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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECTNAME RandolphPark Ares Improvements <br />PROJECT NO 120-049 FINAL COST $139 465.00 <br />CONTRACT SIGNED 4/12/2022 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Road vacation and drains a im rovements at Randolph Park. <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and th"e contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which y cre ay, . of the above Contract. <br />Executed this 23rd Pof tember 2022 Milestone Contractors North Inc. <br />Company Name <br />Signatupv 24358 State Road 23 <br />Dustin P. Hilary, Director of Estimatin <br />Printed Name <br />Company Address <br />South Bend. IN 46614 <br />City, State, zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Dustin P Hilaly and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 3 ypf SeMber 2022 Au$MKRUEGER <br />ROM <br />ion <br />er <br />Notary , gnature My Commission Expires 3 *r ••L Z.*"i June WAW M <br />Alisha Krueger <br />LaPorleCount/ <br />Printed Name County of Residence LaPorte <br />If the Contractor is a corporation, the following certificate will be executed. <br />I,- Danielle Pa ne certify that I am Secretary of the Corporation executing this release; that <br />Dustin P. Hilary _ who signed this release on behalf of the contractor was then <br />Director of Estimatin of said Corporation; that said release was duly signed for and ogA�btyl� <br />arporation b uth of its governing body, and is within the scope of corporate powers: ���o�t� a c tors <br />fi{ �pORATr . . <br />e <br />Secretary's Signature �CpQ39rate Sp = <br />Danielle Pame <br />Printed 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 croft t t ttt** <br />j 1 Date: 01 /03/2023 <br />Constructi Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: January 10, 2023 <br />