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O"�*U"XXX Np r� <br />CITY OF SOUTH BEND, INDIANAn <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT H� <br />PROJECT NAME _Vietnam Veterans Memorial Relocation <br />PROJECT NO 117-047A FINAL COST $149,850.00 <br />CONTRACT SIGNED 5/22/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Relocation of the Vietnam Veterans Memorial at Howard Park. <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\tki6\QrkWi`M0 the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above C� iji rrgot ...... (y-Al"I"� <br />�edis 1st ,may f AprilJ.• 20 2 <br />Signature <br />G ald Lang of - President 0 <br />Printed Name %,S <br />-( `. <br />WITNESSESS: <br />Before me, the undersigned Notary Public in a <br />Gerald Langerot , and acknowledged hi; <br />the _ .......1st........_ day <br />s� o��fpp Ap it 20 20 <br />o��l.- �4.�� <br />Notary Signature <br />Slatile Roofing and Sheet Metal Co., Inc. <br />Company Name <br />1703 S. Ironwood Dr <br />Company Address <br />South Bend IN 46613 <br />City, State, Zip <br />ner sigffARA LORIERNMARDTroject <br />NOTARY PUBLIC <br />SEAL <br />MY CC1ili STATE O.F INN IANA <br />R 18 , <br />COMMISSION NUMBER NP0724157 <br />Printed Name County of Residence <br />appeared <br />fletion Affidavit on <br />If the Contractor is a corporation, the following certificate will be executed. <br />Ann Langerot certify that I am Secretary of the Corporation executing this release; that <br />Gerald Longgrot 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 />Co pa ation by A,,thority of its governing body, and is within the scope of corporate powers: <br />S reta 's Signa re <br />Ann Lan rat -Secretary Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: 04/03/2020 <br />Construe n Manager <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />