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CITY OF EVERETT <br /> ;3 FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR:Rodarte Construction, Inc. ADDRESS: 17 East Valley Hwy E. <br /> CITY:Auburn STATE: WA 98092 DATE: February 6,2020 <br /> PROJECT TITLE:Alverson Stormwater Separation Project <br /> WORK ORDER NO. UP 3660 <br /> DATE WORK COMPLETE: December 19, 2019 FINAL AMOUNT:$1,382,275.42 <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 contract,which <br /> are not set forth in said estimate. <br /> 1.4X X is ,�••�r4 o. 4,OD 9 e. <br /> CO R TIT E :q F <br /> Rodarte Construction,Inc. it Q` .p� <br /> r NOTARY� s <br /> 11�J� e <br /> - <br /> Subscribed swo to efore .mom PU8lC <br /> me this It ay of. .. . F. SII +Ltt ii. <br /> nand f r the tate of Washi tezrio(ER ngtonlic, residingat #' ,`��• Asti, `* <br /> I .._. rlsnsssst <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final APPROVED Date: C'u'?"Z� <br /> estimate to be based upon actual <br /> measurements and to be true and co ec <br /> X .. � 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 CIaims, if any, must be included and the Contractor's Certification must be labeled indicating a <br /> claim attached. <br /> Revised 9/94 <br /> 32 <br />