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CITY OF SOUTH BEND, INDIANA 'I <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME (The Hill) 511 Notre Dame Avenue TIF Project <br />PROJECT NO 123-030 FINAL COST $500,000.00 <br />CONTRACT SIGNED 6/13/2023 MAINTENANCE AGREEMENT ENDS 04/09/2027 <br />PROJECT DESCRIPTION Site work, <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been <br />completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever <br />arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and <br />Standards of the City of South Bend which were a part of the above Contract. <br />Exec ed t s h d f March , 2024 Majority Builders, Inc. <br />Company Name <br />Signature 62900 US 31 South <br />Rick Slagle Company Address <br />Printed Name South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Rick Slagle , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the I— th day of March 202 4 <br /><P�Y Pie <br />CATHF RINE A PRAI�lGE <br />�o;:•• �, <br />'o RY PUBLIC' - IN:)Ik�lq <br />tary Signature My Commission Expires { S( 4 <br />o. 212-P!i <br />Catherine A. Prange My Commission Expires 0-1/1412027 <br />Printed Name County of Residence C County d/b/a St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Mark W. Slagle certify that I am Secretary of the Corporation executing this release; that <br />Rick Slagle who signed this release on behalf of the contractor was then <br />President of said Corporation; that said release was duly signed for and on behalf of said <br />Corporati by h is gove 'n body, and is within the scope of corporate powers: <br />Sec tary's Sig ture <br />Corporate Seal <br />Mark W. Slagle <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />Zach Hurst, PE for Date: 04/09/2024 <br />Construction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />val�a <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />qrt114, <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Briajnaa MMiicou, Member <br />1, <br />Attest: Theresa M. Heffner, Clerk <br />Date: April 9, 2024 <br />