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CITY OF SOUTH BEND, INDIANA f <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Small Drainage Improvements - Beale St. & Chapin St. <br />PROJECT NO 121-006B (Division 1) FINAL COST $177,765.50 <br />CONTRACT SIGNED 5/23/2023 MAINTENANCE AGREEMENT ENDS <br />Installation of an storm water inlet and treelawn grading to provide improved drainage along <br />PROJECT DESCRIPTION Beale St. <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 />Executed this 18th day of October , 202 3 IIRP Construction, Inc. <br />Company Name <br />Signature 5777 Cleveland Rd., PO. Box 266 <br />Nancy Knapik, Vice President Company Address <br />Printed Name South Bend, IN 46624-0266 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personall a yea e <br />NancyKnapik and acknowledged his/her signature to the above Proje t �o 'd�t49n �I,11111tAoh, VANHE;TE <br />the 18th day of Oetob r 202 `o?P " Lei'^ Notary Public, State of Indiana <br />`(f z:SEA�?"- isSt, Joseph County <br />7�1"iLl.Gt G � R.GCL: D *•. *; Commission Number 681273 <br />pines <br />� •• p , My Commission Expires <br />Not Signature My Commission Expires rf.'dl° `' �24 March 06, 2024 <br />Cynthia L. Vanheste <br />Printed Name <br />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 />Corporation by Authority 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 />10 eZA ,L-U41v- Date: 1 /12/2024 <br />Co ruction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />tat1-11-zP1 <br />Elizabeth A. Maradik, President <br />`�--•� Gird-t/c�c <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />r11-14 <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: January 23, 2024 <br />