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CITY OF SOUTH BEND, INDIANA y: <br />BOARD OF PUBLIC WORKS r <br />PROJECT COMPLETION AFFIDAVIT r^ <br />PROJECT NAME Gintz Drive Replacement <br />PROJECT NO 124-054 FINAL COST $642,612.21 <br />CONTRACT SIGNED 9/10/2024 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Regrading and paving of Gintz Drive and Stephenson Mills Parking Lot <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been <br />completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever <br />arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and <br />Standards the City of South Bend wh�werert of the above Contract. <br />Execut is da anua202 Rieth-Riley Construction Co., Inc. <br />Company Name <br />Signatlure 25200 State Road 23 <br />Ruben Alvarado, Sales Manager Company Address <br />Printed Name <br />South Bend, IN 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Ruben Alvarado I and acknowledged his/her signature to the above Project Completion Affidavit on <br />th 31st day of January 2025 <br />Notary Signature My Commission Expires 10/03/2030 <br />Rachael Ellis <br />Printed Name <br />County of Residence Marshall <br />If the Contractor is a corporation, the following certificate will be executed. <br />1 Matt Hostetler certify that I am Secretary of the Corporation executing this release; that <br />Ruhen Alvarado who signed this release on behalf of the contractor was then <br />Sales Manaqer I of said Corporation; that said release was duly signed for and on behalf of said <br />Corpora on by Auth ,r ty of its governing body, and is withi r or to owers: <br />RACHAEL ELLIS <br />Notary Public, State of Indiana <br />Secretary's Signatu a =$ SEAL:"= Marshad County Corporate Seal <br />* * Commission Number NP07440e4 <br />Matt Hostetler M <br />pjIy Commission Expfres <br />Printed Name October 03, 2030 <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: 2/19/2025 <br />Cons ction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />M� i <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />r*14 <br />Attest: Theresa M. Heffner, Clerk <br />Date: March 25 2025 <br />