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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: August 29, 2022, 2022 ADDRESS: 2353 130th Avenue NE, Ste 100 <br /> CONTRACTOR: Northwest Construction, Inc. CITY/STATE: Bellevue,WA 98005 <br /> PROJECT TITLE: POE Combined Sewer Main Improvements WORK ORDER NO. UP-3730 <br /> DATE WORK COMPLETE: June 28, 2022 FINAL AMOUNT: $8,974,814.64 <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 /Ca.�/k✓�- X P r. eck IA a vw ye/ <br /> CONTRACTOR TITLE <br /> Northwest Construction, Inc. <br /> Subscribed and sworn to before me this tS(l--E day of J L%(� `, 2023 <br /> � c > j <br /> X <br /> Notary Public <br /> In and for the State of Washington, residing at <br /> MELANIE PIDGEON <br /> Notary Public I c—t_C t-,'c`>, Le— <br /> State of Washington <br /> License Number 206920 <br /> My Commission Expirbs. <br /> uBL C WORKS DEPARTMENT CERTIFICATION <br /> March 25, 2023 <br /> wisespamme <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to <br /> be true and rrect. APPROVED Date: /" 2-3"za <br /> yy <br /> X H otide;Axi <br /> X -J-- ---- <br /> Construction Manager Pu c 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 />