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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 WORK ORDER NO. PW 3644 <br /> DATE WORK COMPLETE: June 5, 2019 FINAL AMOUNT: $2,254,772.75 <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 ontra t, ich ar not set forth in said estimate. <br /> Jeffrey M. Kanyer <br /> X X President <br /> )CONT CTO TITLE <br /> 'iN1.cC-adn Construction <br /> Subscribed and sworn to before me this C)4'-' day of ,JAl A f\RY ,�c o •``\5\�SS;n' Cii''•• % <br /> .•cCo.012p20;;';AEG <br /> X i i_�.�� ( �. lF� �. _ :•o N�TARy 6" <br /> Notary Public = • •■►•40 <br /> 1r. PUBLIC <br /> in and for the State of Washington, residing at <br /> e!�umbe��� <br /> vVA ///i��FI�WASN��`�\▪ � <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to I �� Z� <br /> be true and correct. APPROVE Date: <br /> X /7,64-4./_ X <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 <br />