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CITY OF SOUTH BEND, INDIANA � <br />BOARD OF PUBLIC WORKS i <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME 315 & 319 W. Jefferson Exterior Renovations Division A <br />PROJECT NO 119-064 FINAL COST $55,812.00 <br />CONTRACT SIGNED 8/27/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION -Overly barrel roof at 315 W. Jefferson building. <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 />, South Bend which were a part of the above Contract. <br />E`9out is t, of Noveniber 201 9 Slatile Roofing and Sheet Metal Co., Inc. <br />Company Name <br />dgnatur 1703 S. Ironwood Dr <br />Gerald Longerot -President Company Address <br />Printed Name <br />South Bend, IN 46613 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Gerald L g <br />no2019his h <br />g his/her r 6pf o f <br />r��the above Project Completion Affidavit on <br />ht <br />Novemnl�er � N <br />�dayof <br />r_��hq <br />N ary Signature <br />i � pces 9/1/21 <br />My miss; d� I <br />Lou Ann Ward <br />Printed Name <br />`• County of Re Elkhart <br />If the Contractor is a corporation, the following certilte wi8 " c <br />I, Ann Longerot <br />certify'}etary of the Corporation executing this release; that <br />Gerald Longerot <br />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 />tio�nl <br />Aecre <br />is governing body, and is within the scope of corporate powers: <br />y"s Signa re <br />Corporate Seal <br />Ann Lon zero <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable foF fi I approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: 1 N' <br />Construc i ager <br />p° ,BOARD OF PUBLIC WORKS APPROVAL Date: i Z b° <br />Gary A. Gilot, President Genevieve E. Miller, Member Elizabeth A. Mdradik, Member <br />Therese J. D re w, Member Laura L. O'Sullivan, Member <br />M. <br />