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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT <br />PROJECT NAME Leeper Ave. Bridge Repairs Deck Replacement <br />PROJECT NO 124-008 FINAL COST $520,965.85 <br />CONTRACT SIGNED 8/13/2024 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Bridge repairs and full deck replacement of East Bank trail over Leeper Ave. <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 ' of South Bend which were a part of the above Contract. <br />Executed s th y of .dune , 2025 Milestone Contractors, L.P. <br />Company Name <br />Zs'gnature 24358 State Road 23 <br />tin P. Hila Director of Estimating. Company Address <br />Printed Name Griffith -South Bend South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personal ;:awd — — — �e <br />Dustin P. Hilary , and acknowledged his/her signature to the above Project Co p f "' davit ISHAKRUEGER <br />2�` �n. My Commission Expires <br />the 16th =da e 2025 =*r SEAL :* June 5, 2030 <br />'ra Commission Number NP0653544 <br />:tl'.....•�P.• <br />'.FOF 1N0.• La Porte County <br />No Signature My Commission Expires <br />Alisha Krueger <br />Printed Name County of Residence LaPorte <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, , 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 />Corporate Seal <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 />Date: 6/17/2025 <br />Co ruction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />MIN M, <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />U�IK1 <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />o1 U f - lwbL / 4CP.1 <br />Attest: Hillary Horvath, Acting Clerk <br />Date: 6/24/25 <br />