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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: June 22, 2022 ADDRESS: P.O. Box 1531 <br /> CONTRACTOR: Reece Construction Company CITY/STATE: Marysville,WA 98270 <br /> PROJECT TITLE: 2022 Tulalip Water Pipeline Mortar Repair WORK ORDER NO. UT-3774 <br /> DATE WORK COMPLETE: May 14, 2022 FINAL AMOUNT: $968,639.33 <br /> Inclusive of Washington 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 /> X X ?Ve..Ticke-frIA-- <br /> 4 c O NNF 1h/// <br /> CONTRACTOR �r TITLE _ ,`��oN`FXA,,`Q /i// <br /> Reece Construction Company = Rio_—��'�{osAR� �//, '/; <br /> Subscribed and sworn to before me this L 'rcl day of JO _ A2.072 <br /> , 2021 % ; < 'o <br /> Notary ublic //rhQF W i`cJ <br /> In and for the State of Washington,residing at 1--,cat,& VR-V U.Jr <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 co rect. APPROVED Date: <br /> X `C X_ <br /> Construct n Manager Pu is Works Director <br /> Keith Alewine 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. Contractor's Claims, if <br /> any,must be included and the Contractor's Certification must be labeled indicating a claim attached. <br /> Revised 6/2012 <br />