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2009/08/19 Council Agenda Packet
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2009/08/19 Council Agenda Packet
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Council Agenda Packet
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8/19/2009
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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: Razz Construction, Inc. ADDRESS: 4055 Hammer Drive <br /> CITY: Bellingham STATE: WA 98226 DATE: July 27, 2009 <br /> PROJECT TITLE: Portal 4 &6 Area Security Improvements WORK ORDER NO. UP3230-2 <br /> DATE WORK COMPLETE: June 16, 2009 FINAL AMOUNT: $ 512,408.18 <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 = .-by release the City of Everett from any and all claims of whatsoever nature <br /> which I may have, arising out • •- performance of said contract, which are not set forth in said estimate. <br /> X \`‘�����iitttt� <br /> CONTRACTOR TITLE ` p. 0 '� <br /> Razz Construction, Inc. �G.oar 9F •% m <br /> s° NOTARY s <br /> Subscribed and sworn to before puBUG z <br /> m this ay of 0 <br /> XV' i+ ' j 40,4 71 otary Public '••.e <br /> in and fort e State of ' ashington, residing at, --f 2 1Ol— 0F•••••SSS ** <br /> 6W-6/ 7 CAM. q0 22-� <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final APPROVED Date: 0 c <br /> estimate to be based upon actual <br /> measurements and to be true and correct. <br /> X qr771/-7a4e-i2L- • X kl-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 /> 8 <br />
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