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�saty <br /> 5 CITY OF EVERETT • <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: Allied Construction Associates, Inc. <br /> ADDRESS: 3120 Hewitt Avenue <br /> CITY: Everett STATE:WA ZIP: 98201 DATE: July 10, 2013 <br /> PROJECT: Everett Municipal Court PROJECT NO: N/A <br /> DATE WORK COMPLETE: May 30, 2013 FINAL AMOUNT$6,784,659.98 <br /> (including WSST) <br /> CONTRACTOR'S CERTIFICATION <br /> I, the undersigned, having first been duly sworn, certify that the above final amount is a proper charge for work <br /> performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and <br /> that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from <br /> any employee of the City; I further certify that the above final amount is a true and correct statement showing all <br /> the monies due me from the City of Everett under this contract;that I have carefully examined said final amount <br /> and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever <br /> nature which I may have, arising out of the performance of said contract, which are not set forth in`.{¢I 1141i1r�s® <br /> amount. ®®g° !tt, L�fg4► 9„• i,, <br /> . SVION <br /> CONTRACT -R-3 TITLE <br /> Subscribed 4nd sworn to before me this a7 day of TWA-2- 20 G3. a Y •s <br /> l ji1.Q, .,\ Notary Public in and for the State of Washington, a®��f�, fir; °®®0 <br /> residing ate 4t.73-AP - (3eso�F r; � io®®� <br /> PROPERTY MANAGEMENT DEPARTMENT CERTIFICATION <br /> I Certify the above final amount to be APPROVED Date: 6/2_7(0 <br /> Based upon actual work performed and <br /> To be true and correct. <br /> PIMA <br /> Project Md'nager, Chris Lark Facilities Director, a 'rIton Gipson <br /> ADMINISTRATION USE ONLY <br /> Date of Acceptance By: <br /> Mayor, Ray Stephanson <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's <br /> agents and forwarded with the Final Contract Voucher Certification. <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> attached. <br /> 20 <br />