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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME -West Race Frnergency Repair <br />PROJECT NO 115-115 FINAL COST $93,250.00 <br />CONTRACT SIGNED 5/8/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION -Pour a concrete wall at the intake of the Century Center cascades, and reset cascade planks. <br />WITNESSETH: <br />The work under the above contract between the City of South Bond and the undersigned contractor having been compieted, <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 />s u <br />Execute "K 14 Ap c W 8 _'201 HRP Construction Co. <br />Company Name <br />Signature 5777CIeveland Rd <br />Matthew D. Cain, President <br />Printed Name <br />Company Address <br />South Bend, IN, 46628 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Matthew D. Cain , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 1.4th day0f August 201_ 8 <br />Notary Signat&6 My Commission Expires <br />Cindy Vanheste <br />Printed Name <br />County of Residence <br />3/06/24 <br />St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />li Nancy K n a p i k certify that I am Secretary of the Corporation executing this release; that <br />Matthew D. Cain who signed this release on behalf of the contractor was then <br />President of said Corporation; that said release was duty signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />Secretar#rs Signature <br />Nancy Knapik <br />Printed Name <br />Corporate Seal <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is, acceptable f9r fi a pproval and we recommend to the Board of Public Works that it be ordained so. <br />Date: <br />Construction Mq9r6r <br />4 A, " "t BOARD OF PUBLIC WORKS APPROVAL Date: <br />Gary A. Gilot, President Suzanna M. Fritzberg, Member Elizabeth A. Maradik, Member <br />Therese J. Dorau, Member Ja4,s A. Mueller, Member qinda M. Martin, Clerk <br />