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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS ' t <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Drewrys Brewery Cleanup Phase II - Bottling House Demolition <br />PROJECT NO 119-031D FINAL COST $1,063,600.00 <br />CONTRACT SIGNED 8/13/2024 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Drewrys Brewery Cleanup Phase II - Bottling House Demolition <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 />Ex a this day of FtArvqr202 S Green Demolition Contractors Inc. <br />Company Name <br />Signature 1L 315 Brighton Street, Suite 1 <br />M' e I J �r e v re t`A,1 Company Address <br />Printed Name LaPorte, IN 46350 <br />City, State, Zip <br />WITNESSESS. <br />Before( me, the undersigned Notary Public in and for said country and state, personally appeared <br />MiCkgt, roug% and acknowledged his/her signature to the above Proje � <br />the da Of v r 202 414 JANET M DOMMER <br />Notary Public - Seal <br />Porter County -State of Indiana <br />Commission Number NP0746920 <br />otaryignature My Commission Expires My Commission Expires feb 16, zo3 i <br />JaKJ er <br />Printed Name County of Residence <br />If the Contractor is a co oration, the following certificate will be executed. <br />1, i' e J rov , certify that I am Secretary of the Corporation executing this release; that <br />mirc-hael ..S o who signed this release on behalf of the contractor was then <br />Pr e3 i J of said Corporation; that said release was duly signed for and on behalf of said <br />Co�r9ti�n Authority of its governing body, and is within the scope of corporate powers: <br />/ " Corporate Seal <br />M o�taQ I J I3r4va k <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />/1��Az ��tt Date: 5/5/2025 <br />ConOuction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />7*tLa ','�/Iz 7rt <br />Elizabeth A. Maradik, President Joseph R. Molnar, Vice President <br />Gary A. Gilot, Member Breana Micou, Member <br />Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk <br />Date: May 13, 2025 <br />