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{ <br /> { <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: Shearer&Associates, Inc. ADDRESS: 19300 NE 112th Ave., Suite 100 <br /> CITY: Battle Ground STATE: WA 98604 DATE: July 27, 2021 <br /> PROJECT TITLE: WFP East Clearwell Roof Replacement-Design-Build Project <br /> WORK ORDER NO. UP 3662 <br /> DATE WORK COMPLETE: June 7, 2021 FINAL AMOUNT: $3,387,265.81 (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 fort i d estimate. <br /> ` - ``It{,Illill lll,l,lj' E <br /> CO TRA OR TITLE ••Q ^`.... ,. <br /> Shearer&Associates, Inc. :4.=>°`� Q t W <br /> r <br /> Subscribed and sworn to before :� �� � <br /> me th �-3 a o I.�arclti. <br /> X %'�jRs Notary Public ° SAY <br /> in and for the State of Washington, residing at CAR_ ,, ' A 1 <br /> '7j,11111,Illl t <br /> Q . 8//o late <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final APPROVED Date: 4--G`zo27--- <br /> - <br /> estimate to be based upon actual <br /> measurem nts an o be true and correct. <br /> X 4,-/ X <br /> Project Construction Manager Public Works Director <br /> William Fisher 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 />