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CITY OF SOUTH BEND, INDIANA 64 <br />BOARD OF PUBLIC WORKS ; <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME E. Longfellow Ave. & N. Riverside Dr. Traffic Calming <br />PROJECT NO 118-113 FINAL COST $76,323.94 <br />CONTRACT SIGNED 12/20/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Install traffic calming devices along two roadways. <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 t"ractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which wer4'a p6t of t Lave Contract. <br />Executed this h day October 2019 Walsh & Kelly, Inc. <br />�"�• Company Name <br />Sigg at 24358 State Road 23 <br />Qus(�Hilary, VP of South Bend Area Company Address <br />PFfnted Name South Bend, IN 46614 <br />l� City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said <br />Dustin Hilary and acknowledged hisd 1,#M <br />appeared <br />)let"son Affidavit on <br />Notay Public, Stile of Indiana <br />. <br />the 28th day of Oc ref 2019 <br />. r <br />. "' IFAL' St. Joseph County <br />,. .& a i3 'm' My Cb ssion Expires <br />9022 <br />Notary Signature P C" � <br />Alisha Krueger <br />Printed Name County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, J. Michael Schaum certify that I am Secretary of the Corporation executing this release; that <br />Dustin Hula who signed this release on behalf of the contractor w ,th6n <br />VP,o.f South Send Are of said Corporation; that said release was duly signed for and on" ehaij of Sao , <br />Corporation Ib"rityofnin body, and is within the scope of corporate powers: <br />Secretar <br />y's ignature , <br />aar abate Sept <br />J. MichSchaum <br />Printed Name <br />ti <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fi 1 proval and we recommend to the Board of Public Works that it be ordairw dAso. <br />Date: <br />Construction ' r le BOARD OF PUBLIC WORKS APPROVAL Date: <br />A, 1A - <br />Gary A. Gilot, President Geneve E. Miller, mbe ENlabeth A. Maradik, Member <br />Therese J. Dorau, Member [ ,/Laura L. O'SulNiva ter " Linda M. Martin, Clerk <br />