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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME <br />PROJECT NO. <br />CONTRACT <br />SIGNED <br />PROJECT <br />DESCRIPTION <br />WITNESSETH: <br />WWTP Final Clarifiers 4 & 5, Aeration Tanks 1-4, and Disinfection Improvements <br />119-069A FINAL COST $4,485,905.23 <br />10 - 13 - 2020 MAINTENANCE AGREEMENT ENDS 12 - 08 - 2025 <br />Replace secondary clarifier mechansims, troughs and weirs, aeration gates, <br />electric actuators, chlorine and sulfur dioxide disinfection equipment. <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 />Executed this 3RD day of October 20 23 <br />Signature <br />Pat Stanford, Project Manager <br />Printed Name <br />Bowen Engineering Corporation <br />Company Name <br />8802 North Meridian Street <br />Company Address <br />Indianapolis, IN 46260 <br />City/State/Zip <br />WITNESSES <br />Before me, the undersigned Notary Public in and for said country and state, personally <br />appeared Pat Stanford , and acknowledged his/her signature to the above Project Completion <br />Affidavit on the 3 ❑ day of October , 20 23 <br />June 5, <br />Notary Signature My Commission Expires <br />Mar aret Burrou he P w <br />Printed Name County of Residence Newton Co, Indiana <br />2024 <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, Carey Weddle , certify that I am Secretary of the Corporation executing this release; that <br />Pat Stanford who signed this release on behalf of the contractor was then <br />Project Manager of of said Corporation; that said release was duly signed for and,""IMiP644jd <br />Corporation by Authority of its governing body, and is within the scope of corporate v�ti I NG•CC) .,,, <br />• r <br />OVATEo <br />Z.- <br />Secre4i-)T's Signature `q • �' <br />O Co rite <br />Q Carey Weddle W = U <br />Printed Name s C)= ' <br />DEPARTMENT OF PUBLIC WORKS APPROVAL m•'•. l p,�P;' ��? <br />This project is acceptable For final approval and we recommend to the Board of 1%1►'�r�lt� ,,• <br />ordained so. r`'�•.,���'r , A►��',�10 <br />�o,&4 71N. %j ���` `'� Date: 10-05-2023 <br />Construction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />tu�a <br />�/ I <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar,Vice <br />Qs& <br />ePPresident <br />" _U " _ <br />Gary A. Gilot, Member <br />Alexandra Dolz-Lane, Member <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: October 10, 2023 <br />