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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS y <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME High St Sidewalk Improvements <br />PROJECT NO 123-012 FINAL COST $219,810.11 <br />CONTRACT SIGNED 5/9/2024 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION <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 />E;xtted7is, 19th day of November , 2024 Milestone Contractors, L.P. <br />Company Name <br />Signs 24358 SR 23 <br />Lynn J. uer. VP/Area Manager, South Bend Company Address <br />Printed Name South Bend, IN <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Lynn J./ Bauer , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 19th of lNovegiber , 202 4 <br />' �"i°� ALISHAKRUEGEF. <br />My Commission Ec <br />Notaryature My Commission Expires 6/5/2030 Juno <br />Alisha Krueger <br />Printed Name County of Residence LaPorte <br />If the Contractor is a corporation, the following 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 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 />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: 1 /30/2025 <br />Con&lliction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />l�r <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />MI i <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />4 <br />Attest: Theresa M. Heffner, Clerk <br />Date: February 11, 2025 <br />