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CITY <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: May 6, 2020 ADDRESS: 1363 Down River Drive <br /> CONTRACTOR: Stellar J Corporation CITY/STATE: Woodland,WA 98674 <br /> PROJECT TITLE: Process Water Pump Station WORK ORDER NO. UP-3647 <br /> DATE WORK COMPLETE: March 19, 2020 FINAL AMOUNT: $911,212.51 <br /> Excluding Washington 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 /> 11 . <br /> , <br /> X -1i 1 X `,NH1QUnlng0, <br /> CONTRACTOR TITLE ..�``�j IE.Q.d <br /> �•� Q•o‘NTMFhr*�� <br /> Stellar) Corporation • r NOr- ..0 <br /> 9 <br /> Subscribed and sworn to before me this 2--C day of Inki5it-3..clIN <br /> 2020 =icrA A m _ <br /> X itik � G'ai le :y4''. <br /> otary Public y A'/y �4•''ply <br /> '��h nSHINNG ��.•``• <br /> In and for the State of Washington, residing at <br /> tL) c /10/ L/ tt - <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 Date: �-al --2& <br /> XA-724-c-ii-- X_ <br /> Construction Manager Pu is Works 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. Contractor's Claims, if <br /> any, must be included and the Contractor's Certification must be labeled indicating a claim attached. <br /> Revised 6/2012 <br />