Laserfiche WebLink
11T <br />bt*gR. <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT} <br />PROJECT NAME Nexus Center Site and Building Improvements <br />PROJECT NO 121-064 FINAL COST $340,524.03 <br />CONTRACT SIGNED 2/14/2023 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION 47254.03 <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 th day of J nualy 12024 <br />Signature <br />Jason Yoder <br />Printed Name <br />R. Yoder Construction, Inc. <br />Company Name <br />27453 Cty Rd 150 <br />Company Address <br />Nappanee, IN 46550 <br />City, State, Zip <br />WITNESSETS: <br />Before me, the undersigned <br />Notary Public in and for said country and state, personally appeared nliiin <br />Jason Yoder <br />, and acknowledged his/her signature to the above Project Completion Affidavit, on J.'��i,� <br />��` �• • r;IS io <br />the 11th day of January 2024 ,�` �.Go 03-30_� F.�y <br />IV <br />Notary Si at e <br />My Commission Expires March 30, 2024 v SF� c <br />Shell am <br />g J. Brigham <br />-�� - <br />=��'°�'� <br />��'����' <br />Printed Name <br />County of Residence Kosciusko ° cO��tia. <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Kevin Yoder <br />,certify that I am Secretary of the Corporation executing this release; that <br />Jason Yoder <br />who signed this release on behalf of the contractor was then <br />President <br />of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation y thority of ' s governing body, and is within the scope of corporate powers: <br />Corporate Seal <br />Secretary's Si re <br />Kevin Yoder <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: 1 /19/2024 <br />Clction Manager <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />CITY OF SOUTI I BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />,*a a <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />7pG y /, 7rt AlP <br />Murray L. Miller, Member <br />Ire <br />Joseph R. Molnar, Vice President <br />Briiaa�naa Micicou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: February 13, 2024 <br />