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ONT !aAAa1 .. <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME East Race Boat Launch Sloe Re airs <br />PROJECT NO 118-305B FINAL COST $49,204.00 <br />.�. ............. <br />CONTRACT SIGNED 7/18/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Sloe restabilzin <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 />Executed this 3rd day of October 2019 Selg_ Construction Co. Inc. <br />Company Name <br />Signature 2833 S. 11th St. <br />Robert Kuhns, Project Engineer Company Address <br />Printed Name Niles, MI 49120 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />and acknowledged his/her signature to the above Project Completion Affidavit ors`` <br />the 3rd' da^Octcber 201 9 <br />y OTAnw%t,. <br />Notary <br />r�F' <br />Signatt ure My Commission Expires 07/25/2020 M MY C ".."m ki I S 10 i <br />� <br />o ���' <br />Vicki A. Priest Berrien `,.' <br />Printed Name County of Residence <br />If the Contractor is a corporation, the following certificate will be executed. <br />I„Vicki A. Priest certify that I am Secretary of the Corporation executing this release; that <br />Robert who signed this release on behalf of the contractor was then <br />of said Corporation; that said release was duly signed for and on behalf of said <br />rr��ratbony governing body, and is within the scope of corporate powers: <br />C b Authorwt of is .....w <br />Secretary's Signatu <br />Corporate Seal <br />Vicki -A. Pries <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for u I approval and we recommend to the Board of Public Works that it be ordained so. <br />�. 9 3 t9 <br />Date: <br />Construction r r~ <br />BOARD OF PUBLIC WORKS APPROVAL Date'.fl, <br />ary A. Gilot, Presid6t Gen v ve E. Miller, Mp6Wer Elizabeth A. Maradik, Member <br />Therese J. Dorau Member <br />ra O'Sullivan, <br />a M. Martin, Clerk <br />