2006/12/27 Council Agenda Packet

CITY OF EVERETT 4 FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR: R.L. Alia Company ADDRESS: 107 Williams Ave S CITY: Renton STATE: WA 98055 DATE: December 6, 2006 PROJECT TITLE: Lift Station #36 Modifications WORK ORDER NO. 3086 DATE WORK COMPLETE: November 16, 2006 FINAL AMOUNT: $ 358,346.46 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 monies due me from the City of Everett under this contract; that I have carefully examined said final estimate and understand the same and t I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arising out f t performance of said contract, which are not set forth in said estimate. X X � PI��Io�A,T R.L. R AIia Company TITLE y Q. e,Q••.•�pTAgy. r Subscribed and sworn to before = : My comm. Expires Z _ August 25,2007 o /n . Omet drµ dayz X .Notary Public %��' • 't'UBL��' 0 in and for the tate of Washington, residing at K &"4 (�av2x�� i'OF I * \-\ II PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final APPROVED Date: estimate to be based upon actual measurements and to be true and correct. X % X Construction Manager Utilities Director Tom Fuchs 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 7