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Change Order No 1 & PCA - Privet Lane Culvert Replacement Proj No. 118-013B - HRP Construction, Inc.
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Change Order No 1 & PCA - Privet Lane Culvert Replacement Proj No. 118-013B - HRP Construction, Inc.
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4/9/2025 8:28:31 AM
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9/23/2020 2:39:57 PM
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Board of Public Works
Document Type
Projects
Document Date
9/22/2020
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T inaf Waiver of Lien <br />STATE OF INDIANA, as: <br />Whereas, the undersigned HRP CONSTRUCTION INC. has been heretofore em- <br />ployed by City of South Bend to furnish certain material and labor, to -wit: Privet Lane Culvert <br />Replacement, Project No. 118-013B <br />for the property owned by Citv of South Benda and located on <br />Privet Lane <br />City of South Bend. , County of St. Jose h , State of Indiana. <br />Now THEREFORE, KNow YE, That the wwl r"si ned, for and in consideration of <br />$4Z657.10 Dollars, the receipt of which is hereby acknowledged, hereby and now waives and releases <br />unto the said owner of said premises, any and all lien, right of lien or claim of whatsoever <br />kind of character on the above described building and real estate, TOANDFOR SAIDAMOUNT, on account of any and <br />all labor material, or both, furnished for or incorporated into said building by the undersigned, up to this date, <br />and they further certify that the consideration moving to the undersigned for executing this FINAL <br />WAIVE OF LIEN has been mutually given and accepted as a partpayment to or on account of the said <br />Owner for said building and real estate. <br />Signed sealed and delivered this 24th day of August , 20 20 <br />Signed <br />Nancy Knapik <br />Personally rVpeared before me this 24th day of August , 20 20, <br />Nance+ Iona i.I who, being duly sworn on oath, says: That she <br />is Vice President of the I-IR:P CONSTRUCTION INC. and that she hereby <br />acknowledges the execution of the foregoing instrument for and on behalf of said _ <br />Co oration and at their special instance and request. <br />My Commission Expires <br />This instrument prepared by: Nancy Knapik <br />Notary Public <br />Cynthia L. Vanheste <br />CYNTHIA L. VANHESTE <br />Commission Number 681273 <br />/' My Commission Expires <br />"'r,�„"ifr3r �+'��,�,�w',"'"�� March 06, 2024 <br />
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