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CITY OF SOUTH BEND, INDIANA _ <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Martin Luther King Jr. Center Demolition Project <br />PROJECT NO I21-066 FINAL COST $312,092.00 <br />CONTRACT SIGNED 12/20/2022 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Demolition of the MLK Jr. Center. <br />WITNESSETH: <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 />ecuted this loth da of November 12023 Ritschard Bros., Inc. <br />Company Name <br />Signature 1204 W. Sample St. <br />Rachelle L. Dolniak Company Address <br />Printed Name South Bend, IN 46619 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said coll4tN 1 taitiP4tbte' personally appeared <br />Rachelle L. Dolniak , and acknowledged his/her signatutr 't000 c&qy&�,e�ct Completion Affidavit on <br />the 1 th d of Nov -ember 2023 Ate.' S <br />Notary Signature My_Coriimission l!kpires : 2 / 0 / 28 <br />Michaela Ritschard N •. A08 L\G <br />Printed Name County esidence _. �PS� Joseph <br />If the Contractor is a corporation, the following certificate will b�ecQEdA P��`� <br />I, Donald Ritschard, Jr. certify that I am Secr/ fe*q uAtfic Corporation executing this release; that <br />ac4slle L. Dol i who signed this release on behalf of the contractor was then <br />r s ' d t id Corporation; that said release was duly signed for and on behalf of said <br />Corp atio A y Aut4 ity - g g b9 y, and is within the scope of corporate powers: <br />Donald Ritsc <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />Corporate Seal <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />�„A Date: 11/14/2023 <br />Cor0mction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />121� �& <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />P'2, y 4 <br />",�zi` <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />6,1 /V <br />Murray L. Miller, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: December 12, 2023 <br />