PCA - MPAC Guaranteed Energy Savings Contract Proj No. 121-030 - Ameresco, Inc.

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CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT Morris Performing Arts Center Guaranteed Energy Savings Contract 121-030 FINAL COST $5,386 410.00 October 26, 2021 MAINTENANCE AGREEMENT ENDS PROJECT NAME PROJECT NO CONTRACT SIGNED PROJECT DESCRIPTION WITNESSETH: An energy savings project for mechanical electrical and plumbing upgrades in the Moms Performing Arts Center. The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Executed this 6 day of /0 Pf /!_c,/ , ™ 2....v2...'f-:. Printed Name WITNESSESS: Company Name I I I .5 /'{. �-✓ �1"1Company Address f'l1-Prv11,Jr.E-!..,t-1(1f) (v1t1 Before me, the undersigned Notary Public in and for said country and state. perso (po\'l:i...n <Y\'.:..,.�(c., . and acknowledged his/her signature to the above Project <I.'"'"•, ANGELA 0ARL£NE WVAlfT -red Notary Public -Antona \i!i Affirl-.1M tics>9t1 Couoty rr, 1-c:61iYM;s�b'1 # 596217 the (o day of ffiosth , 201A:_. r"'\ ,, d Vo::r1�i��;.�1;�'1LV1l_ L(it(?'�J-• .,My Commission Expires County of Residence If the Contractor is a corporation, the following certificate will be executed. • •••• • My Comm. Expires Mar 1◄• 2025 I, _______________ _, certify that I am Secretary of the Corporation executing this release; that ___________________ who signed this release on behalf of the contractor was then _______________ of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body. and is within the scope of corporate powers: Secretary's Signature Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This pro·ect is acc�table for final approval and we recommend to the Board of Public Works that it be ordained so. �.� �-3/27/2024------- BOARD OF PUBLIC WORKS APPROVAL Date: ________ _ Elizabeth A. Maradik, President Joseph R. Molnar, Vice President Gary A. Gilot, Member Murray L. MIiier, Member Breana N. Micou. Member Theresa Heffner. Clerk Project April 9, 2024