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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME017-2018 Traffic Detector <br />FINALPROJECT NO 117-124 $16,858.00 <br />SIGNEDCONTRACT 12/21/2017 MAINTENANCE AGREEMENT <br />PROJECT DESCRIPTION <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 tender 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 />Execu d t ' 27th day of April , 20120 Pemberton Davis Electric, Inc. <br />7z <br />Company Name <br />nature 9t0 E. McKinley Ave. <br />ag—;hn A. Ferro Company Address <br />s <br />M42EM <br />Mishawaka, IN 46545 <br />City, State, Zip <br />lf the Contractor is a corporation, the following certificate will be executed. <br />1, certify that I am Secretary of the Corporation ri a <br />release— who signed this behalfwasthen <br />of said Corporation; that said release was duly signed for and on behalf of s <br />Corporation � . boy wit + e of c r por powers: <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final <br />approval and we recommend to the Board of Public Works that it be ordained so. <br />%d !/C. a G, <br />Date: 04/28/2020 <br />Constru Manager <br />BOARD OF PUBLIC WORKS APPROVAL Date: May 12, 2020 <br />BOARD OF PUBLIC WORKS <br />Gary A Gilol, President Therese J. ]).an, Member <br />Elizabeth A. M,—dik, Member Jordan V. Gathers, Member <br />ATTEST: <br />Joseph R. Molnar, Member <br />Linda M. Martin. Clerk <br />