Laserfiche WebLink
LIIYUItvrtcr, i <br /> FINAL CONTRACT VOUCHER CERTIFICATION 4 <br /> 'ONTRACTOR: R. L. Alia Co. ADDRESS: 107 Williams Ave S <br /> ITY: Renton STA 1'E: WA 98055 DATE: April 28, 2005 <br /> 'ROJECT 1T1LE:North End Basement Flood Reduction "F' WORK ORDER NO. 3189 <br /> )A I E WORK COMPLETE: March 17, 2005 FINAL AMOUNT: $ 1,695,752.64 <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 /> nd material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am <br /> uthorized 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 final estimate is a true and correct statement showing all the <br /> ponies due me from the City of Everett under this contract; that I have carefully examined said final estimate and <br /> Lnderstand the same a•. at I hereby release the City of Everett from any and all claims of whatsoever nature <br /> which I may have, ari• • fait of the performance of said contract, which are not set forth in said estimate. <br /> 4 x fa. ►o€ r <br /> ;ONTRACTOR TITLE \\\ t iii <br /> t. L. Alia Co. \ .k ). PAp���i <br /> �OTq,9�. �/T' <br /> subscribed and sworn to before MY Comm Exp;r� <br /> ne this 3� day of (Ti/ Zoc- - -1 August 25,poo <br /> .,Notary Public -P;'•' A O <br /> n and fo the State of Washington,residing at A�v4 o��� %� '•�Bh�C' <br /> -1O <br /> "i/�WASN`a\' <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> Certify the attached final APPROVED Date: 6(2`9'61- <br /> stimate to be based upon actual <br /> measurements andto be true and correct. <br /> ( oPrc/�Ztce- - <br /> /o - x c'-= • - <br /> Construction Manager Utilities Director <br /> Tom Fuchs Tom Thetford <br /> INSTRUCTIONS <br /> 'he Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's <br /> gents and forwarded with the Final Contract Voucher Certification. <br /> 'ontractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> ttached. <br /> revised 9/94 <br /> 8 <br />