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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR:Thorco Construction,Inc. ADDRESS: 13700 44th Street NE <br /> CITY:Lake Stevens STATE: WA 98674 DATE: July 1,2019 <br /> PROJECT TITLE:North Wetmore Stormwater Separation Project <br /> WORK ORDER NO. UP 3659 <br /> DATE WORK COMPLETE: May 21,2019 FINAL AMOUNT: $3,221,236..23 (includes WSST) <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 paid, <br /> and that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or <br /> materials from any employee of the City;I further certify that the attached final estimate is a true and correct <br /> statement showing all the monies due me from the City of Everett under this contract; that I have carefully <br /> examined said final estimate and understand the same and that I hereby release the City of Everett from any <br /> and all claims of whatsoever nature which I may have, arising out of the performance of said conti act,which <br /> are not set fort ?is'aid estimate. t <br /> Kam' X !sC'' 1 1� •••�e •••• <br /> CONTAAc oR TITJ E ▪ .° NoraRrPog • <br /> CIC • <br /> Thomc Construction,Inc. - : cow/•EXPIRES <br /> • AUK,09 a022 <br /> Subscribed and sworn to before ▪ •. • <br /> z. <br /> me this 13 day of._ d c Lt 2 2U <br /> in and for the of Wa Notary Public <br /> residing at lef 1_ - �`"•, FWASEI`NG;,�s+`� <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I certify the attached final APPROVED Date: I"I`('26 Zo <br /> estimate to be based upon actual <br /> measure <br /> em <br /> //%%JJ-ent <br /> s <br /> and to be true and correct. <br /> X �k�. 4 I��i�41-1Y X • <br /> Construction Manager Utilities Director <br /> Tom Fuchs Ryan Sass <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.9/94 <br /> 6 <br />