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City of Everett Everett Station HVAC and Controls Improvements 00 65 19 - 2 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />00 65 19 - 2 CERTIFICATE OF COMPLETION FORM <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DEPARTMENT CERTIFICATION <br /> <br /> <br /> APPROVED DATE:__________________ <br /> <br /> <br />I certify the final statement described above to be true and correct to the best of my knowledge. The <br />above-mentioned Project was constructed per the plans and specifications and to the satisfaction of <br />the Department. The Contractor physically completed the Project within the time allowed in the <br />Contract. It is recommended that the City accept this Project as complete. This certificate waives <br />no rights that the City may have under the Contract, including without limitation rights to enforce the <br />Contract against the Contractor for defective work. <br /> <br /> <br /> <br /> <br />X _______________________________ X _________________________________ <br /> Project Manager Director <br /> <br /> <br /> <br />ADMINISTRATION USE ONLY <br /> <br /> <br />Date of Final Acceptance_______________ By: X _____________________________ <br /> Cassie Franklin, Mayor <br /> <br /> <br />Standard Document / Approved as to Form <br />Office of the City Attorney / (10.22.21) <br /> <br />INSTRUCTIONS <br /> <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 Contractor’s Certification. <br /> <br />Contractor's Claims, if any, must be included as set forth above. <br /> <br />