2004/03/31 Council Agenda Packet

l,111 Vrl;VDi.D11 2 FINAL CONTRACT VOUCHER CERTIFICATION 3315 CONTRACTOR: R.L. Alia Co. ADDRESS: 107 Williams Ave S CITY: Renton STATE: WA 98055 DATE: March 8, 2004 PROJECT TITLE: Combined Sewer Replacement"E" WORK ORDER NO. 3122 DATE WORK COMPLETE: March 5, 2004 FINAL AMOUNT: $1,060,818.93 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 rI further certify that the attached final estimate is a true and correct statement showing all the monies due from e City of Everett under this contract; that I have carefully examined said final estimate and understand - sam, and that I hereby release the City of Everett from any and all claims of whatsoever nature which I may ave, . 'sing out of the performance of said contract, which are not set forth in said estimate. X — X TITLE 1:21Q6 51 uE�T `01111///, � x•4"4"`' C OR \\\i j PAN• ,j�, /,, R.L.Alia Co. .••• •••. y� cs�';�pTgA• �' y..r Subscribed and sworn to before - ►+r comm.Expbes - me 's 771 fay of/ft c� to _-�: "° t 25,2007 : z= X Notary Public �j` '• O(/g�AG � in and fo the State of Washington, residing at klAti 6v u.�j %�of WaSNVa��` / "lilt' PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final APPROVED Date: 3-2),,y estimate to be based upon actual measure •e' s and to . true and correct. 6-4 Const tion Manager Utilities Director Te Henke Tom Thetford 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 9/94 ,.Y 4