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Change Order No 1 & PCA - Wayne St. & Leighton Plaza Parking Structures Repairs 2019 Proj No. 119-048 - DC. Byers Co.
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Change Order No 1 & PCA - Wayne St. & Leighton Plaza Parking Structures Repairs 2019 Proj No. 119-048 - DC. Byers Co.
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4/9/2025 8:29:43 AM
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9/10/2020 9:53:08 AM
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Board of Public Works
Document Type
Projects
Document Date
9/8/2020
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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />CITY OF SOUTH BEND, |NDW\NA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />Wayne Street and Leighton Plaza Parking Structures Repairs 2019 <br />A-048 FINAL COST <br />013/2019 MAINTENANCE AGREEMENT ENDS <br />-Parking structures improvements and Wayne and Leighton garages. <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 />ofSouth Bend which were apart of the above Contract, <br />2020Executed this 1 Ot August D.C. Byers Co./Detroit Inc. <br />Company Name <br />16429 Upton Road, Suite #3 <br />°, �—�. CompanyAddress <br />Ste Davis <br />Printed Name East Lansing, MI 48823 <br />City, State, Zip <br />VNTNESGEGS: KATHY WOLCOTT <br />Before ma, the undersigned Notary Public in and for said country and etote, personally mppejWARYPUBLIC ~STATE OFKCHwGAW <br />Stephen J. Davis and acknowledged his/her signature to the above Project Completion Affi OF ��HAM <br />the 1Oth ' Au ~�"~ <br />August 2O2O ""��°°�°l�""++="�- <br />Notary Signat"My Commission <br />2023 ^ <br />�� - - <br />KaU�vVV000� ' <br />Printed Name <br />County of Residence Ingham <br />If the Contractor is a corporation, the following certificate will be executed.1, James Boettge certify that _ <br />| am Secretary of the Corporation executing this release; that <br />Stephen J. Davis who signed this release on behalf of the contractor was then <br />General Manager of said Corporation; that said release was duly signed for and onbehalf ofsaid ' <br />Corporation bvAu�nh�ofhagoynmingbody, and iawhhinthe scope nfconpn��powers: <br />_=�--_- <br />Secretary's Signature Corporate Seal <br />James Boettge <br />Printed Name <br />DEPARTMENT OFPUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works thatitbeordained so. <br />Date: 08/26/2020 <br />BOARD OFPUBLIC WORKS APPROVAL Dote: September <br />BOARD OF PUBLIC WORKS <br />^Or <br />
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