PCA - Campeau Street Streetscape - Rieth-Riley Construction

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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 Sales Manager (Name of officer) (Tine} of Rieth-Riley Constution _. having contracted with City of South Bend (Contractor) (owner) to furnish certain materials and/or labor as follows; Road reconstruction & improvements (Description) for a project mown as Campeau Street (Name of Project) located at Campeau Street Citv of South Bend and owned by CitY of South Bend (Omer) and does hereby further state on the behalf of the Aforementioned subcontractor/supplier: (PARTIAL, WAMER) that there is due from the Contractor the sum of Dollars Q receipt of which is hereby acloxowlcdged; or Q the payment of which leas been promised as the sole consideration for this Affidavit and Final Waiver ofLien -which is given solely with respect to said amount, and which waiver sball be, effective only upon receipt of payment thereof by the undersigned; (FINAL WAIVER) that the fmal balance due from the contractor is the sum of One hundred fiftv five thousand seven hundred twelve 34/100 $155,712.34 Q receipt ofwbich is hereby acknowledged; or ® the payment of which has been promised as the sole consideration for this Affidavit and Final Waiver of Lien which shelf become effective only upon receipt of such payment. THEREFORE, the undersigned waives and releases unto the Owner of said premises any and all lions or claims whatsoever on the above -described property and improvements thereon au account of labor or material or both, furnished b the undersigned thereto sub' cot to limitations or conditions expressed herein, if any; and f€irther cortified t no other party has any claim or right to a lien on account of any work perfonned or material furnished to the undersigned for sa` oject, and it - the scope of this Affidavit and Waiver of Lien. Rieth-Rile Construction Co ' By (Firm) (Authorized Representative) STATE OF I.t DIANA � ) SS: ST. JOSEPH COUNTY ) Before me, the undersigned, a Notary Public, in and for said County and State, personally appeared Ruben Alvarado and a"owledged the execution of the foregoing Affidavit and Waiver of Lien. IN WITNESS WIRREOF, I.have hereunto subscribed my name and affixed my official seal on the 6 day of June 202 4 ! Notary Public signature My Commission Expires: 10/03/2030 Residing in Marshall County, Rachael Czarnecki Indiana Notary Public Name biACHAEI. M CZARNECKI o� °"`'�. f''� Notary Public, State of Indiana r; SEAL: a M Marshall County *'�,'a{ Commission Number NP0744094 111>t .� MY Commission Expires '''�rnnn�� Qctober pS, 2g30