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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA" <br />BOARD OF PUBLIC WORKS i r� <br />PROJECT COMPLETION AFFIDAVIT' " <br />2018 Street Paving <br />118-070 FINAL COST $580,293.44 <br />8/14/2018 MAINTENANCE AGREEMENT ENDS <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend which were a part of the above Contract. <br />Executed t Is <br />20t day of p c am2ber 2018 Rieth-Rilty Construction Co.. Inc. <br />Company Name <br />Signature �� <br />•�-°� 25200 State Road 23 <br />Joshua A. McCormick, Sal .. <br />es Mana er Company Address <br />Printed Name South Bend Indiana 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Joshua A. McCormick , and acknowledged his/her signature to the above Project Completion Affidavit on <br />::,2Lday of ce , 201$ <br />Notary Signature My Commission Expires 10/22/22 <br />Sue Anne Cira <br />Printed Name County of Residence St. Joseph <br />If the Contractor is a corporation, the following certificate will be executed. <br />1,Gary Pyclik certify that I am Secretary of the Corporation executing this release; that <br />Joshua A. McCormick who signed this release on behalf of the contractor was then <br />Sales Manager of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Authority of its governing body, and is within the scope of corporate powers: <br />w iw� n � <br />Secretary's Sign ure <br />Corporate Seal <br />Gary Pyclik <br />Printed Name <br />4. DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This proj5Jacceptable fo „ l I approval and we recommend to the Board of Public Works that it be ordained so. <br />Date:a <br />Construction ager <br />f1 1-""" RC1ARn AF PIIRI IC WARKC APPRr1VA1 11�fn. <br />Gary A. Gilot„ President <br />Therese J. DcRiu, M nber <br />SUE ANNE CI ,A <br />Soil <br />Notary Public • State of Indian's <br />St Joseph ,County <br />i <br />Amy Corirnlaalon Expires Oct 22, 2022 <br />imp 101'Impow, <br />Suzanna M. Fritzberg, Member <br />J ..Uuetlerr-Member <br />