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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: January 23, 2020 ADDRESS: 794 SE Greenlee Street <br /> CONTRACTOR: American Processing Group Inc. CITY/STATE: Dallas, OR 97338 <br /> PROJECT TITLE: 2019 Biosolids Removal&Disposal Project WORK ORDER NO. UT 3705 <br /> DATE WORK COMPLETE August 22, 2019 FINAL AMOUNT: $556,838.00 <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 Everett <br /> from any and all claims of whatsoever nature which I may have, arising out of the performance of said <br /> contract,which are not set forth in said estimate. <br /> X ` ,A-W ' ,Colleen Prince X Vice President <br /> CONTRACTOR TITLE <br /> American Processing Group, Inc. <br /> Subscri.e. and sworn to befor. me this PI day of , 2020 <br /> X _ <br /> Notary ' blic JUSTIN DANZO <br /> Province of Al.-rt. = ada Barrister&Solicitor <br /> . and fir g e State o€W-a --irtgte-n,residing at A Commissioner for Oaths and Notary Public <br /> )14 in and for the Province of Alberta <br /> My Commission Expires at Her Majactv's Pteagurr <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. APPROVED Dat 7_2 I-2° 2c' <br /> , <br /> X , 7 X_ <br /> roject Manager Pub i Works Director <br /> Mike Robinson 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 6/2012 <br />