American Process Group, LLC 5/20/2026

City of Everett 00 6519 - 1 2026 Biosolids Removal and Disposal UT 3752-30 00 6519 - 1 CERTIFICATE OF COMPLETION FORM SECTION 00 6519 - CERTIFICATE OF COMPLETION FORM CONTRACTOR: _____________________________________________ ADDRESS:__________________________________________________ CITY:___________________ STATE:__WA______ DATE:_ ____________ PROJECT TITLE: 2026 Biosolids Removal and Disposal PROJECT NO. UT 3752-30 DATE WORK COMPLETED:____________ FINAL CONTRACT AMOUNT: $_____________________ CONTRACTOR'S CERTIFICATION I, the undersigned, having first been duly sworn, certify that the attached statement is a proper charge for work performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any employee of the City; I further certify that the attached final statement is a true and correct statement showing all the moneys due me from the City of Everett under this contract; that I have carefully examined said final statement and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in said statement. X _____________________________ X ___________________________________ CONTRACTOR TITLE Subscribed and sworn to before me this___ day of ___________ X _________________ Notary Public in and for the State of Washington, residing at ______________________________. DEPARTMENT CERTIFICATION APPROVED Date:__________________ I Certify the attached final statement to be true and correct to the best of my knowledge. X _______________________________ X ___________________________ Project Manager Director