2008/04/16 Council Agenda Packet

. CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION -CONTRACTOR:Layfteld Environmental Systems ADDRESS: 1166 Fesler Street, Suite B CITY: El Cajon STATE: CA 92020 DATE: March 11, 2008 PROJECT TITLE: Reservoir #3 Relining WORK ORDER NO. UP3308 DATE WORK COMPLETE: January 9, 2008 FINAL AMOUNT: $ 904,088.39 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 that I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arming out of the performance of said contract, which are not set forth in said estimate. X X ��%i t'1C�cri'/lfi4Gc�L1 CONTRACTOR TITLE Layfield Environmental Systems Subscribed and sworn to before me this day of X Notary Public C, Gtr in and for the -State of Washington, residing PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final APPROVED Date: t �� estimate to be based upon actual measurements and t 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