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CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />PROJECT COMPLETION AFFIDAVIT <br />PROJECT NAME <br />PROJECT NO. <br />CONTRACT <br />SIGNED <br />PROJECT <br />DESCRIPTION <br />2023 Residential Demos <br />123-068 <br />12/12/2023 <br />FINAL COST $337,494.00 <br />MAINTENANCE AGREEMENT ENDS <br />Demolition of several residential homes in the City of South Bend <br />WITNESSETH: <br />The work under the above contract between the City of South Bend and the undersigned contractor having <br />been completed, the City of South Bend, its officials and agents are hereby released from all claims and <br />demands whatsoever arising under or by such contract, and that the contractor performed the work within the <br />scope of the Specifications and Standards of the City of South Bend which were a part of the above Contract. <br />ecuted this —19th day of September 120 24 <br />` Ritschard Bros., Inc <br />Signature Company Name <br />Rachelle L. Dolniak 1204 W. Sample Street <br />Printed Name Company Address <br />South Bend, IN 46619 <br />City/State/Zip <br />WITNESSES <br />Before me, the undersigned Notary Public in and for said country and state, personally <br />appeared Rachelle L. Dolniak_, and acknowledged his/her signature to the above Project Completion <br />Affidavit on the 19th day of _September , 20 24 <br />Notary Signature My Commissio�q <br />Michaela Ritschard _ =_ <br />Printed Name County of Residencg) St., Joseph <br />OB <br />LL6. <br />If the Contractor is a corporation, the following certificate wiFl;)ip xe uteed.\ <br />I, _Donald Ritschard, Jr. , certify that I am Secretary ditwt�gi o ��gi e?c�cuting this release; that <br />Rachelle L. Do n' k who signed this releas6/oq, &4f4 the contractor was then <br />ident t. f said Corporation; that said release was duly signed for and on behalf of <br />s ' orati utho ' of is governing body, and is within the scope of corporate powers: <br />Secretary's Signatureu <br />Donald Ritschard, Jr. <br />Printed Name <br />Corporate Seal <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 <br />ordained so. <br />Date <br />Co truction Manager <br />11 /5/2024 <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />V11(4 <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Briana Micou, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: November 12, 2024 <br />