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CITY OF SOUTH BEND INDIANA <br />BOARD OF PUBLIC WORKS a , <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Lafayette Building Exterior Renovation Division A <br />PROJECT NO 117-100R FINAL COST $237,812.00 <br />CONTRACT SIGNED 10/18/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Fabricate and install a new skvlioht on the roof of the Lafavette Buildina. <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 16th day of December 2019 Precision Wall Systems, Inc. <br />Company Name <br />Signatur - "___ """"" "" 3801 S. Main Street <br />. Notary Public Company Address <br />atoms ri,s SEAL Primarily Employed in Indiana <br />Printed Name emm scion Number NP0715351 South Bend, IN 46614 <br />My Commission Expires 08/17/2026 City, State, Zip <br />WITNESSETS: <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 on <br />the 1 ft day of December 2019 <br />of ry Sign My Commission Expires 8/17/2026 <br />tJu ue Milliken <br />Printed Name County of-lsiee St. Joseph <br />Primary employment' <br />If the Contractor is a corporation, the following certificate will be executed. <br />!, ,lames Mroz certify that I am Secretary of the Corporation executing this release; that <br />Jason Christy who signed this release on behalf of the contractor was then <br />Vice -President of said Corporation; that said release was duly signed for and on behalf of said <br />Corporationjoy gdj,S[r governing body, and is within the scope of corporate powers: <br />Secrete Sign ure Corporate Sea! <br />James Mroz <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Thisprojectis acceptable for fi I approval and we recommend to the Board of Public Works that it be ordained so. <br />• <br />Date: 1 Z • Z.o <br />Constructi " nager'. <br />AVVIL11) """"� BOARD OF <br />Gary A. G'il' t, President <br />WORKS AP'PROV L "_Date; <br />Izabeth A. Mara dl<, Member <br />Therese &0orau„ M 6nber � r � -"L)hda M. Martin, C <br />