2003/12/03 Council Agenda Packet

4 CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION . • CONTRACTOR: Allied Security International ADDRESS: 5901 41h Avenue South, WA 98108-3209 CITY: Seattle STATE:WA ZIP: 98108-3209 DATE: 11/12/03 PROJECT: Standardized Security Management System PROJECT NO: N/A DATE WORK COMPLETE: 11/10/2003 FINAL AMOUNT $292,940.67 (including WSST) CONTRACTOR'S CERTIFICATION I, the undersigned, having first been duly sworn, certify that the above final amount 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 above final amount 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 amount and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature w . h I may have, arising out of the performance of said contract, which are not set forth in said final amo [1-Licg &Ls J C-r- CO , RACTO TITLE Sub cri ed and sworn to before me this 12day of Wiffite(' , 2003. g 00 3' . Nota Public in and for the State of Washington, residing at c '� PROPERTY MANAGEMENT DEPARTMENT CERTIFICATION I Certify the above final amount to be APPROVED Date: i///3 Based upon actual work performed and To be true and correct. 9 Project Manad er Mike Shepard a�es Man9�er, Mike Shepard ADMINISTRATION USE ONLY Date of Acceptance By: Mayor, Ray Stephanson 13 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.