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CITY OF EVERETT <br />FINAL CONTRACT VOUCHER CERTIFICATION 10) <br />CONTRACTOR:Schwetz Construction ADDRESS: PO Box 615 <br />CITY: Sedro Woolley STATE: WA 98284 DATE: March 24, 1998 <br />PROJECT TITLE: 7` Av. SE Sidewalk/Bicycle Improvements WORK ORDER NO. PW3194 <br />DATE WORK COMPLETE: June 28, 2007 FINAL AMOUNT: $ 424,397.59 <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 <br />whi=arising out of the performance of said contract, which are not set forth in said estimate. <br />CONTRACTO _ �Lx— <br />Schwetz <br />Construction <br />Subscribed and sworn o before <br />in s ayof,--Juki 2,9 <br />X Notary Public <br />in and fo the State of Washington, residing at <br />PUBLIC WORKS DEPARTMENT CERTIFICATION <br />I Certify the attached final APPROVED Date: <br />estimate to be based upon actual <br />measurements and to be true and correct. <br />X 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 />12 <br />