2006/09/06 Council Agenda Packet

CITY OF EVERETT 4 FINAL CONTRACT VOUCHER CERTIFICATION ONTRACTOR: Epic Construction, LLC ADDRESS: 40 Lake Bellevue,#100 ITY: Bellevue STATE: WA 98005 DATE: August 15, 2006 ROJECT TITLE: Transmission Line #4 Joint Bonding WORK ORDER NO. 3222 TATE WORK COMPLETE: August 1, 2006 , FINAL AMOUNT: $ 471,924.89 +wsst CONTRACTOR'S CERTIFICATION the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed id material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am ithorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any nployee of the City; I further certify that the attached final estimate is a true and correct statement showing all the onies due me from the City of Everett under this contract; that I have carefully examined said final estimate and lderstand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature hich I may have, arising out of the performance of said contract, which are not set forth in said estimate. -7- X MRvta3,1 ONTRACTO TITLE pic Construction ibscribed and sworn to before e this IT' day of Av-+st 7.atA9 i ' Notary Public and for the State of Washington, residing at C41"41.) PUBLIC WORKS DEPARTMENT CERTIFICATION iertify the attached final APPROVED Date: £L 3-0( timate to be based upon actual easurements and to be true and correct. 271)��aC X -� Construction Manager Utilities Director Tom Fuchs Tom Thetford INSTRUCTIONS ie Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's ents and forwarded with the Final Contract Voucher Certification. )ntractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim ached. :vised 9/94