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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT ar <br />PROJECT NAME Liberty Tower Improvements DivC - Storefront and Vestibule Entrance <br />PROJECT NO 118-086R FINAL COST $306„817.08 <br />CONTRACT SIGNED 2/12/2019 MAINTENANCE AGREEMENT ENDS <br />Provide and install Exterior Improvements as outlined in three separate Divisions Improvements <br />PROJECT DESCRIPTION -according to the intent of the plans, and specifications, <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 apart of the above Contract. <br />Executed s,r I day of 1 AIt � 't'• .0 Environmental Glass, Inc. <br />Company Name <br />Signatt a 12675 Marlin Drive <br />Company Address <br />Printed Name Redford, MI 48239 <br />City, State, Zip <br />WITNESSESS: <br />Bfore me,, the undersigned Notary Public in and for said country and state, personally appeared <br />and acknowledged his/her signature to the above Project Completion Affidavit on <br />the day pf°Atr .w 01 ,�rtd9, IENNIFER M DUPUIF <br />e <br />� ." ��•� t �� ����, ���,�p,,�� Nornrty Public <br />Notary natUL- My Commission Expires `AYNE COUNTY, STATE OF MICHIGAN <br />rvly (( K11 Cyr 01.26-2021 <br />Printed Name County of Residence <br />If the Contractor is a corporation, the following certificate will be executed. <br />L. ��� •� 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 />t r a ,pf-sad'^corporation; that said release was duly signed for and on behalf of said <br />Corporat el y Authori ,w'of i ov"r Ol body, and is within the scope of corporate powers: <br />ecr nary s wgnatur r Corporate Sea! <br />1-4 <br />-r," s <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable fo approval and we recommend to the Board of Public Works that it be ordained so. <br />Date: (. • Z6 <br />Constructi ager.. <br />Gary A. Gilot, President <br />Therese J. Dorau, Member <br />BOARD OF PUBLIC WORKS APPROVAL <br />Jordan Gathers, Member <br />Date: <br />Elizabeth A.Iradbik,tember <br />