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CITY <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: October 6, 2017 ADDRESS: 15714 Country Club Drive <br /> CONTRACTOR: McClure & Sons, Inc. CITY/STATE: Mill Creek, WA 98012 <br /> PROJECT TITLE: Riverfront Development Sewer LS Improv. WORK ORDER NO. UP-3597-3, RD-3314-21 <br /> DATE WORK COMPLETE: August 4, 2017 FINAL AMOUNT: $5,998,820.45 <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 /> whatso- -r nature which I may have, arising out of the performance of said contract, which are not set forth in <br /> said : e. <br /> 00 <br /> _ i X �w X <br /> PRESIDENT <br /> CO T' • C OR TITLE <br /> • lure & Sons, Inc. �.�`��)o'i`MccL J '',,, <br /> �. �v•• ••F ',. <br /> Subscribed and sworn to before me this /'7 day of 0 , 2017Z. • • ••• <br /> l S : NOTARY PUBLIC • <br /> St <br /> • <br /> X � _ • COMM.EXPIRES ; <br /> Nc blic • <br /> _ MAY 10,2020 <br /> in and for the State of Washington, residing at /("(7/ . -e�- 1 GM s ••• •.••o��.;' <br /> '''',�'F F WASH �``. <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: <br /> X "Ciiv . ,,ct.eZ X IMAM, <br /> Construction Manager Public W: Fs Dir•'tor <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 />