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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT ,^ <br />PROJECT NAME East Race Sidewalk Repairs <br />PROJECT NO 117-130 FINAL COST $98,743.00 <br />CONTRACT SIGNED 12/17/2020 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION <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 />Walsh &Kelly, Milestone Contractors <br />Executed this a6 �L day of ;!kkA� 20 a North, Inc. <br />Company Name <br />Si nature 24358 SR23 <br />OS 1 err; S Company Address <br />Printed Name South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, perso II a earl I J{ EE YOU <br />��y cT:S ,and acknowledged his/her signature to the above Project (�li , Stale of In <br />the da of vA� 1 Z St. Jose h County <br />Nove ion <br />o 2Expires <br />ary Si nature My Commission Expires Vb <br />Printed Name County of Residence <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, b.,Ze11e- pow � , 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 />Gt.... �. of said Corporation; that said release was duly signed for and on behalf of said <br />orporation by Authority of its governing body, and is within the scope of corporate powers: <br />iU � <br />Secretary's Sig11natur( ` Corporate Seal <br />�O�l"i t ea 4 C- 1 al U I-) f' <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: 3/18/2024 <br />Co ruction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />VA� �k <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Breana N. Micou, Member <br />Attest: Laura D. Hensley, Acting Clerk <br />Date: March 26, 2024 <br />