2004/11/03 Council Agenda Packet

CITY OF EVERETT FINAL CONTRACT VOUCHER CER I'11CATION •'ONTRACTOR: Wilder Construction ADDRESS: 3315 - 15th Street TTY: Everett STATE: WA 98201 DA IE: May 11, 2004 'ROJECT 1TI'LE: Hewitt Sewer Replacement & Street Rehab. WORK ORDER NO. UT3076 • )A IE WORK COMPLETE: May 13, 2004 FINAL AMOUNT: $ 9,282,856.33 +WSST CONTRACTOR'S CERTIFICATION , the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed nd material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am uthorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any mployee of the City; I further certify that the attached final estimate is a true and correct statement showing all the ponies due me from the City of Everett under this contract; that I have carefully examined said final estimate and nderstand 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. (Al OiLX Pied c (Mk�� e✓ :ONTRACTOR TITLE J J Vilder Construction ;ubscribe.And sworn,tt)before ne e:• ) day of C P I' V / : 1 / Notary Public n and for th-'State of W:1.hington, residing at ,N161-3 '� PUBLIC WORKS DEPARTMENT CERTIFICATION Certify the attached final APPROVED Date: A) /1'9 'Y stimate to be based upon actual aeasurep-nts and to b.true and correct. > !\ X1 Cons ction Manager Utilities Director Terry Henke Tom Thetford INSTRUCTIONS 'he Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's gents and forwarded with the Final Contract Voucher Certification. 'ontractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim ttached. revised 9/94 5