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Change Order No 5 & PCA - Western Avenue and Olive Street Intersection Improvement Proj No 115-097 - Selge Construction
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Change Order No 5 & PCA - Western Avenue and Olive Street Intersection Improvement Proj No 115-097 - Selge Construction
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4/2/2025 1:27:21 PM
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5/23/2018 3:04:23 PM
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Board of Public Works
Document Type
Projects
Document Date
5/22/2018
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Final Waiver of Lien <br />State of Indiana, as: <br />WHEREAS, the undersigned Selene Construction Co,, Inc. has been heretofore employed <br />by the City of South Bend, IN to furnish certain material and labor, to wit: Western Avenue <br />Corridor Improvements From Bendix Drive to Olive Street Project No. 115-097 for the real <br />estate owned by the City of South Bend located in South Bend, IN County of St, Joseph, <br />State of Indiana, <br />Now Therefore, Know Ye, That the undersigned, for and in consideration of Two Thousand <br />Three Hundred Thirty Eight Dollars and Fifty Three Cents ($2,338,53), the receipt of which is <br />hereby acknowledged, hereby and now waives and releases unto the said owner of said premises, <br />any and all lien, right of lien or claim of whatsoever kind of character on the above described <br />real estate. TO AND FOR SAID AMOUNT, an account of any and all labor material, or both <br />furnished for or incorporated into said real estate by the undersigned up to this date, and we <br />further certify that the consideration moving to the undersigned for executing this Final Waiver <br />of Lien has been mutually given and accepted as final payment to or on account of the said <br />project for said real estate. <br />Signed, sealed and delivered this 26th day of A 2ril., 2018 <br />Signed <br />Robert S. Riley <br />Project Manager <br />Personally appeared before me this 26th day of April, 2018, Robert S. Riley, who, being duly <br />sworn on oath, says: That he is Project Manager of the Selge Construction Co., Inc, and that he <br />hereby acknowledges the execution of the foregoing instrument for and on behalf of said Sege <br />Construction Co., Inc. <br />My Commission expires: 07/25/2020 <br />I <br />4" <br />.......... NOTARV", A'- <br />S <br />PUBLIC <br />UJ I My COMMISSION iz E <br />EXPMES <br />4� <br />7-25-2020 <br />x X <br />Notary Public <br />
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