Laserfiche WebLink
CITY OF SOUTH BEND, INDIANA��. <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT " <br />PROJECT NAME Lime Bike Parking Areas <br />PROJECT NO 118-059R FINAL COST $9,800.00 <br />CONTRACT SIGNED 10/9/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Stri a three 3 Lime Bike arkin areas at various locations. <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above Contract. <br />Exeoul his ay of XOV EM (3E R 201�. The Airmarkin Co. Inc. <br />Company Name <br />., ! <br />Signature 1544 N. SR 25, P.O. Box 526 <br />OE Company Address <br />Printed Name Rochester„ IN 46975 <br />City, State, Zip <br />WITNESSESS: <br />e'f re e„ ttbe undersigned Notary Public in and for said country and state, personally appeared <br />.Of�__,, and acknowledged his/her signature to the above Project Completion Affidavit on <br />SH <br />day of A6" 1 n , 201$....._�• <br />Notary Signature My Commission Expires <br />Pe NINN L PIKE <br />Printed Name County of Residence 11` 4 1 <br />If the Contractor is a �co„rporation, the following certificate will be executed. <br />I, _ �.. B' t L _ , certify that I am Secretary of the Corporation executing this release; that <br />L)L.) E 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 Authori of its srvern rag body, and is within the scope of corporate powers: <br />Secrets s Sign re Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for "'r approval and we recommend to the Board of Public Works that it be ordained so. <br />"» .. Date: <br />Construction ger <br />lk"l—BOARD OF PUBLIC WORKS APPROVAL Date: -24t, 0-0 f <br />Gary A. Gilot, Pre adent Suzanna M. Fritzberg, Member Elizabeth A. "Maradik, Member <br />Therese J o�rau. Member <br />James A. Mueller, Member <br />M. Martin, Clerk <br />