2007/02/28 Council Agenda Packet

Controctor CITY OF EVERETT 5 FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR: Vertical Transportation Services ADDRESS: 815 W Ewing Street CITY: Seattle STATE:WA ZIP: 98119 DATE:January 25, 2007 PROJECT:Wall Street Building —Elevator Modernization Project DATE WORK COMPLETE: March 14, 2002 FINAL AMOUNT$338,360.30 (including WSST) CONTRACTOR'S CERTIFICATION I,the undersigned, having first been duly sworn, certify that the above final amount 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 above final amount 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 amount and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature whi • ma ave, arising out of the performance of said contract,which are not set forth in said final amount. -/ --C CONT' JP OR TITLE Su cr bedd ark or to before me this 614 day of J jj) , 2003. `' .t( AC � i Notary Public in and for the State of Washington, residing at 1OI HCl PROPERTY MANAGEMENT DEPARTMENT CERTIFICATION I Certify the above final amount to be APPROVED Date: 2C=1/0 7 Based upon actual work performed and To be true and correct. Project Manager, Chris Lark Facilities Director, Carlton Gipson ADMINISTRATION USE ONLY Date of Acceptance By: Mayor, Ray Stephanson INSTRUCTIONS 1l 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.