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il, <br />CITY OF SOUTH BEND, INDIANA � <br />BOARD OF PUBLIC WORKS,z <br />PROJECT COMPLETION AFFIDAVIT r <br />PROJECT NAME The Gara a Site Im rovements <br />PROJECT NO 118-083C FINAL COST $59,440.00 <br />CONTRACT SIGNED 8/13/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Installation of water infrastructure improvements at 503 E. Colfax Ave. <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 />Execu his 22nd ca,y of October 201 9 R A R Excavating„ Inc. <br />Company Name <br />Sign a 2010 Went Avenue <br />Mark Weaver, Project Manager Company Address <br />Printed Name Mishawaka, IN 46545 <br />City, State, Zip <br />WITNESSES: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Mark Weaver , and acknowledged his/her signature to the above Project Completion Affidavit on <br />22nd day of October „ 201 9 <br />7'S� <br />REBECCA S. BLACKSTON <br />Notary SignatureLRebecca S. Blackston My Commission Expires <br />Printed Name „ r, ;',%ountVbfiR sli3 arc t'3, 2024 x <br />28/2024 <br />. Joseph <br />If the Contractor is a corporation, the following cerlfcatwi II be executed. <br />I, William T.,oudin certify that I am Secretary of the Corporation executing this release; that <br />Mark Weaver who signed this release on behalf of the contractor was then <br />Project Manager of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Authority of its erning body, and is within the scope of corporate powers: <br />-Secretary's Signature <br />William Loudin <br />Printed Name <br />Corporate Seal <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable to f al approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: 4.19 <br />Construct o ager <br />� BOARD OF PUBLIC WORKS APPROVAL Date: <br />JJ <br />ary A. GHot, E' esident Geneve eve E. Miller, em er Elizabeth A. Maradik, Member <br />Therese J. Dorau, Member <br />O'Sullivan, Member <br />a M. Martin, Clerk <br />