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1 <br /> l <br /> P <br /> r <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> i <br /> DAI'b: January 26,2018 ADDRESS: PO Box 1531 l <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 COMPLEI'E: December 11,2017 FINAL AMOUNT: $ 1,136,139.23 <br /> Exclusive of State Sales Tax <br /> 1- <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 i <br /> showing all the monies due me from the City of Everett under this contract; that I have carefully examined said 1 <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 l <br /> said estimate. r <br /> [ <br /> X d X re3 l �lt/4- <br /> CONTRALTO TITLE i <br /> Reece Construction Company •\```"‘"11111 1 <br /> � cON/A/ N,�rt. �i <br /> Subscribed and sworn to before me this 7 L( day of , ,CGU -:G�wt r , 2018 ._.-F�' aboo imp <br /> ,,�,,,. 4i� 1 <br /> X , 1 CO s <br /> =s <br /> i o s 0 if <br /> otary P blic '°os``0, <br /> in and for the State of Washington,residingat OI..Vck- V,.P V V1.0/1 $4 OA'''• 6% -1S',-•F z 1 <br /> i <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION j <br /> 3 <br /> 1 <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and toa / <br /> be true and correct. APPROVED Date: <br /> 60/--iik i <br /> X X V 1 <br /> Construction Manager Public Works irector <br /> Tom Fuchs Paul Kaftanski I <br /> i <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. 1 <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim <br /> attached. <br /> I <br /> f <br /> Revised 6/2012 ^ <br /> b 1 <br /> 1 <br /> 3 <br /> 1 <br />