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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME 2017 Demolitions, Phase 1, Division A & C <br />PROJECT NO 117-065 FINAL COST $75,089,00 <br />CONTRACT SIGNED 6/27/2017 MAINTENANCE AGREEMENT ENDS <br />Provide demolition services associated with the Vacant and Abandoned Properties Initiative <br />PROJECT DESCRIPTION within the Citv of South Bend. <br />LTAICNIMMA4112. <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 Bendwhich, were apart of the above Contract. <br />ecuted this 30th \\d'ayof November 1201 7 RITSCH�ARD BROS., INC. <br />Idt 1 0 Q Company Name <br />Signature 1204 West Sample Street <br />Rachelle L. Dolniak <br />Printed Name <br />Company Address <br />South Bend, Indiana 46619 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Rachelle L. Do c, and acknowledged his/her signature to the above Project Qpfflp)4jqQ Affidavit on <br />the. 3,O)th, day of Q ember 2017 <br />IJ <br />NWaFy Signature My Commission <br />Robin Fozo <br />Printed Name <br />County of Residence <br />If the Contractor is a corporation, the following certificate will be executed. �0 ";^, I I ., , <br />,0 ;1 � , I., .. - - <br />I, Donald Ritschard, Jr. certify that I am Secretary of the Corvoq 41'�j Oil release; that <br />Rachelle L. Dodniak oe::) who signed this release on behalf or was then <br />-TrWjA:Vnt,Q 4 14 _,:n7 / / of said Corporation-, that said release was duly signed for and on behalf of said <br />Cr)(oyfdo byJAUt_[JbVtj/Af its erq(ng body, and is within the scope of corporate powers: <br />Secretary's Signature <br />Donald Ritsc <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This project is acceptable for n approval and we recommend to the Board of Public Works that it be ordained so., <br />Date: <br />Construction 4,,�a�ber <br />Gary A. Gilot, President <br />BOARD OF PUBLIC WORKS APPROVAL Date', <br />Suzanna M. Fritzb,erg, Member <br />Therese J. Doi a6, [Tember Jam A. Mueller, Member <br />Elizabeth A Maradik, Member <br />M. Martin, Clerk <br />F o_ 1111"I -z " <br />- -, - &- <br />