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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME Campeau Street Streetsca e <br />PROJECT NO 121-073 FINAL COST $2,148,206.99 <br />CONTRACT SIGNED 11/8/2022 MAINTENANCE AGREEMENT ENDS <br />PROJECT DESCRIPTION Streetscape and realignment of Campeau St, South Bend Ave, and Notre Dame Ave. <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 t e City of South Bend which were a part of the above Contract. <br />Exec +3 6 ]tlri2 202 4 Rieth-Rile Construction Co., Inc. <br />Company Name <br />Signature 25200 State Road 23 <br />Ruben Alvarado -Sales Manager Company Address <br />Printed Name South Bend, N 46614 <br />City, State, Zip <br />WITNESSESS: <br />Before me, the undersigned Notary Public in and for said country and state, personally appeared <br />Ruben Alavardo , and acknowledged his/her signature to the above Project Completion Affidavit on <br />the 6 day of Tune 202 4 <br />z�r� <br />Notary Signature My Commission Expires 10/03/2030 <br />Rachael Czarnecki <br />Printed Name County of Residence Marshall <br />If the Contractor is a corporation, the following certificate will be executed. <br />I, Matt Hostetler 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 />Sales Mana=r of said Corporation; that said release was duly signed for and on behalf of said <br />Corpor0ion by Jthnrity of its governing body, and is within the scope of corporate powers: <br />Se tary's Signature <br />MCorporate Seal <br />Matt Hostetler <br />Printed Name <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 ordained so. <br />AIA Z-Z�61U. Date: 10/14/2024 <br />Co traction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />vl�a <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />MINE <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />�4 <br />Attest: Theresa M. Heffner, Clerk <br />Date: October 22, 2024 <br />`d411Y iplry�! RACHA'EL M CZARNECKI <br />0�4? U+^% Not" Public, Ste10 of Indie ne <br />-r 5lAL"•"= Marshall County <br />* *$ Commission Number NP0744094 <br />'•.,r�4a�tid�.`'- My Commission Expires <br />October 03. 2030 <br />