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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: IMCO General Construction, Inc. ADDRESS: 2116 Buchanan Loop <br /> CITY: Ferndale STATE: WA 98248 DATE: October 20, 2020 <br /> PROJECT TITLE: WPCF FEN Chlorination Building Upgrade <br /> WORK ORDER NO. UP 3614 <br /> DATE WORK COMPLETE: August 26, 2020 FINAL AMOUNT: $8,031,300.59 (includes WSST) <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 /> i <br /> x x J3iy‹..)C5 it o i � r�ON MAR/.. <br /> CO TRACT R TITLE �?Q?;\tics�se 0 <br /> I 0 General Construction, Inc. j ti! NO �►t2 <br /> . PV8 Y :in <br /> Subscribed and swo { to before j y'��, �ICti�' �� <br /> Xthis 3 day of_1 1DarZC2O �l `o aos•so-'�°,�O?: <br /> I,Un,.11kA— Notary Public I 1� ;VAS%4 � <br /> in and for the State of Washington, residing at �n dI i LA/�c <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final APPROVED Date: <br /> estimate to be based upon actual <br /> measurements and to be true and correct. <br /> X, Vat X <br /> Construction Manager ublic 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. <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a <br /> claim attached. <br /> Revised 9/94 <br />