires <br />rSEAL• <br />Cindy V a n h e s t e r :,* ;"* 'Commission NumbePrinted Name �. �araa+ fular�e S t. Joseph <br />��f N99914'�4 <br />If the Contractor is a corporation, the following cert'�id-alee i e exe u . <br />I, Nancy K n a i k certify that I am Secretary of the Corporation executing this release; that <br />Tattbow Q. Cain 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 />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Corporate Seal <br />Nancy Knapik <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for "nal approval and we recommend to the Board of Public Works that it be ordained so. <br />i Date: - I z ® i <br />Constructio ger <br />,, 4 J <br />Gar A. Gilot, y President <br />�. p.����..._ <br />her be J. Doll n er <br />BOARD OF PUBLIC WORKS APPROVAL Date; IO a .;z l,;� D t <br />ra O'Sullivan, Member <br />A. Maradik, Member <br />M. Martin, Clerk <br />