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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS 9, <br />PROJECT COMPLETION AFFIDAVIT `"' <br />PROJECT NAME Century Center Site Improvements <br />PROJECT NO 118-101 FINAL COST $136,280.08 <br />CONTRACT SIGNED 3/26/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Landscape and hardsca a improvements at Century Center <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 h Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />t suc ontract„ ind that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of So h Bend w ch were a part of the above Contract. <br />Exec tad this #Z� ay of ��%�%201 7Acorn Landscaping LLC <br />J1,Company Name <br />Signature <br />L I N D A J G I L R O Y 3680 W Sam le St <br />lP <br />Notary Public, State of Indiana Company Address <br />County <br />Sl. Joseph <br />Printed Name <br />: * °. cc mmissionaszstss South Bend, IN 46619 <br />My Commission Expires <br />°imv�ffl'ww,�w°` August31i„20t9 I, City, State, Zip <br />WITNESSES& <br />Before me the undersigned <br />Notary Public in and for said country and state„ personally appeared <br />61"EAR �V nd acknowledged his/her signature to the above Project Completion Affidavit on <br />the ........ ._ day of <br />� <br />Notary Signature <br />My Commission Expires Op "(�,%"I' <br />Printed Name <br />County of Residence lit Ocf " <br />If the Contractor is a corporation, the following certificate will be executed. <br />certify 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 by Authority of its governing body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptablld'for bnal approval and we recommend to the Board of Public Works that it be ordained so„ <br />Date: <br />Constructio ages <br />Gary A.Gilo, President <br />_ <br />erese J. Wfbu, Member <br />BOARD OF PUBLIC WORKS APPROVAL <br />E. Miller, Me <br />aura O'Sullivan, <br />Elizabeth A. Maradik, Member <br />M. Martin, Cl <br />