My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Change Order No 1 & PCA - Fat Daddys Building Demolition Proj No 118-066 - R&R Excavating
sbend
>
Public
>
Public Works
>
Board of Works Documents
>
2019
>
Change Order & Project Completion Affidavits
>
Change Order No 1 & PCA - Fat Daddys Building Demolition Proj No 118-066 - R&R Excavating
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/7/2025 10:59:07 AM
Creation date
6/25/2019 3:05:58 PM
Metadata
Fields
Template:
Board of Public Works
Document Type
Projects
Document Date
6/25/2019
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
Final Waiver of Lien <br />State of Indiana, County of St. Joseph SS: <br />Robert P. Loudin, Jr....__ being duly sworn: that he/she is the Operations Manager <br />(Name of Officer) (Title) <br />of R&R Excavating, Inc. having contracted with City of South Bend, Indiana <br />(Contractor) (Owner) <br />to furnish certain materials and/or labor as follows: building demolition & site restoration <br />_ _ . ... - ........... <br />(Description) <br />for a project known as FatµDadd 'ws Bixildin _Demolition Base -+- Alt 1 & � <br />(Name of Project) <br />located at S. Michigan Street, South Bend, Indiana <br />and owned by —city of South Bend, Indiana <br />(Owner) <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier: <br />(PARTIAL WAIVER) that there is due from the Contractor the sum of <br />... .., a Dollars $ <br />❑ receipt of which is hereby aclnzowledged; or <br />❑ the payment of which has been promised as the sole consideration for this Affidavit and. Final Waiver of Lien which is given <br />solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the <br />undersigned; <br />(FINAL WAIVER) _sum of <br />One Hundred Five Thoubsa�cl due <br />� eofinm� eucodntreacdtoris Setheer�ty_ �$105;475.00 <br />dive Dollars and Nos Cents' <br />❑ receipt of which is hereby acknowledged; or <br />® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall <br />become effective only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever <br />on the above -described property and improvements thereon as account of labor or material or both, furnished b the undersigned <br />thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a <br />lien on account of any work performed or material furnished to the undersigned for said project, and within the scope of this Affidavit <br />and Waiver of Lien. y <br />R&R Excavating, Inc. By �✓ <br />(Firm) (Autltoriod Itepresen <br />STATE OF INDIANA ) Robert P . Loudin, Jr. <br />)SS: Operations Manager <br />ST. JOSEPH COUNTY ) <br />Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Robert P . Loudin, Jr. <br />and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 6 th day of <br />June -2W- 2019. <br />Notts Public Signature <br />Rebecca S. Blackston <br />My Commission Explres: 9 / 28 / 2024 <br />Rebecca S. Blackston <br />Residingin St. JosephWmm County, .Indiana Notary Pubiie148ate <br />REBECCA S. BLACKSTON <br />Notary Public, State of Indiana <br />l L ° St, Joseph County <br />My Commission Expires <br />September 28, 2024 <br />
The URL can be used to link to this page
Your browser does not support the video tag.