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CITY OF EVERETT <br />FINAL CONTRACT VOUCHER CERTIFICATION <br />DATE: December 1, 2020 <br />CONTRACTOR: Granite Construction Company <br />PROJECT TITLE: 2020 Pavement Maintenance Overlay <br />DATE WORK COMPLETE: October 9, 2020 <br />ADDRESS: 152 5 E. Marine View Drive <br />CITY/STATE: Everett, WA 98201 <br />WORK ORDER NO. PW 3727 <br />FINAL AMOUNT: $3,065,171.98 <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 1 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 1 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 c ra,e ;-1,vhich are not set forth in said estimate. <br />x itt NM NAM 612 <br />CONTRACTOR <br />Granite Construction Company <br />Subscr' e and s Urn to before me this <br />x <br />Notary Pu:lic <br />TITLE <br />day of <br />in and for the State of Washington, residing at m;;'.j <br />sr J��� Notary Public <br />State of Washington <br />Carol L. Johnson <br />Commission Expires 06-08.2022 <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. <br />,,frrzmet, ct4e.t* <br />Construction Manager <br />Tom Fuchs <br />APPROVED Date: <br />x <br />Ilsocr zoz,c <br />�.. <br />Publi. works Director <br />Ryan Sass, RE. <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 />