PCA - Lincoln Way West and Olive Streetscape Proj No. 119-108 - Rieth-Riley Construction Co., Inc.

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Final Waiver of Lien State ofldiana, County of St. Joseph SS: Ruben Alvarado being duly sworn that he/she is the Sales Manager Fame of Officer) (Title) of Rieth-Riley Construction Co., Inc having contracted with City of South Bend (Contractor) (Owner) to furnish certain materials and/or labor as follows; Streetscape improvement project Olive Street and Lincoln Way (Description) for a projcot known as Lincoln Way West and Olive Streetscapes (Name of Project) located at Lincoln Way West and Olive and owned by CitV of South Bend (owner) and does hereby further state on the behalf of the aforementioned subcontractor/supplier: (PARTIAL WAWER) that there is due from the Contractor the sum of Dollars {$ ) [ receipt of which is hereby aclaxowledged; or El the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver ofLien.which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undorsigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of Ninety two thousand four hundred eighty nine 23/100; 92 0 receipt ofwbich is hereby aclariowledged; or 21 the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shall become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subject to .limitations or conditions expressed herein, if any; and further certified that no other party has any claim or right to a lien on 4mount of any work performed or material furnished to the undersigned for saldproject, and within the scope of this Affidavit and. Waiver of L ien. By (Firm) (Authorized Representative) STATE OF IN1 L. NA ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared Ruben Alvarado and aftowlcdged the execution of the foregoing Affidavit and Waiver of Lien. T '-'— IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the day of 2022- ��,, +y, Notary Public Signature My Commission Expires: o� It' ✓ ! Z � J' � &Cnat/ CzarnLCL Residing in w County, Notary Public Name RACHAEL M C ,... � , ZARNECkI o: •.@�� Notary Public, Stat® of Indiana �;SEALo0= Marshall County ys' •% *' commission Number NP0744094 My Commission Expires October 03, 2030