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CITY OF SOUTH BEND, INDIANA „ <br />BOARD OF PUBLIC WORKS N" <br />PROJECT COMPLETION AFFIDAVIT n 5 " <br />PROJECT NAME 2018 Curb and Sidewalk Divisions Al, A2„ B1, C, D1, D2, E, F, G1, and G2 <br />PROJECT NO 118-007 FINAL COST $647,385.12 <br />CONTRACT SIGNED 7/10/2018 MAINTENANCE AGREEMENT ENDS <br />Remove and replace concrete sidewalk, curb, curb ramps, and approaches at various locations <br />PROJECT DESCRIPTION within the City of South Bend, IN. <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having been completed, <br />the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever arising under or <br />by such contract, and that the contractor performed the work within the scope of the Specifications and Standards of the City <br />of South Bend whit. ere a part of the above Contract. <br />Executed this 71 day of ., ,�' 201Rieth-Riley Construction Co., Inc, <br />Company Name <br />25200 State Road 23 <br />......... ......_ _. <br />" Company Address <br />Printed Name South Bend, Indiana, 46614 <br />City, State, Zip <br />WITNESSESS: <br />efo,e me th un rsigned Notary Public in and for said country and state, personally appeared <br />4 to acknowledged his/her signature to the above Project Completion Affidavit on <br />the <br />Notary ignatur My Commission Expires <br />Printed Nam <br />e County of Residence <br />If the Con ctor is ,corporation„ the following certificate will be xe uted, <br />1, certify that I am rotary of the Corporation executing this release; that <br />who signed this release on behalf of the contractor was then <br />of said Corporation; that said release was duly signed for and on behalf of said <br />Corporation by Autho i y of its governing body, and is within the s .op- ci.Lcogoo t <br />SUE ANNIE CIRA <br />Sjj, Secret ry's Si nat Sell <br />" Notltry PubRe - Sido of IndlIna Corporate Seal <br />St Joseph County <br />Printed Name my C'oaufnfcsfon ptr" Oct 22, 2022 <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />TNs project is acceptable for fi 11 approval and we recommend to the Board of Public Works that it be ordained so, <br />p Date: <br />Construction oger <br />BOARD OF PUBLIC WORKS APPROVAL Date: r <br />Gary A. Gilot, President Genevieve E. Miller, Member ElizZ th A. Maradik, Member <br />�: ria µ <br />herese J. Dor Member Laura O Sullivan, Member aM. Martin, Clewk <br />