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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT 1 10, <br />PROJECT NAME Bendix Theater Handrails at the Centua-!Center <br />PROJECT NO I I 8­036A FINAL COST $12,91�5.00����� <br />CONTRACT SIGNED 7/24/2018 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Install handrails at the Bandix Theater. <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 />O'cu d this 9 Brown & Brown General Contractors, Inc. <br />Company Name <br />Signature 124 S. Elkhart Street <br />Marital Kreps Company Address <br />Printed Name Wakarusa, IN 46573 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally 0 Todd A Marek <br />Marita Kreps —,and acknowledged his/her signature to the above Project Coi ripletion Affida*ibt" Public <br />the 15th day of January , 201 9 SEAL <br />Marshall County, State of Indiana <br />/,,7 My Commission Expires April 3, 2025 <br />C ' i <br />Notary Signature My Commission Expires 4/34Q26--!4=s"on Number; 698752, <br />Todd A. Marek <br />Printed Name <br />County of Residence Marshall Co., IN <br />If the Contractor is a corporation, the following certificate will be executed. <br />i, .... Hannah " M. Aitken certify that I am Secretary of the Corporation executing this release; that <br />_Morita Kreps who signed this release on behalf of the contractor was then <br />Vice -President of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />11A.4 11 A, 64-0 J442jc�-- <br />Sec4—far_y's Signature Corporate Seal <br />Hannah M. Aitken <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acoeptabi forTTI approval and we recommend to the Board of Public Works that it be ordained so. <br />------T' 7J, 1 / 1 <br />Date: 1- <br />(;onstructio nager BOARD 9F PUBLIC WORKS 7 d AAP OVAL Date: <br />r <br />Elizabeth A. Maradik, Member <br />Gary A. Gilot , resident Suzann� M. Fritzbeig,-MeTifir <br />Therese J. Dorau, Member ",- LauWO'Sulllvan, MoRber Linda M. Martin, Clerk <br />