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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: November 25, 2019 ADDRESS: 17 E.Valley Hwy.E. <br /> CONTRACTOR: Rodarte Construction, Inc CITY/STATE:Auburn,WA 98072 <br /> PROJECT TITLE: Legion Golf Course Stormwater Detention WORK ORDER NO. UP 3620 <br /> DATE WORK COMPLETE: October 11, 2019 FINAL AMOUNT: $4,049,905.69 <br /> Exclusive of State Sales Tax <br /> CONTRACTOR'S CERTIFICATION <br /> I, the undersigned, having first been duly sworn, certify that the attached bill 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 <br /> paid,and that I am authorized to sign for the claimant;that I have not rented or purchased any equipment <br /> or materials from any employee of the City; I further certify that the attached final estimate is a true and <br /> correct statement showing all the monies due me from the City of Everett under this contract; that I have <br /> carefully examined said final estimate and understand the same and that I hereby release the City of <br /> Everett from any and all claims of whatsoever nature which I may have, arising out of the performance of <br /> said ontract,which <br /> are IN rnot set f rth in said estimate. <br /> X 1 uiwk)��1.� <br /> C g TRACTS ' TITLE ```ottitttttNfla R00i <br /> Rodarte Construction Inc �QQ� `�o 4.6 <br /> Subscribed and sworn to before me this 51`�1 day of 7L(C W\UJ C i .2019 Q'i:"t' <br /> 3 NOTARY <br /> PUBLIC 2 <br /> I�Tot ry Public <br /> in and for the State of Washington,residing at °0* O."Ask <br /> ripmestw <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to <br /> be true and correct. APPROVED Da • 1'o '- 2°2-67 <br /> X C ,r&.ezcl_ X_ <br /> Construction Manager P is Works Director <br /> Tom Fuchs Ryan Sass, P.E. <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all <br /> subcontractor's 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 <br /> claim attached. <br /> Revised 6/2012 <br />