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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT -' <br />PROJECT NAME Fire Station No. 8 Replacement <br />PROJECT NO 122-034 FINAL COST $4,087,535.70 <br />CONTRACT SIGNED 9/12/2023 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Remove/ Replace Fire Station # 8 <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been <br />completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever <br />arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and <br />Standards of the City of South Bend which were a part of the above Contract. <br />Executed thi 26th day of eC r 2024 R. Yoder Construction, Inc. <br />Company Name <br />Signature grllr 27453 County Rd.150 <br />Mason Yoder Company Address <br />Printed Name Nappanee, IN 45550 <br />o�� City, State, Zip <br />ogo <br />ITNESSESS: <br />U1�GEN <br />4 E ' efore me, the undersigned Notary Public in and for said country and state, personally appeared <br />aw.�o� ason Yoder and acknowledged his/her signature to the above Project Completion Affidavit on <br />o0°$ c 26thdyyay--of December , 2024 <br />otary Signature My Commission Expires May 23, 2027 <br />° nnette Wiseman <br />Printed Name County of Residence Elkhart <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Kevin Yoder , certify that I am Secretary of the Corporation executing this release; that <br />Jason Yoder who signed this release on behalf of the contractor was then <br />President 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 Corporate Seal <br />Kevin Yoder <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fmal approval and we recommend to the Board of Public Works that it be ordained so. <br />111�1„ Lu- Date: 1 /6/2024 <br />struction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />• <br />0 — <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />M <br />Joseph R. Molnar, Vice President <br />Btre�ana Micou, Member <br />1 4 <br />Attest: Theresa M. Heffner, Clerk <br />Date: January 14, 2025 <br />