2008/09/24 Council Agenda Packet

CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR:Valley Electric of Mt. Vernon CITY: Everett STATE: WA 98203 PROJECT TITLE: Merrill Creek Signals DATE WORK COMPLETE: June 23, 2008 ADDRESS: 1100 Merrill Creek Parkway DATE: August 26, 2008 WORK ORDER NO. PW3272 FINAL AMOUNT: $ 534,581.93 CONTRACTOR'S CERTIFICATION I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any employee of the City; I further certify that the attached final estimate is a true and correct statement showing all the monies due me from the City of Everett under this contract; that I have carefully examined said final estimate and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in said estimate. X X Robert D. Carrithers, C.F.O. CONTRACTOR TITLE Valley Electric of Mt. Vernon Subscribed and sworn to before me tlyiday of c2 h Notary Public in and fo the State f W shington, residing at L ,/ PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final APPROVED estimate to be based upon actual measurements and to be true and correct. X_�a1e Construction Manager Utilities Director Tom Fuchs Tom Thetford Date: X INSTRUCTIONS The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's agents and forwarded with the Final Contract Voucher Certification. Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim attached. Revised 9/94