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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Morris Performing Arts Center Guaranteed Energy Savings Contract <br />PROJECT NO 121-030 FINAL COST $5,386,410.00 <br />CONTRACT SIGNED October 26, 2021 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION _Aijennerov savin- <br />WITNESSETH: Performing Arts Center <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above Contract. <br />Executed this f, day of <br />Company Name <br />Signaturel i/ 4L 4 ,��� <br />�- <br />lZ/ Company Address <br />Printed Name <br />WITNESSES& <br />Before me, the undersigned Notary Public in and fo <br />Ci:2ir1 ilryt, �,C: , and acknowledged his/her <br />the to day of.fflQt7' ti , 201<�_2. <br />Notar 'Signature <br />•+-f'VtE'.lCz.. 11Ct�'`r=:';r" �'UCt.i't'�' <br />Printed Name <br />ti s, ANGELADARLENE WYANT <br />r said country and state, perso d l� red !rotary Public - Arizona <br />signature to the above Project Affy K county <br />is it 596217 <br />my Comm. Expires Mar ta. 2025 <br />My Commission Expires l.- ' ot t'ok) 1q <br />County of Residence L0,7C / 1Lf ("_ <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, 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 />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 />Printed Name <br />Corporate Seal <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 />flV • V& Date:—3/27/2024 <br />Project Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />vA�a <br />Elizabeth A. Maradik, President <br />�� Qs�l-nit t <br />Gary A. Gilot, Member <br />1W__ <br />Murray L. Miller, Member <br />1,4; 2— r <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />(,<i/ <br />Attest: Theresa M. Heffner, Clerk <br />Date: April 9, 2024 <br />