2004/06/02 Council Agenda Packet

i FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR: Transtech Electric, Inc. ADDRESS: P 0 Box 7429 CITY: Kent STATE: WA 98042 DATE: April 20, 2004 • PROJECT TITLE: 2003 Signal Improvements WORK ORDER NO. 3150 DATE WORK COMPLETE: April 9, 2004 FINAL AMOUNT: $70,587.04 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 mo ies due me from the City of Everett under this contract; that I have carefully examined said final estimate and un, •rstand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature w ch I rrlay h.; e, arising out of the performance of said contract, which are not set forth in said estimate. X 'Mir X U i c r,?v,./_6%d+..c.44- C P T T CT!)R TITLE ranstech Electric,Inc. \\\\\i Subscribed and sworn o before ,\\` W A�,l1 / meth ,y o �.,-'�._ �P X i� v� Notary Public = ol A R y` in and for the State of Washington, residing at �n _ _ p7.26 t .xP• `p PUBLIC WORKS DEPARTMENT CERTIFICATION ,,///pF'Wyp \\\`�� I Certify the attached final APPROVED Date: -0)y estimate to .g based upon actual measure j - s and to •• true and correct. A, 7.0.1 X Const... tion Manager Utilities Director Terry enke 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 27