Karl Needham Enterprises, Inc. 12/5/2016

• CITY CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION DATE: September 28, 2016 ADDRESS: 4901 E. Mariposa RD. CONTRACTOR: Karl Needham Enterprises CITY/STATE: Stockton, CA 95215 PROJECT TITLE: 2016 Biosolids Disposal WORK ORDER NO. 2600F DATE WORK COMPLETE: August 9, 2016 FINAL AMOUNT: $511,786.47 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. X X Sec if tit / lra_S urs CON/�RACTO TITLE Kai' Needham(Enterprises Subscribed and sworn to before me this day of , 2015 Notary Public ALL in and for the State of Washington, resi g at PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final estimate to be based upon actual measurements and to be true and correct. APPROVED Date: (-1, xax,) X I// I/ Construction Manager Public Wor 'i i -. •r Tom 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