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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: December 27,2019 ADDRESS: P.O. BOX 1531 <br /> CONTRACTOR: Reece Construction Company CITY/STATE: Marysville,WA 98270 <br /> PROJECT TITLE: Water Main"S"Replacement WORK ORDER NO. UP 3664 <br /> DATE WORK COMPLETE: September 26,2019 FINAL AMOUNT: $1,810,826.34 <br /> Exclusive of State Sales Tax <br /> CONTRACTOR'S CERTIFICATION <br /> 1, 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 contract,which are not se _ orth in said estimate. <br /> TC ( <br /> CONTRACTOR TITLE <br /> Reece Construction Company NT <br /> %```' C RACY'/,������ <br /> � <br /> :.tamr ;is .Lt1 <br /> Subscribed and sworn to before me this day ofT � 2,02io s%�.2 <br /> , i/1•""el-gt-talla <br /> 3-13;11,1 Nal <br /> Notary Public m �� c,N6•` <br /> in and for the State of Washington,residing at ";.• <br /> c <br /> iii f2.b�'�201A56•.�—\�. <br /> ''isH IN G7 flN''`'' <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. APPROVE Date: t-l6 -ZDV <br /> X C7h/l X_ <br /> Construction Manager Pu 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 /> 13 <br />