2006/10/25 Council Agenda Packet

CITY OF EVERETT 4 FINAL CONTRACT VOUCHER CERTIFICATION 'ONTRACTOR: D.D.J. Construction ADDRESS: PO Box 130 'ITY: Ravensdale STATE: WA 98051 DATE: September 28, 2006 ROJECT TITLE: Water Main"H" Replacement WORK ORDER NO. UP3220 )ATE WORK COMPLETE: December 12, 2005 FINAL AMOUNT: $481,105.13 +wsst CONTRACTOR'S CERTIFICATION the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed nd material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am uthorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any mployee of the City; I further certify that the attached final estimate is a true and correct statement showing all the comes due me from the City of Everett under this contract; that I have carefully examined said final estimate and nderstand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which may have, arisin; *Lit of the performance of said contract, which are not set forth in said estimate. NTRACTOR N E ).D.J. Construction ubscribed and sworn to before ie th. R9 da • QG7o s z Ztp&sa (f—" Notary Public i and or the of Washington, residing at on{Z-ti+ PUBLIC WORKS DEPARTMENT CERTIFICATION Certify the attached final APPROVED Date: /0 —lo stimate to be based upon actual ieasurements and to be true and correct. X ---,2741---11 Construction Manager Utilities Director Tom Fuchs Torn Thetford INSTRUCTIONS 'he Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's gents and forwarded with the Final Contract Voucher Certification. 'ontractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim ttached. .evised 9/94