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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: July 9, 2020 ADDRESS: PO Box 867 <br /> CONTRACTOR: Kamins Construction, Inc. CITY/STATE: Bothell,WA 98041 <br /> PROJECT TITLE: Pacific Ave to Interurban Tr. Bicycle Safety WORK ORDER NO. PW3688 <br /> DATE WORK COMPLETE: July 3rd, 2020 FINAL AMOUNT: $491,343.59 <br /> Exclusive of WA 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 /> % r) r <br /> CONTRACTOR TITLE oN;;`Y�;"80s 4:..,. <br /> Kamins Construction, Inc. ••° • ti <br /> NOTARY P� •' <br /> JBUC J <br /> Subscribed d sworn to before me this day of t� 2�20• comm.EXPIRES <br /> /� • NOV 22,202/ <br /> s <br /> Notary lic . '' • ' , <br /> in and for the State of Washington, residing at K 1 ''''9%�,oPwASHINC',O�``�` <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: 2 Z3 -Z'3z,\ <br /> X •sr)-,.,�e1e. X <br /> Construction Manager Pu . Works Director <br /> Tom Fuchs Ryan Sass <br /> Revised 6/2012 <br />