2016/05/11 Council Agenda Packet

CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION DATE: March 17, 2016 ADDRESS: 19300 NE 112th Ave, Ste 100 CONTRACTOR: Shearer&Associates CITY/STATE: Battle Ground WA 98604 PROJECT TITLE: Reservoir#6 Roof Replacement WORK ORDER NO. UP 3500 DATE WORK COMPLETE: February 16, 2016 FINAL AMOUNT: $4,851,684.75 Exclusive of State Sales Tax CONTRACTOR'S CERTIFICATION • I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any employee of the City; I further certify that the attached final estimate is a true and correct statement showing all the monies due me from the City of Everett under this contract; that I have carefully examined said final estimate and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in said estimate:2 GtiNTRACTOR TITLE i _ • Shearer & Associates 7f' Tei Subscribed ay.d sworn before me this a'`' day of ��c.I , 2016 _= 0 X4 a, f Notary Public 's= I in and for the State of Washington,residing at ' ' y PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final estimate to be based upon actual measurements and to , be true and correct. APPROVED Date: > ' x (")1/-/ x ) Construction Manager Public Word$ D rk.4 " Torn Fuchs Dave Davis' INSTRUCTIONS The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's agents and forwarded with the Final Contract Voucher Certification. Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim attached. • Revised 6/2012 20 •