Laserfiche WebLink
City of Everett 00 65 19 - 1 <br /> <br /> <br /> <br /> <br /> <br />00 65 19 - 1 CERTIFICATE OF COMPLETION FORM <br /> <br /> <br /> <br /> <br /> <br />SECTION 00 65 19 - CERTIFICATE OF COMPLETION FORM <br /> <br />CONTRACTOR: Valdez Construction Inc. <br />ADDRESS: 499 NE Midway Blvd. Ste. 2 <br />CITY: Oak Harbor STATE: WA <br />PROJECT TITLE: Inductive Charging Infrastructure for Field Installation <br />PROJECT NO. TRINDUC-650 <br />DATE WORK COMPLETED: May 13, 2025 <br />FINAL CONTRACT SUM: $3,596,078.60 <br /> <br /> <br />CONTRACTOR'S CERTIFICATION <br />I, the undersigned, certify and declare, under penalty of perjury under the laws of the State <br />of Washington, that the foregoing is true and correct: I am authorized to sign for the <br />claimant; that in connection with the work performed and, to the best of my knowledge, no <br />loan, gratuity or gift in any form whatsoever has been extended to any employee of the City <br />Everett, nor have I rented or purchased any equipment or materials from any employee of <br />the City of Everett; that the attached final statement is a true and correct statement showing <br />all the monies due the claimant from the City of Everett for work performed and material <br />furnished under this Contract; that I have carefully examined said final statement and <br />understand the same and; that I, on behalf of the claimant, hereby release and forever <br />discharge the City of Everett from any and all claims of whatsoever nature which I or the <br />claimant may have, arising out of the performance of said Contract, which are not set forth <br />in the attached statement. <br /> <br />DATED at _____________________ this __________day of ________________,2025 <br />(Oak Harbor, WA) <br /> <br /> <br />X_________________________________________ __________________________________________________ <br /> Pete Uzunov, Project Manager, Valdez Construction <br /> <br /> <br /> <br />