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8 <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CER1'WICATION <br /> DATE: October 12, 2016 ADDRESS: 3120 Hewitt Ave. . <br /> CONTRACTOR: Allied Construction Associates,Inc. CITY/STATE: Everett,WA 98201 <br /> PROJECT TITLE: Water Main Replacement P WORK ORDER NO. UP 3598 <br /> DATE WORK COMPLETE: July 27,2017 FINAL AMOUNT: $ 916,930.35 <br /> Exclusive of 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 paid, and <br /> that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials <br /> from any employee of the City; I further certify that the attached final estimate is a true and correct statement <br /> showing all the monies due me from the City of Everett under this contract; that I have carefully examined said <br /> final estimate and understand the same and that I hereby release the City of Everett from any and all claims of <br /> whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in <br /> said estimate. <br /> X " ---\(11Vilg-- X f6R5,4---- <br /> CONTRACT -\, 4 TITLE <br /> Allied Construction Associates,Inc. ,,,,t ilisiioei° <br /> 6)C4-0 <br /> \m' Sd C�1 °0si,Subscribed ands rn to befor me this i 1 day of ��-4*...4,* ,z6 9.to <br /> X •� MOTANy `:P\f" <br /> • Not ub c ( ,� <br /> A o ,p wBOw <br /> in and tor th State of Washington,residing at = i e.®1` "ee, Z <br /> 1,,>�lif, f F•6. t0. ..:455 <br /> 1/1/ � 'WASH�1eoo`‘ <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to <br /> be true and correct. APPROVED Date: 10 VCt-- U(7) <br /> X x /1 UP) 1 i <br /> Construction Manager Public Wor shi/ee V' V <br /> Tom Fuchs Dave Davis <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor'::' <br /> agents and forwarded with the Final Contract Voucher Certification. <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> attached. <br /> 78 <br /> 78 <br />