Laserfiche WebLink
PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />Vacant and Abandoned <br />and <br />AGREEMENT <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 />this 10 <br />Rachelle L. Dolniak <br />Printed Name <br />201 6 <br />Ritschard Bros, Inc. <br />Company Name <br />1204 W Sample St <br />Company Address <br />South Bend, IN 46619 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigpned Notary Public in and for said country and state, personally appeared <br />Rochelle L. Dolniakapd acknowledged his/her signature to the above Project Completion Affidavit on <br />the th day of ne 2016 0%1RD <br />l GN..... ERos <br />N tarySignature MyCiss�b�B `29118/17 <br />Robin Fozo "—•— <br />Printed Name County orfl}2a i EkG Si. Joseph <br />If the Contractor is a corporation, the following certificate will be'exed,�P <br />Donald Ritschard, Jr. certify that I am ecr`etA*.... 4oration executing this release; that <br />Rachelle L. Dolniak who signed thWeelease do behalf of the contractor was then <br />e ' d nt 11 <br />of said Corporation; that said release was duly signed for and on behalf of said <br />Co or io by o rity ofSt go <br />ding body, and is within the scope of corporate powers: <br />Corporate Seal <br />Donald Ritschard, Jr. <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acce�pta a for J1nal approval and we recommend to the Board of Public Works that it be ordained so. <br />V `. Date: (0 • t a t (, <br />Construction Vager <br />BOARD OF PUBLIC WORKS APPROVAL Date: `I (3 / c (& <br />Gary AGilo resident JV avid P. Relos, M ber E rza eth A Maradik, Member <br />Therese J. Dlor ember James A. Mueller, Member a M. Martin, Clerk <br />