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PCA - Fire Station No. 8 Replacement Proj No 122-034 - R. Yoder Construction Inc
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PCA - Fire Station No. 8 Replacement Proj No 122-034 - R. Yoder Construction Inc
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3/31/2025 8:01:36 AM
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1/14/2025 12:31:54 PM
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Board of Public Works
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Projects
Document Date
1/14/2025
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ASBESTOS FREE STATEMENT <br />OWNER: City of South Bend <br />227 W Jefferson Blvd <br />South Bend, IN 46601 <br />PROJECT: Fire Station no. 8 Replacement Project No. 122-034 <br />Gentlemen: <br />The undersigned hereby certifies that to the best of our knowledge, information and belief, all <br />materials incorporated into the above referenced project are free of asbestos contained <br />materials or are not in excess of amounts allowed by Local/ State standards, laws, codes, rules, <br />and regulations, the Federal Environmental Protection Agency (EPA Standards Administration <br />and/or Federal Occupational Safety and Health Administration (OSHA) standards whichever is <br />more restrictive. <br />R. Yoder Construction, Inc. <br />By <br />Signed <br />Jason Yoder. President <br />Printed Name and Title <br />Date <br />Sworn to and subscribed before me, a Notary Public in the State of Indiana, the County of <br />Elkhart on this 26th day of December 20 24 <br />May 23, 2027 <br />Notary Public My Commission Expires <br />ANNE7TE WISEMAN <br />� Nolary Public State of Indiana <br />E Elkhart County <br />G emission S NP0720458 <br />y> „` .* My Commission Expires <br />May 23, 2027 <br />
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