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"T <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -Demolition of Howard Park Recreation Center <br />PROJECT NO 117-058 FINAL COST $148,335.00 <br />CONTRACT SIGNED 9/12/2017 MAINTENANCE AGREEMENT ENDS <br />Provide demolition services associated with the Demolition of Howard Park Recreation Center <br />PROJECT DESCRIPTION and Ice Rink. <br />WITNESSETH: <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 Nhich were a part of the ppbqve Contract. <br />Executedthl day of 1201 G.E. Marshall, Inc. <br />Company Name <br />Signe k, 1351 Joliet Road <br />Compan <br />y Address <br />Printed Name Valparaiso, IN 46385 <br />City, State, Zip <br />WITNESSES& <br />B d Notary Public in and for said country and state, personally appeared <br />Me me h n igned N r e <br />I Ulkapd acknowledged his/her signature to the above Project Completion Affidavit on <br />the day of201 <br />Wova V'Signature My Commission Expires <br />Printed Name County of Residence <br />If the, ontraptq�l a %poration, the following certificate will be executed. <br />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 />41. <br />of said Corporation; that said release was duly signed for and on be� ykt,qf said <br />Corporatio by A thori y f its gov rnin o and is within the scope of corporate powers: '00k% v6H <br />Ser "a ry's Sig �a u r <br />do- rp-c _Trate Seat <br />SEAL. <br />19 s�s <br />Printed Name 'Ile <br />D I <br />DEPARTMENT OF PUBLIC WORKS APPROVAL 1V00 At4 ""N", <br />This project is acceptable fOF fin approval and we recommend to the Board of Public Works that it be ordained so, <br />Date� Z4+ <br />Construction ger <br />BOARD OF PUBLIC WORKS APPROVAL Date: <br />Gary A. Gilot, President Suzanna M. Fritzberg, Member E is et A. aradik, Member <br />Therese J. Dork, Member James A. Mueller, Member <br />LinM. Martin, Clerk <br />