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CITY OF SOUTH BEND, INDIANA e <br />BOARD OF PUBLIC WORKS r <br />PROJECT COMPLETION AFFIDAVIT - <br />PROJECT NAME East Bank Trail Over Leeper Ave. Bridge Repairs <br />PROJECT NO 121-075 FINAL COST $185,584.00 <br />CONTRACT SIGNED 8/23/2012 MADITENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Structural repairs on the East Bank Trail bridge over Leeper Ave. <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been <br />completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever <br />arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and <br />Standards of the City of South Bend which were a part of the above Contract. <br />ec s 10th da November ,202 2 Milestone Contractors North, Inc. <br />Company Name <br />i ture 24358 State Road 23 <br />Company Address <br />Printed Name South Bend IN <br />City, State, zip °R'v"A John onway <br />o`P 'Ge Notary Public, State of Indiana <br />WITNESSESS: =_'i° LaPorte County <br />Bef re me, a ersigned Notary Public in and for said country and state, personally a _*; Commission Number NP0682e84 <br />41-- l____��i/ nd acknowledged his/her signature to the above Project Corn t '-a eKif on My Commission res <br />10th Janua 20, 2023 <br />the . _ day of . N ove r 2022 <br />otarySignature My Commission Expires January 20, 2__023_ <br />John Conway _ <br />Printed Name County of Residence LaPorte <br />If the Contractor is a co ration, the following certificate will be executed. <br />1,.Sj�.certify that I am Secretary of the Corporation executing this release; that <br />who signed this release on behalf of the contractor was then <br />of said Corporation; that said release was duly signed for and on behalf of said <br />corporation by Authority of ' governing body, and is within the scope of corporate powers: <br />( Secretary's Signature Corporate Seal <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 ordained so. <br />je L4�,& Date: 02/17/2023 <br />Construc ' n Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />•_ i <br />12161 <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />�4 <br />Attest: Theresa M. Heffner, Clerk <br />Date: February 28, 2023 <br />