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CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: January 26, 2018 ADDRESS: PO Box 1531 <br /> CONTRACTOR: Reece Construction Company CITY/STATE: Marysville, WA 98270 <br /> PROJECT TITLE: Water Main Replacement"R" WORK ORDER NO. UP 3646 <br /> DATE WORK COMPLETE: December 11, 2017 FINAL AMOUNT: $ 1,136,139.23 <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 rre31 <br /> CONTRACTO TITLE <br /> Reece Construction Company \\\\\\\\\\\\u\\\\ <br /> \` GONFV ",, <br /> Subscribed and sworn to before me this ?Loday of ;G��\c-;G�w1 , 2018 _'�`�`p:4�os exA a,� <br /> X : �Q�ffs 4) ��ty�� Z <br /> s <br /> • <br /> tart' ' blicibuiss%V r .� s o S <br /> in and for the State of Washington, residing at }-kOu" k- V..e/V\Cx/1 ('),"a,,, 6-19 O <br /> etzv- <br /> I'E.OF`ti Ph#, <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to 02/49441 <br /> be true and correct. APPR VED Date: <br /> X rr , XIs ' <br /> Construction Manager Public Works irector <br /> Tom Fuchs Paul Kaftanski <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 />