PCA - Dubail Avenue Streetscape Proj No. 120-009 - Rieth-Riley Construction Co., Inc.

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Final Waiver of Lien State of Indiana, County of St. Joseph SS: Ruben Alvarado being duly sworn that he/she is the (Name of Officer) (Title) of Rieth-Riley Construction Co., Inc having contracted with City of South Bend (Contractor) (Owner) to furnish certain materials and/or labor as follows, Intersection drainage improvements and new curb sidewalk from Michigan to Miami (Description) for aprojcot known as Dubai[ Avenue Streesca e Flame of Project) located at Michigan St. to Miami St. and owned by City of South Bend (Owner) and does hereby further state on the behalf ofthe aforementioned subcontractor/supplier: (PARTIAL WAriMR) that there is due from the Contractor the sum of Dollars , , $ _ - Q reocipt of which is hereby ,acinzawledged; or E] the payment of which has been, promised as the sole consideration for this Affidavit and Final Waiver of Lien -which is given solely with respect to said amount, and which waiver shall be effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the final balance due from the contractor is the sum of Eighty two thousand two hundred sixty five 77/100 $ 82 .265.77 0 receipt of which is hereby acknowledged; or 21 the payment of which has been promised as the solo consideration for this Affidavit and Final Waiver of Lien which shall become effective only upon receipt of such payment. TI EREFORE, the undersigned waives and releases unto the Owner of said premises, any and all liens or claims whatsoever on the above -described property and improvements thereon an account of labor or material or both, furnished b the undersigned thereto, subj cot to limitations or conditions expressed heroin, if any; and further certified that no other party has any claim or right to a lien on account of any work performed or material i'urnished to the undersigned for " project, and within the scope of this Affidavit and Waiver of Lien Rieth- Riley Construction Co., Inc By Vim) ) (Authorized Represcn tine) STATE OF INDYANA SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, In and for said County and State, personally appeared and acknowledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my affi "al seal on the day of December 2022�__ Notary Public Signature My Commission Expires: October 3, 2030 Residing in Marshall Rachael Czarnecki County, Indiana Notary Public Name RACHAEL M CZARNECKI ;`�o�*••'••�;e�'�, Notary Public, State of Indiana =;SEAL;+'' Marshall County w •. • * COnlmlfsIon Number NP0744094 MY Commission Explres October 03, 2030