Change Order No 7 - PCA - Western Ave Corridor Improvements Proj No 114-033B - Rieth Riley Construction

Home Browse Search

d!�ouni4 CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT ra PROJECT NAME Western Avenue Corridor Improvements PROJECT NO 114-033B FINAL COST $955 346.70 CONTRACT SIGNED 6/18/2015 MAINTENANCE AGREEMENT ENDS Western Avenue Striping and Traffic Equipment Painting from Edison to LaSalle Excluding, PROJECT DESCRIPTION Dundee to Bendix WITNESSETH: The work under the above contract between the City of South Bend and the undersigned contractor having been completed the City of South Bend, Its officials and agents are hereby released from all claims and demands whatsoever arising under by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the Cit, of South Bend which were a part of the above Contract. Executed this 2nd days ecember 2016 Rieth-Riley Construction CO., INC Company Name Signature 25200 State Road 23 Joshua A. McCp ick, Sales Manager Company Address Printed Name South Bend, Indiana 46614 City, State, Zip WITNESSES: Before me, the undersigned Notary Public in and for said county and state, personally appeared Joshua A. McCormick acknowledged his/her signature to the above Project Completion Affidavit on 24 d of ece er �,a�tlpr"",. DAWN E. ARMSTRONG s'• �`��: Notary Public, Stote of Indiana ry Signa re My Commission Expires 4/18/23 `,;'"°"^Y:�= iaaode county EAL; 5596 Dawn E. Armstrong '-,, ,No aN* My Commission Expires Printed Name County of Residence LaPort """ April 18, 2023 If the Contractor is a corporation, the following certificate will be executed. I, Gary A. Pyclik certify that I am Secretary of the Corporation executing this release; that Joshua A. McCormick who signed this release on behalf of the contractor was then Sales Manager of said Corporation; that said release was duly signed for and on behalf of said Corporation by Authority of its governing body, and is within the scope of corporate powers: Secretary's nature Gary A. Pycli ,Assistant Corporate Secretary Corporate Seal Printed Name DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. Date: I Z• L• l 4 Constructio M nager j BOARD OF PUBLIC WORKryAPPROVAL Date: J ! L1 ( rAl L Gary A. Gilot, President Suzanne M. OF ritzberg, M ber EI•¢abeth A Maradik, Member �— Therese J. Dora Me ber Jam A. Mueller, Member---Lifida M. Martin, Cle k