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2008/04/30 Council Agenda Packet
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2008/04/30 Council Agenda Packet
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Council Agenda Packet
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4/30/2008
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r CITY OF EVERETT -- <br />FINAL CONTRACT VOUCHER CERTIFICATION Rs'i,�x <br />CONTRACTOR: Strider Construction ADDRESS: 4721 Northwest Drive n 4 2008 <br />CITY: Bellingham STATE: WA 98226 DATE: March 20, 2008-,. <br />PROJECT TITLE: Sewer System Replacement "F', Sch. C. WORK ORDER NO. UP3300 -- <br />DATE WORK COMPLETE: January 11, 2008 FINAL AMOUNT: $ 1,927,956.95 <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 />understAn&ihe same a that I hereby release the City of Everett from any and all claims of whatsoever nature <br />whi may hoee7 arioft out of the perfQzmance of said contract, which are not set forth in said estimate. <br />SOde RCon Construction es A GebharITLE ,X1�..�'�9�����,' <br />Subscribed and sworn to before V : �4� <br />NOTARY <br />met is {'' day ofjapc�11rnR <br />_..*_ .. <br />X Notary Public o NJ, ;•SGP B L I G10 02: <br />in and for the State of Washington, residing at IeP 11'. }�,>`�'•yF 23 ?°.° •C����� <br />PUBLIC WORKS DEPARTMENT CERTIFI1CATI$N--- _ <br />I Certify the attached final APPROVED Date: —t(—Cf6 _ <br />estimate to be based upon actual <br />measurements and to be true and correct. <br />X X --i, ". 4 <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 />
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