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PROJECT NAME <br />PROJECT NO. <br />CONTRACT <br />SIGNED <br />PROJECT <br />DESCRIPTION <br />ll'rH <br />r, <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />2024 Curb and Sidewalk Div 4 <br />124-009 <br />07/23/2024 <br />FINAL COST 82,607.11 <br />MAINTENANCE AGREEMENT ENDS <br />Curb and sidewalk construction in South Bend (Division 4) <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having <br />been completed, the City of South Bend, its officials and agents are hereby released from all claims and <br />demands whatsoever arising under or by such contract, and that the contractor performed the work withinthe <br />scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. <br />Execu thi day of April 12024 <br />Signature <br />Ruben Alvarado, Sales Manager <br />Printed Name <br />Riath-Riley Construction Co., Inc <br />Company Name <br />25200 SR 23 <br />Company Address <br />South Bend, Indiana 46614 <br />City/State/Zip <br />WITNESSES <br />Before me, the undersigned Notary Public in and for said country and state, personally <br />appeared Ruben Alvarado , and acknowledged his/her signature to the above Project Completion <br />Affidavit on the 1 day of April ) 20 24 <br />Notary Signature My Commission Expires <br />Rachael Ellis <br />Printed Name County of Residence <br />10/03/2030 <br />Marshall <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Matt Hosteller , 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 />SaLbs Mana r of said Corporation; that said release was duly signed for and on behalf of said <br />Co oration b uthority of its governing body, and is within the scope of corporate powers: <br />RACHAEL:ELLISSecretary's Signature `o?�'p`ef Notary Public, Stf IndianaEAQc'` Marshall y Corporate Seal <br />Matt Hostetler, Corporate Secretary *'•r*= Commission Numb0744094Printed Name . NpjptlPP My Commissipires�rrnins` aCtOber030 <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 <br />ordained so. <br />1 a1& Date: <br />Const ction Manager <br />4/14/2025 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />tal a <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />ril-14 <br />Attest: Theresa M. Heffner, Clerk <br />Date: April 22, 2025 <br />