Laserfiche WebLink
CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: September 20, 2016 ADDRESS: 946 Boulder Blvd <br /> CONTRACTOR: American Prod Group, Inc. CITY/STATE: Stony Plain AB T7Z 0E6 <br /> PROJECT TITLE: 2016 Biosolids Removal WORK ORDER NO. 2600E <br /> DATE WORK COMPLETE: July 14, 2016 FINAL AMOUNT: $568,779.27 <br /> Exclusive of State Sales Tax <br /> CONTRACTOR'S CERTI Fl CATI ON <br /> I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work <br /> performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and <br /> that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials <br /> from any employee of the City; I further certify that the attached final estimate is a true and correct statement <br /> showing all the monies due me from the City of Everett under this contract; that I have carefully examined said <br /> final estimate and understand the same and that I hereby release the City of Everett from any and all claims of <br /> whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in <br /> said estimate. <br /> X C ,Colleen Prince X Vice President <br /> CONTRACTOR TITLE <br /> American Process Group, Inc. <br /> Subscribed and sw9r to before me this )- day of /J0 v�,�(4/1 � , 2016 <br /> X MAIN STREET LAW LLP <br /> Not* I i c Barristers&Solicitors <br /> i n and for the State of Washington, residing at Box 3407,115 Main Street 2nd Plopr <br /> rreo 1 Spruce Grove,AB T7X 3A7 <br /> PHONE:(780)960-8100 <br /> YLER M.PEROZNI <br /> Barrister&Solicitor <br /> PUBLIC WORKS DEPARTM ENT CERTI Fl CATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to <br /> be true and correct. APPROVED Date: <br /> X .077.7j, CCL e=4 /111/1 <br /> / <br /> Construction Manager Public Works a <br /> Tom Fuchs Dave Davis r � 15o <br /> I NSTRUCTI ONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's <br /> agents and forwarded with the Final Contract Voucher Certification. <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> attached. <br /> Revised 612012 <br />