Alpine Waterproofing and Masonry Restoration 9/20/2017

City CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR: Alpine Waterproofing and Masonry Restoration ADDRESS: 7309 121st Drive NE CITY: Lake Stevens STATE: WA ZIP: 98258 DATE: July 10, 2013 PROJECT: Police HQ — Masonry Cleaning and Repair PROJECT NO: N/A DATE WORK COMPLETE: June 9, 2017 FINAL AMOUNT $722,430.64 (including WSST) CONTRACTOR'S CERTIFICATION I, the undersigned, having first been duly sworn, certify that the above final amount 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 above final amount 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 amount and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in said final amount. �eS�C7i CONTRACTOR TITLE NOTARY PUBUC S irk an s? to before me this 1) tit' day of T 1 t-' 20 n. STATE OF WASHINGTON t �f✓✓� Notary Public in and for the Ste of Washingto LEILANI A. TYNAN residing at Sl,(,�r 0.41 My Appointment Expires APRIL 19. 2021 PROPERTY MANAGEMENT DEPARTMENT CERTIFICATION /I; I Certify the above final amount to be APPROVED Date: O /31 Based upon actual work performed and To be true ,j d�correc /lam Project Manager, Chris Lark Executive Director, Paul Kaftanski ADMINISTRATION USE ONLY Date of Acceptance ( By: MayS"ay ephanson ` � • T; INSTRUCTIONS City Clerk 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.