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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: November 29, 2021 <br /> CONTRACTOR: Jansen Inc. <br /> ADDRESS: 1215 Holly Street CITY/STATE: Bellingham,WA 98225 <br /> PROJECT TITLE: Everett Downtown Streetscape Improvements-Rucker&Hoyt Avenues <br /> WORK ORDER: PW-3553, PW-3640, UP-3648 <br /> DATE WORK COMPLETE: March 30, 2021 <br /> FINAL AMOUNT: $11,635,197.93, Including Washington State Sales Tax <br /> CONTRACTOR'S CERTIFICATION <br /> The Contractor certifies (A) that the attached final voucher dated January 25, 2021 is a true and <br /> correct statement showing all the monies that were due to Contractor from the City of Everett <br /> under the Contract, as set forth under the Project Close-Out Change Order and Final Release; (B) <br /> that the City of Everett paid Contractor on or about January 29, 2021 the entire $606,720.49 due <br /> per the attached final voucher, so that Contractor has been paid the total Contract price of <br /> $11,635,197.93, including Washington State Sales Tax; and (C) that Contractor hereby releases <br /> the City of Everett from any and all claims of whatsoever nature, which Contractor may have, <br /> arising out of the performance of the Contract. <br /> SEE BELOW <br /> X X <br /> CONTRACTOR TITLE <br /> Jansen Inc. <br /> Unilaterally Signed Pursuant to Standard Specification 1-09.9: <br /> Publi orks Director <br /> Ryan Sass <br /> Date: ij-21�2dz( <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final voucher to be <br /> true and correct. APPROVED Date: 1lr 1 ' 2o2/ <br /> X , ie,77#6telX <br /> City Engineer Public rks Director <br /> Tom Hood, P.E. Ryan Sass, P.E. <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 />