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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS / <br />PROJECT COMPLETION AFFIDAVIT" <br />PROJECT NAME Main Street Improvements from Sherwood Street to Dean Street <br />PROJECT NO 122-045 FINAL COST $395,540.84 <br />CONTRACT SIGNED 1/10/2023 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Improvements to parking lane and curbline. <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 c traa „and that the contractor performed the work within the scope of the Specifications and <br />Standards of the ty of ou end which were a part of the above Contract. <br />Executed <br />Printed Name <br />WITNESSESS: <br />Before me, the undersigned Notary Public <br />Dustin P. Hilary , and acknowledge <br />2023 <br />�OFp0RATE <br />.e <br />jI •• l-l� �� n � <br />Milestone Contractors North, Inc. <br />Company Name <br />24358 State Road 23 <br />Company Address <br />South Bend, IN 46614 <br />City, State, Zip <br />d <br />the 20th Qf Nove ber 2023 <br />Notaryafore My Commission Expires 6/5/2030=ALISHAKRUEGERssion ExpnesAlisha Krueger5, 2�30Printed Name County of Residence 1 p mnar NP0653544If the Contractor is a corporation, the following certificate will be executeda County <br />I, Danielle Payne certify that I am Secretary of the Corporation executing this release; that <br />Dustin P. Hilary who signed this release on behalf of the contractor was then <br />Director of Estimatinq of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation b Au- • of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Corporate Seal <br />Danielle Payne <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 />&A Date: 3/12/2024 <br />Conoction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />vl�a �P1 <br />Elizabeth A. Maradik, President Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member Breana N. Micou, Member <br />Murray L. Miller, Member Attest: Laura D. Hensley, Acting Clerk <br />Date: March 26, 2024 <br />