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PHASE 1 FINAL CONTRACT VOUCHER CERTIFICATION <br /> 7.ONTRACTOR: Snyagro ADDRESS: 4993 Golden Foot Hill Pkwy#2 ` <br /> TTY: Eldorado Hills STATE: CA 95762 DATE: February 19, 2004 <br /> ?ROJECT 1T1LE: Biosolids &Backwash Solids Removal WORK ORDER NO. UT2600-4 <br /> DATE PHASE 1 WORK COMPLETE: September 20, 2002 PHASE 1 FINAL AMOUNT: $ 624,796.66 <br /> CONTRACTOR'S CERTIFICATION <br /> [, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed <br /> Ind material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am <br /> muthorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any <br /> ,mployee of the City; I further certify that the attached Phase 1 final estimate is a true and correct statement <br /> ;bowing all the monies due me from the City of Everett under this phase of the contract; that I have carefully <br /> .xamined said Phase 1 final estimate and understand the same and that I hereby release the City of Everett from any <br /> And all claims of whatsoever nature which I may have, arising out of the performance of Phase 1 of said contract, <br /> which are not set forth in said estimate. <br /> T <br /> X x /ovAC �t <br /> CONT ' • OR ITLE . <br /> Snyagro JOSEPH R. HENDERSON <br /> Cof 4M. #1271441 m <br /> Notary Public-CaliforniaSubscribed . d sworn to before EL DORADO COU, <br /> me this day offrtived/2-ed`/ My Comm.Exp.Aug,182004 <br /> X _ - Notary Public <br /> •! • for the State of ,residing at E(6beel toa /c7;/ (S <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> [Certify the attached Phase 1 final APPROVED Date: <br /> ..stimate to .- based upon actual <br /> measure'is and to be true and correct. <br /> X Ilkr �� - _ _ X <br /> Cons ction Manager Utilities Director <br /> Terry Henke Tom Thetford <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's <br /> Tents and forwarded with the Final Contract Voucher Certification. <br /> 2ontractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> ittached. <br /> devised 9/94 <br /> 12 <br />