Change Order & Project Completion - R&R Excavating, Inc. - 2017 Demolitions Phase I, Division B - Project No 117-065

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Final Waiver of Lien State of Indiana, County of S t . Joseph SS. William Loudin being duly &worn that he/she is the Vice President (Name of Officer) (Title) of R&R Excavating, Inc. having contracted with City of South Bend, Indiana (Contractor) (Owner) to:finishcertain materials and/or labor asfollows: Demolition & Site Restoration per Specifications (Description) for a project known as 2017 Demolitions, Phase 1, Division B; Project NO. 117-065 (Name of Project) located at 416 W. Calvert Street, South Bend, Indiana and owned by City of South Bend, Indiana (Owner) and doss hereby further state on the behalf ofthe aforementioned subcontractor/supplier: (PARTIAL WAIVER) that there is due from the Contractor the sum of Daiwa ($ ) ❑ receipt of which is hereby aolmowledged; or ❑ the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver o€Lienwhloh is given solely with respect to said amount, and which waiver shall be Offective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due ftm the contractor is the stun of Sixty—three Thousand One Hundred Thirty—eight s 63,�38. 0 Thousand Dollars and Zero Cents ❑ noelpt of which is hereby admowledged; or the payment of which has boon promised as the sole consideration foriltis Affidavit and Final Waiver of Lien which chaff become effective onlyuponreceipt of stub paymont. TBEREFORE, the undersigned waives and releases unto the Owmr ofsaid promises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, fltrnished b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and furffier certified that no other party has any claim or right to a lien on account of any work performed or material fmished to the undersigned for saidprojec4 and within the scope oftbis Affidavit and Waiver of ,len. R&R Excavating, Inc. By (Finn) (Authorized Representative) STATE OFINDIANA ) William Loudin, Vice President SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared _.William Loudin and aolcntowledged the execution of the foregoing Affidavit and Waiver of Lion. IN WITNESS WIiEIiEOF, Ihave hereunto aubscrlbed my name and affixed my official seal on the 24 th day of October 2017 , Notary Publlo Signature My Commission Expires; 9/28/2024 Rebecca S. Blackston Residingin St. Joseph county, Indiana Notary Public Name ...