Project Completion Affidavit - Temporary Traffic Calming Materials and Installation Project No 119-053 - Selge Construction Co Inc

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�i�.pk=SYdrp r CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS�i;" PROJECT COMPLETION AFFIDAVIT PROJECT NAME Temporary Traffic Calmin2 Materials & Installation PROJECT NO 119-053 FINAL COST $67,350.00 CONTRACT SIGNED 7/23/2019 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION Procurement and installation of temporary speed humps and curbing at various locations,. WITNESSETH The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Executed this day of _....SJk?e 201 9 Sel a Construction Co., Inc. w - Company Name Signature 2833 S. 11th Street Robert Kuhns Project En ineer Company Address Printed Name Niles, MI 49120 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Robert Kuhns and acknowledged his/her signature to the above Project Completion Affidavit on y�o0ll11llf01#eP,, the 1,1rd day of f , 201 S) Notary enature My Commission Expires Vicki A Printed Name County of Residence PUBLI 6 � ��I;w aY4iIV r` LXPIHLS 7 25 2C20 If the Contractor is a corporation, the following certificate will be executed.*,, co, I, Vicki A. Priest , certify that I am Secretary of the Corporation executing this release; Rl�i' tO �� who signed this release on behalf of the contractor was then Pry eot }gin 1 need _ of said Corporation; that said release was duly signed for and on behalf of said Cot ration Authority rity f i governing body, and is within the scope of corporate powers: ° �� Secretary's Signature Corporate Seal Vicki A. Priest Printed Name Berrien DEPARTMENT OF PUBLIC WORKS APPROVAL project I s Is p acceptable foci n approval and we recommend to the Board of Public Works that it be ordained so. Date: Cl. -So. t ot Construction per .• BOARP OF PUBLIC WORKS APPROVAL Date: 1 2 Zc / `7 Gary A Gilot, Presiden Me tier Elizabeth A. Maradik, Member Therese J. Dor6u, Member Il-ora L. O'Sullivan, Member `'°-dyfda M. Martin,