HomeMy WebLinkAboutRelease of Easement - 1901 W. Western Ave. – City of South BendIN WITNESS WHEREOF, the City of South Bend by and through its Board of Public Works has authorized the undersigned to execute this Release of Easement this 13th. day of June, 2023.
June 13, 2023
STATE OF INDIANA ) ) COUNTY OF ST. JOSEPH )
Before me, the undersigned, a Notary Public in and for said County and State, this 13th.
Juneday of , 2023, personally appeared Elizabeth A. Maradik, personally known to me as the President of the South Bend Board of Public Works, the contracting body of the City of South Bend, and acknowledged the execution of the foregoing Release Of Easement for and on behalf of the City of South Bend.
LAURA D. HENSLEY rc;;t1o;tir, fublic -Seal St Jo�rr'toumy -State of lndi1n1 Commission Number NP0732150 My Commission Expires Mar 3, 2029
My commission expires:
t my hand and affixed my official seal. This instrument was prepared by Michael J. Schmidt, Assistant City Attorney, 1200 S. County-City Building, 227 W Jefferson Blvd , South Bend, Indiana 46601. I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law. Michael J, Schmidt.
BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date 6/5/23
Name Michael Schmidt Department Legal
BPW Date June 13, 2023 Phone Extension Ext. 5860
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Michael Schmidt
Dept. Attorney Attorney Name Michael Schmidt
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal Open Market Contract Amendment/Addendum Special Purchase, QPA Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach
Required Information
Company or Vendor Name City of South Bend Release of Easement
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name Release of Easement at 1901 W. Western Avenue, South Bend, IN
Project Number NA
Funding Source
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Amount N/A
Terms of Contract
Purpose/Description _______________________________________________________________
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