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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 /> 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 contract,which are not set forth in said estimate. <br /> X t' �- X ere5 t �t <br /> CONTRACTOR TITLE <br /> Reece Construction Company <br /> Subscribed and sworn to before me this it day of Sa <br /> X \�� .CoMo; .. L''! <br /> Notary Public ;may a as• <br /> in and for the Sta e of Washington,residing at - c`. x <br /> 1414 <br /> rn-h5YLI = 1 rD <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION /'1///1,VGT014 .0`\�� <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to <br /> be true and correct. APPROVED Dat ' !( -ZaZ <br /> X 'Vrilt7tpt. 4445.., X <br /> Construction Manager Pub 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 />