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• <br /> • <br /> 5 CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> CONTRACTOR: IMCO General Construction ADDRESS: 2116 Buchanan Loop <br /> CITY: Ferndale WA 98248 DATE:-June 27, 2012 <br /> PROJECT TITLE: Transmission Line 3, Phase 7 WORK ORDER NO. UP3437 <br /> DATE WORK COMPLETE: May 25, 2012 FINAL AMOUNT: $ 5,539,707.83 <br /> Excluding State Sales Tax <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 which <br /> I may have, arisi g out of the performance of said contract, which are not set forth in said estimate. <br /> X ( ��_ x r \�c�jC� V� <br /> CONT CTOR TITLE <br /> IMCO General Construction CE l\x1 <br /> Subscribed a d sworn to before C?.\sstont elk %-y tt <br /> me this 22`' dayof P't�U.�'tA,c-t 2012 i �` ''•?i�! <br /> � � OTARy�`:N t <br /> X C >���"�otary Public w:U pU g��O N' <br /> in and for the State of Washington, residing at R(,(ltYllAVY1 lr�'�►'•.r ,��`'•' �% <br /> 14 OF WASE.' <br /> PUBLIC WORKS DEPARTMENT ERTIF CATION <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 ,(2) <br /> X A A <br /> Construction Manager Public Works i irector- <br /> Tom Fuchs Dave Davis <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 /> 50 <br />