Change Order and PCA - WWTP Degrit Yard Piping Proj No 123-031A - HRP Construction

Home Browse Search

�O45p13T11 g � CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT 1865 II 11 - PROJECT NAME Wastewater Treatment Plant Yard Piping Improvements - Contract A PROJECT NO. 123-031 A FINAL COST 500,746.00 CONTRACT 03-12-2024 MAINTENANCE AGREEMENT ENDS 08/15/2027 SIGNED PROJECT DESCRIPTION Demolition Work, Installation of Sludge Piping, and Site Restoration at the Wastewater Treatment Plant WITNESSETH: The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Executed this 29th day of April , 20 25 Signature Nancy Knapik, Vice President Printed Name HRP Construction, Inc. Company Name 5777 Cleveland Road PO Box 266 Company Address South Bend, IN 46628 City/State/Zip WITNESSES Before me, the undersigned Notary Public in and for said country and state, personally appeared Nancy Knapik , and acknowledged his/her signature to the above Project Completion Af ldavit on the 29th day of April , 20 25 (// C L Vargmft `'" tJoiy9c, Stale of kdorla tary Signature My Commission Expire sir 06L Cynthia L. Vanheste , „ My Printed Name County of Residence i If the Contractor is a corporation, the following certificate will be executed. I, Nancy Knapik , certify that I am Secretary of the Corporation executing this release; that Nancy Knapik who signed this release on behalf of the contractor was then Secretary of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's ignature Nancy Knapik, Secretary Printed Name Corporate Seal DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Date: Construction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS Elizabeth A. Maradik, President 119 �GfsAG Gary A. Gilot, Member jYLwy � 7'i2o�4, Murray L. Miller, Member Joseph R. Molnar, Vice President Breana Micou, Member Attest: Theresa M. Heffner, Clerk Date: May 13, 2025