2012/07/25 Council Agenda Packet

2_0 • CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR: Razz Construction, Inc. ADDRESS: 4055 Hammer Drive CITY: Bellingham WA 98226 DATE: June 26, 2012 PROJECT TITLE: Portal 3 Modifications WORK ORDER NO. UP3192 DATE WORK COMPLETE: July 5, 2012 FINAL AMOUNT: $890,092.59 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 •:.reby release the City of Everett from any and all claims of whatsoever nature which I may have, arising out of to- • rformance of said contract,which are not set forth in said estimate. X ,ottlittitiro \‘` s CONTRACTOR TITLE •ct••••—•-'64, .:0ENT 42.. 4?4/ • I.' Razz Construction, Inc. • • •/‘ = 20 = Subscribed and sworn to before 2.0A5 me this \04- day of 2 o *03), •tt- A)ivt_Vt.L.%.( 1 Notary Public in a for the State of as gton,residing at ( t,d1()-“ulev,..,4y1 . PUBLIC WORKS DEPAR ME T CERTIFICATION I Certify the attached final APPROVED Date: estimate to be based upon actual measurements and to be true and correct. xciX /10 kl Construction Manager Public Works Director Tom Fuchs Dave Davis 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 1 98