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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />N <br />PROJECT NAME Airport Annexation Area Sanitary Sewer Extension <br />PROJECT NO. 1 17-108 FINAL COST $924,359„52 <br />CONTRACT 12/ 11 /2018 MAINTENANCE AGREEMENT ENDS 07/31 /2022 <br />SIGNED <br />PROJECT Extension of Sanitary Sewer US 20 and Po Road to US 20 and Oliv <br />e ve Road <br />DESCRIPTION near US 20 and US 31 Interchan2e <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having <br />been completed, the City of South Bend, its officials and agents are hereby released from all claims and <br />demands whatsoever arising under or by such contract, and that the contractor performed the work within the <br />scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. <br />Ex" end t 1 20 2 0 <br />HRP Construction <br />ignaturc Co <br />Matthew D. Cain, President 5777Cleveland Road, POBox 266 <br />Printed Name <br />WITNESSES <br />Company Address <br />South Bend, Indiana 46628 <br />City/State/Zip <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Matthew D . C a i h , and acknowledged his/her signature to the above Project Completion Affidavit on <br />fit.. �B <br />the • 9day of 3�.��7..y+... . 201 Il2 <br />t1Z0Z '90 4)JLJN <br />seitdx3 uore,xs,wwoD hw <br />Nei y ig�tat tr'e My Commission 1 Ipti, das 'S <br />.�—� fir°. �.. <br />. yn t. h� 1.. n h e s t e _ eueipul 10 ale1S 'ai�gnd Jul , <br />Printed Name County of Resirl <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, -AaD".1L,a.P-ik- , certify that I am Secretary of the Corporation executing this release; that <br />Matthew D . Cain 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 />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary',:` Signature <br />Nancy Kna ik <br />Printed Name <br />Corporate Seal <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 <br />ordained so. <br />Construct on Manager """"'YWWW Date: - 20 <br />BOARD OF PUBLIC WORKS APPROVAL <br />130N2U OF 1�1!l"LIC N'ORIiS <br />J" <br />I,I�nbUlih t bl. \Iun�w ---- I " 1 11 n1- — <br />1t'1'Es'I': <br />s=/rNrt C"fnrtui <br />]osopt RTI I i Vunba — _ <br />UnM M. MnnI�S 4:�crk <br />Date: Au ust 25 2020 <br />