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Change Order No 1 & PCA - Prairie Ave. Water Main Loop Proj No. 117-068 - HRP Construction, Inc.
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Change Order No 1 & PCA - Prairie Ave. Water Main Loop Proj No. 117-068 - HRP Construction, Inc.
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4/14/2025 12:16:24 PM
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5/9/2023 2:21:55 PM
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Board of Public Works
Document Type
Projects
Document Date
5/9/2023
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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA d <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />Prairie Ave Water Main Loop <br />117-068 FINAL COST $1,707,027.02 <br />12/14/2021 MAINTENANCE AGREEMENT ENDS <br />12" Water Main installation <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 Bend which were a part of the above Contract. <br />Executed this 10th day of March 120 23 HRP Construction, Inc. <br />Company Name <br />Signature 5777 Cleveland Road <br />Nancy Knapik, Vice President Company Address <br />Printed Name South Bend, IN 46628 <br />City, State, Zip <br />WITNESSES& <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Nancy Knapik and acknowledged his/her signature to the abov <br />the 10th day of March 20 23 CYNTHIA L. VANHESTE �11 /� '►i,�?•^••.e : Notary Public, State of Indiana <br />�a�Y Tf - T.� n= St. Joseph County <br />f *SEALS* = <br />�1 Commission Number 681273 <br />NYary Signature My Commission Expir '%,,�aD' ugh 6,NR024nmisslon Expires <br />Cynthia L. Vanheste )24 <br />Printed Name County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, Nancy Knapik certify that I am Secretary of the Corporation executing this release; that <br />Nancy Knapik who signed this release on behalf of the contractor was then <br />Secretary of said Corporation; that said release was duly signed for and on behalf of said <br />Corporationby <br />C;� <br />byA'uthority of its governing body, and is within the scope of corporate powers: <br />Secretary s Signature <br />Corporate Seal <br />Nancy Knapik, Secretary <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 />g a ee �, 7�1, %j L/c, u.1Za%/-, ` Date: 04/15/2023 <br />Construction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: May 9, 2023 <br />
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