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r,, <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: December 27, 2019 ADDRESS: P.O. Box 3211 <br /> CONTRACTOR: McCann Construction CITY/STATE: Renton,WA 98056 <br /> PROJECT TITLE:- N.Broadway Transit Improvement Project WORKNORDERAMOUN•O. PW$2,254,772.75 <br /> 3 <br /> 44 <br /> DATE WORK COMPLETE: June 5, 2019 FIExclusive 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 /> sai -c-oktr..a�;t,w'chh are not set forth in said estimate. <br /> f/ Jeffrey M.Kanyer <br /> i <br /> President <br /> X / 1 ;—_,17,--.7 X <br /> iONTItA iTOR)" TITLE <br /> McCann Construction ���`` million/o���i1 <br /> �� dayof.1�t`lvi�P. , tea `\.��•.- \ssionF r,;.. . �� <br /> Subscribed and sworn to before me this _ '� = oo .o1202�,�: <br /> V : <br /> �_- (lin _ �10TARY <br /> XFI lam_ _ ®• <br /> Notary Public '0 °ua��c �:_" <br /> in and for the State of Washington,residing at '%��•S�Numbec?:N: <br /> SEATTt , \NA /Op•WA6.\�a���� <br /> ••;;ill 5ii; <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to APPROVED Date: — c��r 2c9Z <br /> be true and correct. <br /> XX " X ..2-- <br /> Construction Manager Publi 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 5 <br />