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� w,wil�lfXy�i <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS` <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Gemini Site Improvements <br />PROJECT NO 119-043 FINAL COST $598,563.28 <br />CONTRACT SIGNED 7/9/2019 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Drywell installation, concrete work, and parking lot paving at the Gemini apartments. <br />WITNESSETH: <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 this 13th ga, „ 201 20 Rieth-Riley Consruction Co., Inc. <br />Company Name <br />Joshua A. McOrmlck <br />AINO w6114wIwr�mIl�Y�tl"mom�filUf�41�u�9�Nb",'�rm�"��^ pu!�"ItlplX�puXOM&wm�WY61��'iNoulm�'Vy�V�pppa`�Vl��l!W�ua"�I'v� <br />kNp'u�p0@p BXCFd'�nn. r,�Y.". N����"�NV� I.G"� �"nv 11 ORA <br />Printed -Rd uatoi Stare of hufiari s <br />me LI'V-4meit" <br />.4, � i�tutrtti <br />uiasVGuimmtC w,ruti <br />;t:tl� �aarr7 C�uuuroth�urti�U&�qi"��ai°t�i'i <br />WITNESSESS: o riruor:urrt t afirrr <br />Jos s°ua A-1 t miche uo �,rdf�6+ ary mu fiii c E <br />knowledged his/her signature to the above <br />the 1 Ith da of April 20120 <br />o tary , ' mature My Commission Expires <br />of r Ma a <br />Printed Name County of Residence <br />25200 State Road 23 <br />Company Address <br />South Bend, IN 46614 <br />City, State, Zip <br />, personally appeared <br />Project Completion Affidavit on <br />1 /5/2028 <br />Elkhart <br />If thedontrac is a CQ�rporation, the following certificate will be ex cutted. <br />I, ary'pycliK . certify that II am S tary of the Corporation executing this release; that <br />Osn u a A. McuorrrucNigned 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 />r <br />a eta s S�tature <br />Corporate Seal <br />Gary PYch k <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />Date 04/17/2020 <br />Constructs Manager <br />BOARD OF PUBLIC WORKS APPROVAL Date: April 28, 2020 <br />BOARD OF PUBLIC WORKS <br />Gary A. (plot, Preside <br />nt - n' <br />Elizabeth A. Maradik, Member <br />Therese J. Doran, Member <br />Jordan V. Gathers, Member <br />ATTEST: <br />E�Zulk CT01#1 <br />Joseph R. Molnar, Member <br />Linda M. Martin, Clerk <br />