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Change Order & PCA - Gintz Drive Replacement Proj No 124-054 - Rieth-Riley Construction Co
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Change Order & PCA - Gintz Drive Replacement Proj No 124-054 - Rieth-Riley Construction Co
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3/28/2025 12:52:38 PM
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3/25/2025 12:34:43 PM
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Board of Public Works
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Projects
Document Date
3/25/2025
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FINAL WAIVER OF LIEN <br />Ruben Alvarado being duly sworn that he/she is the Sales Manager <br />(Name of Officer) (Title) <br />of Rieth-Riley Construction Co., Inc having contracted with City of South Bend <br />(Subcontractor/Supplier) (Contractor) <br />to furnish certain materials and/or labor as follows: Road Reconsstructlon & Improvements <br />(Description) <br />for a project known as Gintz Drive 124-054 <br />(Name of Project) <br />located at Gintz Drive City of South Bend <br />and owned by City of South Bend <br />and does hereby further state on the behalf of the aforementioned subcontractor/supplier: <br />FINAL WAIVER that the final balance due from the contractor is the sum of <br />Thirty two thousand one hundred thirty 611100 ($ 32,130.61 ) <br />(Amount Written Out) <br />❑ receipt of which is hereby acknowledged; or <br />® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which <br />shall become effective only upon receipt of such payment. <br />THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims <br />whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished <br />b the undersigned thereto, subject to limitations or conditions expressed herein, if any; and further certified that no other <br />party has any claim or right to a lien on account of any work performed or material furnished to the undersigned for said <br />project, and within the scope of this Affidavit and Waiver of Lien. <br />Dat 01 1/2025 <br />Rieth-Riley Construction Co., Inc By <br />(Firm) (Authorized Representative) <br />STATE OF Indiana <br />) SS: <br />St. Joseph COUNTY ) <br />Before me, the undersigned, allotary Public, in and for said County and State, personally appeared Ruhen Alvarado <br />and acknowledged the execution of the foregoing Waiver of Lien. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal on the 31 St day of <br />anuary 20 25 <br />My Commission Expires: <br />Residing in Marshall <br />10/03/2030 <br />Notary Public Signature <br />County Rachael Ellis <br />_NotaryPublic Name <br />
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