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Change Order No 1 & PCA - 2019 Community Crossings Round 2 Proj No. 119-065 - Rieth-Riley Construction Co., Inc.
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Change Order No 1 & PCA - 2019 Community Crossings Round 2 Proj No. 119-065 - Rieth-Riley Construction Co., Inc.
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4/9/2025 8:25:28 AM
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10/14/2020 3:09:56 PM
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Board of Public Works
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Projects
Document Date
10/13/2020
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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />2019 Community Crossings Round 2 (Divl -Ameritech, Div2-Ironwood, Div3-Miamiflrelancl, <br />PROJECT NAME _Div4-Chive, Altl-Miami/Calvert). <br />PROJECT NO 119-065 FINAL COST $773,982.03 <br />CONTRACT SIGNED 1/10/2019 MAINTENANCE AGREEMENT ENDS <br />Mill and resurface at least 1.5 inches of HMA surface pavement, provide thermoplastic <br />PROJECT DESCRIPTION pavement striping, and replace ADA non -compliant curb ramps for the listed roadways. <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 />Execute' this of AUGUST 201 20 Rieth-Riley Constructlon Co., Inc. <br />Company Name <br />Sick 25200 State Road 23 <br />Company Address <br />_LRI.�Q �ygCg� K I N G <br />Printed Name South Bend, IN 46614 <br />City, State, Zip <br />WITNESSES: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />ERIC ENGLEKING and acknowledged his/her signature to the above Project Completion <br />wN <br />th I f AUGUST o4- 20 a 26 H c 2 11) 1111:11 9'4 N FEE @V 0 R <br />Il- A <br />VIICrrT <br />tary 6@ture My Commission Expires 1/5/2028 C'oirm�sMon <br />tar"y rollurut05 2028 <br />�NN 1 MORA <br />Printed Name <br />County of Residence <br />ELKHART <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, GABY PYCLIK , certify that I am Secretary of the Corporation executing this release; that <br />ERIC ENGLFKING who signed this release on behalf of the contractor was then <br />REGOINIAl VIR NQPTHERN IN DJANAOf 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 />? <br />Secretary's Signature-ss,, Corporate Sea] <br />GARY PYCLIK <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: 09/08/2020 <br />Constructio0anager <br />BOARD OF PUBLIC WORKS APPROVAL Date: October 13, 2020 <br />BOARD ON PUBLIC WORKS <br />Ck— <br />(jary A. Gilot, President <br />Therese J. Dorau, Member <br />Efizabetli A. Maradik, Member <br />Jordan V. Gathers, Member <br />A t"IEST <br />eEyldd Cffavm <br />Joseph R. Molnar, Member <br />Linda M. Martin, Clerk <br />
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