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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT r <br />PROJECT NAME Olive Street Station Office HVAC Upgrades <br />PROJECT NO 119-077A FINAL COST $58.500.00 <br />CONTRACT SIGNED 11/12/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Emergency HVAC upgrades at the Olive WTP. <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 ctaims 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 />Execut s 3 st da <br />y of Marche, 20 20 Ideal Consolidated, Inc. <br />Company Name <br />ionature 806 W. Sample St. <br />Mick Rauch, Vice President Company Address <br />Printed Name <br />South Bend, IN 46601 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Mick Rauch and acknowledged his/her signature to the aboye Proiect Completion Affidavit on <br />the 31st day of March HN CARINA CRUZ <br />20 2 ``�P?! Notary Public, State of Ind <br />2'SEA . - St.Josepli County <br />Commission # 710388 <br />Notary Signature ; • • Py CuuiiPr>DsaiEropireq,ire <br />February 12.2026 <br />Carina Cruz <br />Printed Name County of Residence <br />02/12/26 <br />St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Jennifer M Martell certify that I am Secretary of the Corporation executing this release: that <br />Mick Rauch 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 />Corrati gby Autrity 9f its,rvn-oA,,and is within the scope of corporate powers: <br />Corporate Seal <br />-r M Martell <br />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 />Constructi Manager <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />--•� Grp=�- <br />Ir dm\ I lk ib�r <br />�oi,Mctin:vi <br />