Laserfiche WebLink
PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />-Newman Center Site Development, Division A and Alternate Al <br />117-06OR FINAL COST $339,829.57 <br />8/17/2017 MAINTENANCE AGREEMENT ENDS <br />Site Work and Patio Canopy Construction <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above Contract. <br />19 <br />Execu this 1 day of 'Fagqk.r 201 V The Robert Henry Corporation <br />Company Name <br />Siggpri 404 S. Frances <br />Company Address <br />Printed Name South Bend, IN, 46617 <br />City, State, Zip <br />WITNESSESS: <br />Before ne, the undersigned Notary <br />Public in and for said country and state, personally appeared' <br />and acknowledged his/her signature to the above Project Completion Affidavit on <br />the` <br />h day <br />of P <br />2016 <br />Notary Signature My Commission Expires <br />Printed Name County of Residence <br />If the Cont s a corporation, the following certificate will be executed, <br />= w , certify that I am Secretary of the Corporation executing this release; that <br />ROA MmAy who signed this release on behalf of the contractor was then <br />RMAdatrr A4AA)"gK of said Corporation; that said release was duly signed for and on behalf of said <br />Corporat,iori'oy Aptbo(1tyPfl%myruing body, and is within the scope of corporate powers: <br />WN <br />0 =0 6111196M <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This project is acceptable for approval and we recommend to the Board of Public Works that it be ordained so. <br />N11ZM <br />Date: I ° 14 - I. — <br />Construction On "ger <br />BOARD OPUBLIG WORK <br />Z7VAL <br />Date: A I <br />Gary A. Gilot, President <br />-:�Oz`anila <br />kil"rifterg, WerKer <br />ElizaliZe-th A. Maradik, Member <br />* M'Ala <br />I <br />In <br />Therese J. Dorau, Member <br />James A. Mueller, Member <br />Nda M. Martin,` Clerk <br />