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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS.: <br />PROJECT COMPLETION AFFIDAVIT " <br />PROJECT NAME Ravina Park — Bowman Creek Stabilization <br />PROJECT NO 117-073A FINAL COST $246,143.70 <br />CONTRACT SIGNED 7/24/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Provide streambank restoration to portions of the banks of Bowman Creek within Ravina Park. <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 />Exec -7d of 201 Williams Creek Management Corporation <br />Company Name m- <br />Sit a - 4620 South Count Road 600 East <br />Company Address <br />Printed Name Plainfield, IN 46168 <br />City, State, Zip-ITITITIT_.._ <br />WITNESSESS: <br />fore arse„ the undersugned Notary Public in and for said country and state, personally appeared <br />' A and acknowledged his/her signature to the above Project Completion Affidavit on <br />t � day of �'" , 201 <br />Notary Sign re My Commission Expires <br />r <br />Printed Name County of Residence r 1 am <br />If the Contractor is a corporation, the following certificate will be executed. <br />1, iL k elcertify that I am Secretary of the Corporation executing this release; that <br />,P, who signed this release on behalf of the contractor was then <br />Vic "a. of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation city of its governing body, and is within the scope of corporate powers: <br />". ....�...__ r��rLA�Ugary 4UE7n! <br />hc, State <br />ana <br />Secre ry s Signaturnar�Corporate Seal <br />��nirgri Prin <br />ted Name ,�QP0" p�C� as <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for fU 'a approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: e <br />Construction er' <br />BOARD OF PUBLIC WORKS APPROVAL Date:„' <br />Gary A. 640t„ President Su;piNia M„ Fritzberg„ Member Elizabeth A. IMarad'ik, Member <br />herese J, orat mberN '...lqMe&A—IVLe1Ler Memberda <br />M. MartinCl <br />erk <br />rrc `Sui/c i/0- <br />