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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS;; <br />PROJECT COMPLETION AFFIDAVIT',,a�r ° <br />PROJECT NAME Morris Performing Arts Center Theater Handrails <br />PROJECT NO 119-074 FINAL COST 86„810.00 <br />CONTRACT SIGNED 9/24/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Install handrails in MPAC theater <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 10th day of January _. 2R1 2020 _, Larson Danielson Construction Co.., Inc. <br />® a Company Name <br />Signature 302 Tyler St. <br />Timothy F. Larson Company Address <br />Printed Name <br />LaPorte„ IN. 46350 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />T rtt�r h F. Larson_„ and acknowledged his/her signature to the above Project Completion Affidavit on <br />y f January _.�; 2020. <br />t e t da o <br />„ <br />Notary Signat,, a My Commission Expires <br />Cathv A. Sale 679923 <br />Printed Name <br />Februa CATHYA. SALE <br />-� ""ounly <br />4 ao My Commission Expires <br />February 11, 2024 <br />LaPortt__. .... <br />If the Contractor is a corporation, the following certificate will be executed, <br />1,Terry A. Larson certify that I am Secretary of the Corporation executing this release; that <br />Tmot�h F. Larson 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 />C�or'n bAut onty of its governing body, and is within the scope of corporate powers: <br />Secretary's Sig sitars;.., <br />sEni LARSON S�VSeal <br />Terry A. Printed Name Larson <br />CONSTRUCTION CO., INC. <br />F. <br />County of Residence <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable fo fi I approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />Construction ger <br />. V ", <br />_µ � d"ALiAl <br />meV <br />Gary A. G1 t, Pre i ° ent <br />Therese J. D6r u, Member <br />BOARD OF P BL C WORKS APPROVAL Date: CVO <br />mber Elizabeth A. Maradik, Member <br />Hipfmfaer inda M. Martin, Clerk <br />