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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS y <br />PROJECT COMPLETION AFFIDAVIT <br />Nexus Center Roof Replacement <br />121-064A FINAL COST $196,981.00 <br />1/10/2023 MAINTENANCE AGREEMENT ENDS <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 />Exec# d this /SO day of 20'. Slatile Roofing & Sheet Metal Co., Inc. <br />Company Name <br />Si nature 1703 S. Ironwood Dr. <br />���� J� s���% Company Address <br />Printed Name South bend, IN 46613 <br />City, State, Zip <br />WITNESSESS: uliiii'uuri <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared \.` \�\C <br />Alav INWCku, C-Z and acknowledged his/her signature to the above Project Completion Afflda4on'­ <br />Q J <br />the / 7 day ofJ]WJt7IbC-1- , 20J�3 = p <br />cc <br />QJ; 1 <br />Notary Su n ` ure My Commission Expires o .. `0 <br />Printed Name County of Residence Lr��T� — ��''rr, is <br />If the ontractor is a corporation following certificate will be executed. <br />I, 1V AJ LD 21) e 1 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 />�9 of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />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 />Date: 10/17/2023 <br />Co VIU, <br />ction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />1� --2il t <br />Joseph R. Molnar, Vice President <br />ab� <br />Alexandra Dolz-Lane, Member <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: October 24, 2023 <br />