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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY.OF SOUTHSEND, INDIANA�.: <br />BOARD r OF _ • , <br />'tROJECT COMPLETIONr +k. <br />118-075 <br />19 <br />CE AGREEMENT <br />DS <br />improvements0to tress o_reconfiguration <br />piv�_ crete g <br />struct portions flC signf theals lignlinehting ng and rEcflnfgura6o not parking 8, pavement <br />marks alon h4ichran„Street from Western Avenue to Colfax Avenue. <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 Band which � part of the above Contract <br />,t <br />Executed this st �'' da of 20 2fl y Walah S Kelt Ina Y <br />_.. �w �._.v.- <br />,�� Company Name <br />gn24358_ _ 23 <br />u ° VP South Area _ , „ �� ._.. . <br />st" In Hilary, <br />'Printed Name South Bend IN 46614 <br />................�...........__� _.,_n_.. �....._.� <br />WITNESSES: <br />Before me, the undersigned Notary Public in and for said country and state, persons I eared <br />Dustin Hilai and acknowledged hisiher s ���A �� n Affidavit on <br />the 1$t of S 2��r 20 i Notary Public„ Sate of Indiana <br />... 0X2_ <br />��;�- St. JosephCOunty <br />"�.+ - MY Co rmiss;on Expires <br />�- <br />N Sr nature <br />9 My Co"�"!on Exp rase <br />uit .� <br />g .wind"w&!W'daWx'"r�u049RtlllunuVfd�G�xiWM4'i'.�tloNr,�1C. <br />Printed Name County of Residence St. Jo oh <br />If the Contractor is a corporation, the following certificate will be executed. .. ,w, .........,. <br />Jamie L TstttCO$ __ certify that I am Secretary of the Corporation executing this release; that <br />I, . ..__.. <br />who signed this release on behalf ;s,then <br />VP ofu#h n reaof said Corporation; that said release was q rbhalf of said <br />� P of m@. <br />ation by Authority of its governing body, and Is within the scope of corporate `..•.." <br />SacretaWs Signature <br />Jamie L.Tancos ;�ti a corporate Seal <br />_ <br />Printed Name � • <br />DEPARTMENT OF PUBLIC WORKS APPROVAL�i��� <br />This project Is acceptable for final appr <br />oval and we recommend to the Board of Public WorksftN ��� ordained so. <br />Data: 05/04/2020 <br />— :tru anager <br />BOARD OF pt Ht,t< »KS Approved: May 12, 2020 <br />Gary A Gilot, President <br />H -beth A. Ma,adik, M—ber <br />Joseph R. Mo(nai, Member <br />Tb we I D au, Member <br />To,dan V. Gathci s, i7crnbc <br />ATTEST: <br />Linda M. Martin. Clerk <br />