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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: May 23, 2017 ADDRESS: 20607 State Route 9 SE <br /> CONTRACTOR: A-1 Landscaping & Construction, Inc. CITY/STATE: Snohomish, WA 98296 <br /> PROJECT TITLE: Riverfront Development N. Wetland Complex WORK ORDER NO. RD-3312 <br /> DATE WORK COMPLETE: March 3, 2017 FINAL AMOUNT: $559,814.21 <br /> Exclusive of 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 <br /> performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and <br /> that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials <br /> from any employee of the City; I further certify that the attached final estimate is a true and correct statement <br /> showing all the monies due me from the City of Everett under this contract; that I have carefully examined said <br /> final estimate and understand the same and that I hereby release the City of Everett from any and all claims of <br /> whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in <br /> said estimate. <br /> X X PR.ktiiuiii/ <br /> CONTRACTOR TITLE �\\O JOHNS�'''�,, <br /> O <br /> A-1 Landscaping& Construction, Inc. ��` ��. `ss,on ExO%!L <br /> a•o p1ARY ' 1 <br /> Subscribed and sworn to before me this 5-r H day of S u EL, \ . i1-3' 2 f l <br /> X I } � . � '1(`` _l <br /> P013\-\`' <br /> N Pub is , ''i cJ. �.'Q9........... .ON.* C� <br /> in and for the State of Washington, residingat �i OF Wps \��.`` <br /> g �t�lp Na'M1� �,„,,,,,,00 <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to <br /> be true and correct. APPROVED Date: 6 -7 7 <br /> x On/7,1zei <br /> Construction Manager Public Wo.4 Vu imUTr� <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 6/2012 <br />