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crry of SOUTH REND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT' COMPLETION AFFIDAVIT <br />P ROJECT NAME Snow Route Sign Installation <br />PROJECT NO 1231-077 FINAL COST $43,650.00 <br />CONTRACT SIGNED 5/31/2024 MAINTENANCH, AGREEMENT ENDS <br />PROJECT DESCRIPTION Install snow mute signv in locations outlined in contract <br />WnNE-iSSETH: <br />i'he work under the above contact bOween the (:sty of South Heed and the undersigned contractor haviing been <br />oompkted, 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, end that the contractor performed the wank within the scope of the Specifications and <br />Standards of the City of South Bend which were a part of the above Contract <br />FX this 3c) day Qr IJ WA evy) b e,r ,zoo Ll <br />Vat A <br />1 <br />SJ L <br />Printed Name <br />WITNESSESS: <br />DeTnIon LLC <br />company N e <br />201 E. Broadway Street <br />Company Address <br />South Bend, IN 46601 <br />City, State, Zip <br />ed Notary Public in and for said country and state, personally apt <br />and acknowledged his/her signature to the above Project Completi <br />Z y of Ac& : 2024 <br />Notary Signature <br />fis��;c�. <br />Printed Name <br />My Commission Expires <br />County of residence <br />3 <br />AffidavitCallefla Strickland <br />Nourf Public Seal State of Indigiria <br />t. Joseph County <br />Comm' sort Numbef NP0739734 <br />If the Conwacwr is a corporation, she fbIlowing certificate will be executed. ' <br />,certify that I am Secretary of the Corporation executing this release; that <br />,- who signed this release on behalf of the conumcor was then <br />of said Corporation; that said release was duly sigaed for and an behalf of said <br />Cou*mon by Authority of its goveming body, and is within the scope of corporate powers: <br />Secretar/s Sipatm Corporate Seal <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This PrOjed is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />� Dom; 12/3/2024 <br />Com- Ocfion Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />49��� 6T.5;7��� <br />Gary A. Gilot, Member <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />� _e�v <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: December 10, 2024 <br />