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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS - <br />PROJECT COMPLETION AFFIDAVIT <br />2023 Traffic Calming <br />122-014C FINAL COST $2,070,804.81 <br />4/25/23 MAINTENANCE AGREEMENT ENDS <br />Speed Tables <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 10th da of ❑ ober 20 24 <br />=iaJutler, Vice President <br />Printed Name <br />Selge Construction Co., Inc. <br />Company Name <br />2833 South 11th Street <br />Company Address <br />Niles, MI 49120 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Justin Butler , and acknowledged his/her signature to the above Project Completion Affidavit on <br />t erfl th day of October 20 24 <br />i . -,, <br />Notary Signature My Commission Expires <br />Allison Swinehart <br />Printed Name <br />10/27/2027 <br />l <br />'1 y." <br />Berrien �; �\•,,..riqYPrL2,,.�.`_ <br />' W. 0 , <br />'�`h'r8Y`. r3 <br />If the Contractor is a corporation, the following certificate will be executed. + klyC"'Mias. —i <br />I, Allison Swinehart certify that I am Secretary of the Corporation exe4tin4this%leas iat <br />Justin Butler who signed this release on behalf of the con1trrwas, ftA; <br />Vice President of said Corporation; that said release was duly signed fog IQ t�ekzal a spi'd,, <br />p,oration by Authority of its governing body, and is within the scope of corporate powers:I I'll �'•, f1_tt{./-+.r{', G` `..•`' <br />tF11[IfLL�� <br />Secretary's Signature Corporate Seal <br />Allison Swinehart <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 />AaA Date: 10/15/2024 <br />Const ction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President Joseph R. Mohiar, Vice President <br />Gary A. Gilot, Member Briana Miicou, Member <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: October 22. 2024 <br />County of Residence <br />