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CITY OF EVERETT <br />FINAL CONTRACT VOUCHER CERTIFICATION <br />CONTRACTOR:Wilder Construction ADDRESS: 1525 E. Marine View Dr. <br />CITY: Everett STATE: WA 98201 DATE: November 16, 2006 <br />PROJECT TITLE: 41s' Street Overcrossing - Structures WORK ORDER NO. 2595 & 3225 <br />Everett Riverfront Walkway WORK ORDER NO. 2697 <br />DATE WORK COMPLETE: November 14, 2006 FINAL AMOUNT: $ 8,253,329.13 <br />CONTRACTOR'S CERTIFICATION <br />I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed <br />and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am <br />authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any <br />employee of the City; I further certify that the attached final estimate is a true and correct statement showing all the <br />monies due me from the City of Everett under this contract; that I have carefully examined said final estimate and <br />understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which <br />I may have, arising out of the performance of said contract, which are not set forth in said estimate. <br />X__ <br />4 x SFMoa Paa,� r �l a�46f� <br />CO TRACTOR TITLE <br />Wilder Construction <br />Subscribed and sworn before <br />in t z da of <br />X Notary Public <br />in d for the tate of Was 'ngton, residing atQj�� <br />PUBLIC WORKS DEPARTMENT CERTIFICATION <br />I Certify the attached final APPROVED Date: z` <br />estimate to be based upon actual <br />measurements and to be true and correct. <br />X 2;& X <br />Construction Manager Utilities Director <br />Tom Fuchs Tom Thetford <br />INSTRUCTIONS <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 9/94 <br />to <br />