Interwest Construction Inc. 12/9/2021

CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION DATE: November 4, 2021 ADDRESS: 609 North Hill Blvd. CONTRACTOR: Interwest Construction Inc. CITY/STATE: Burlington,WA 98233 PROJECT TITLE: Grand Avenue Park Bridge WORK ORDER NO. PW-3588 DATE WORK COMPLETE: March 15, 2021 FINAL AMOUNT: $15,015,255.20 Excluding Washington State Sales Tax CONTRACTOR'S CERTIFICATION I,the undersigned,certify and declare, under penalty of perjury under the laws of the State of Washington, that the foregoing is true and correct: I am authorized to sign for the claimant; that in connection with the work performed and,to the best of my knowledge,no loan,gratuity or gift in any form whatsoever has been extended to any employee of the City Everett, nor have I rented or purchased any equipment or materials from any employee of the City of Everett; that the attached final estimate is a true and correct statement showing all the monies due the claimant from the City of Everett for work performed and material furnished under this Contract; that I have carefully examined said final estimate and understand the same and; that I,on behalf of the claimant, hereby release and forever discharge the City of Everett from any and all claims of whatsoever nature which I or the claimant may have, arising out of the performance of said Contract,which are not set forth in the attached Contractor Claim Reservation. DATED at Burlington,WA this 4th day of November , 20 21 . (City, State)X �" "� 0Y�2�'�/J� X President CONTRACTOR TITLE Interwest Construction Inc. PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final estimate to be based upon actual measurements and to � �� be true and rrect. APPROVED Date: 1 1 & �'- -/L X X_ ity Engineer Pu c Works Director Tom Hood, P.E. Ryan Sass, P.E. 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.