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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CER I11,TCATION <br /> 4 CONTRACTOR:Synagro"Flgohuodtgios West, LLC ADDRESS: 1800 Bering Drive Suite 1000 <br /> CITY: Houston STATE: TX 77057 DATE: June 7,2007 <br /> PROJECT TITLE:Biosolids&Backwash Solids Removal III WORK ORDER NO. 26004 <br /> DATE WORK COMPLETE: October 7,2006 PHASE III FINAL AMOUNT: $771,020.99 <br /> TOTAL CONTRACT AMOUNT <br /> ALL THREE PHASES: $2,148,968.83 <br /> CONTRACTOR'S CERTIFICATION <br /> I,the under..led,having first been duly sworn,certify that the attached bill is a proper charge for work performed <br /> and m. :.al ished to the City of Everett, that the same or any part thereof has not been paid, and that I am <br /> autho . to ign for the claimant; that I have not rented or purchased any equipment or materials from any <br /> emp ., -- . • City;I further certify that the attached final estimate is a true and correct statement showing all the <br /> mo a m from the City of Everett under this contract; that I have carefully examined said final estimate and <br /> uni-,.. . i same and that I hereby release the City of Everett from any and all claims of whatsoever nature <br /> w \, .a ay ave,arising out of the performance of said contract,which are not set forth in said estimate. <br /> X "��' X President <br /> CO l' •"'""ii' TITLE <br /> Synagro Isetioml gtes West, LLC <br /> '.`�`A ; CLIE A.C CORY <br /> Subscribed and sworn to before '1 .t My CCM: oN XPInES <br /> me s 2n day July, 2007i. <br /> ,'�;i.... s _ + <br /> x ary Public s '`�,, , , <br /> in and for the State of itHHg t T ; -: .. "".'..--'"� . <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final APPROVED Date: '1-1 1---21 <br /> estimate to be based upon actual <br /> measurements and to be true and correct. <br /> X iC_ G�g X 1-4 <br /> Pr ct Manager Utilities Director <br /> Chris Chesson 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 />