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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS W <br />PROJECT COMPLETION AFFIDAVITn <br />PROJECT NAME Solar Radar S eed Dis Ia Si ns Div.A-C <br />PROJECT NO 117-113A FINAL COST $25,420.00 <br />..................... <br />CONTRACT SIGNED 12/21/2017 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Install traffic calming devices at two (2) locations, all within the City of South Bend, IN. <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 d this 2a� day of - 201 Pemberton Davis Electric Inc. <br />�.._. <br />any Name <br />'Ay" <br />916 E. McKinkey Ave. <br />Company Address <br />ciAm <br />Printed Name Mishawaka, IN 46545 <br />City, State., Zip <br />WITNESSES& <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />J0—W,J A. rel2 , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the '2drW day of ,tr 201 u <br />� <br />Notary tignature My Commission Expires <br />Printed Name County of Residence 5TriJ <br />I y, certificate orporationthe following will be executed. <br />f the ontr otoJL r is acertify that I am Secretary of the Corporation executing this release; that <br />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 key '76ty o s governing body, and is within the scope of corporate powers: <br />Secretary's S' nature <br />Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable f f I approval and we recommend to the Board of Public Works that it be ordained so. <br />P 1 <br />Date: <br />Construotw . nag,er <br />BOARD OF PUBLIC WORKS APPROVAL Date: r;�ra �/� <br />Gary A. GI? " resident St ina M. Fritzbt r Member Elizabeth A. Maradik, Member <br />Therese J orau, Member , Member I it a M. Martin, Clerk <br />