PCA - 2023 Contractor Paving Round I Proj No. 123-021 - Rieth-Riley Construction

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CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS PROJECT COMPLETION AFFIDAVIT PROJECT NAME 2023 Contractor Paving Round 1 PROJECT NO 123-021 FINAL COST $1,145,055.29 CONTRACT SIGNED 4/25/2023 MAINTENANCE AGREEMENT ENDS PROJECT DESCRIPTION ADA ramp replacements and HMA paving of various streets throughout South Bend. WITNESSETH: The work under the above contract between the City of South Bend and the undersigned contractor having been completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. Exec this 4 day of January 2024 Rieth-Riley Construction Co., Inc. / Company Name Signature 25200 State Road 23 Ruben Alvarado, Sales Manager Company Address Printed Name South Bend, IN 46614 City, State, Zip WITNESSESS: Before me, the undersigned Notary Public in and for said country and state, personally appeared Ruben Alvarado and acknowledged his/her signature to the above Project Completion Affidavit on the 4 day of January , 2024 Notary Signature My Commission Expires Rachael Czarnecki Printed Name County of Residence If the Contractor is a corporation, the following certificate will be executed. 10/03/2030 Marshall I, Matt Hostetler , certify that I am Secretary of the Corporation executing this release; that Ruben Alvarado who signed this release on behalf of the contractor was then Sales Ma a er of said Corporation; that said release was duly signed for and on behalf of said Co oration by thority of its governing body, and is within the scope of corporate powers: RACHAEL M CZARNECKI ecretary s Sign ture ti�t:Y P;'m''c Notary Public, State of Indiana a o; ��- ==�SEAL�°" Marshall County Corporate Seal .Matt Hosterler �*�• ,•* Commisafon Number NP0744094 ;, oy••"r ��` My Commission Expires Printed Name ''>>„b inNr`O October03, 2030 DEPARTMENT OF PUBLIC WORKS APPROVAL This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. 1<141A-7 „ _a u'- Date: 1 /22/2024 Co ction Manager CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS taL (4 Elizabeth A. Maradik, President Joseph R. Molnar, Vice President Gary A. Gilot, Member 7)'Z , I: Murray L. Miller, Member Briana Micou, Member �4 Attest: Theresa M. Heffner, Clerk Date: March 12, 2024