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CITY OF SOUTH BEND, INDIANA % �u <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Locust Road Improvements from Assumption Dr to State Road 23 <br />PROJECT NO 123-018 FINAL COST $2,623,620.21 <br />CONTRACT SIGNED 6/13/2023 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Roadway improvemenst along Locust Rd. <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been <br />completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever <br />arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and <br />Standards of the City of South Bend which were a part of the above Contract. <br />Exec a this y of May , 2024 Rieth-Riley Construction Co., Inc. <br />�,�, �� Company Name <br />Signature 25200 State Road 23 <br />Ruben Alvarado - Sales Manager <br />Printed Name <br />Company Address <br />South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />, and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 23 day of May 12024 <br />Notary Signature <br />My Commission Expires 7/14/29 <br />Dawn Armstrong <br />Printed Name County of Residence Kosciusko <br />If the Contractor is a corporation, the following certificate will be executed. <br />I Matt Hostetler , certify that I am Secretary of the Corporation executing this release; that <br />Ruben Alvarado who signed this release on behalf of the contractor was then <br />Sales M ager of said Corporation; that said release was duly signed for and on behalf of said <br />Corpo do by ority of its governing body, and is within the scope of corporate powers: <br />ecretary's Si afore <br />MCorporate Seal <br />Matt Hostetler <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 />A�'A �w- Date: 8/2/2024 <br />Con&fmction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />]*W14-1-2PT <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: August 13, 2024 <br />