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-70951-ice <br /> CITY <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: October 31,2017 ADDRESS: PO Box 742478 <br /> CONTRACTOR: Granite Construction Company CITY/STATE: Los Angeles, CA 90074 <br /> PROJECT TITLE: Hot Mix Overlay—2017 Project WORK ORDER NO. PW 3642 <br /> DATE WORK COMPLETE: September 29,2017 FINAL AMOUNT: $ 4,220,917.97 f <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 j <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 f <br /> showing all the monies due me from the City of Everett under this contract; that I have carefully examined said l <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 a ' .ate. f <br /> ,_ <br /> ♦ IS 1_ x VP <br /> CONTRACT it / TITLE <br /> Granite Cons ion i r mpany <br /> i <br /> Subscri.-• .nd swor o before m- this o���"day of &aQ-c ,N , 20115 <br /> 1._ Notary Public <br /> otary ushe_ State of Washington g <br /> in and for the State of Washington, residing at (m\tOob ._ Carol L.Johnson <br /> Commission Expires 06-08-2018 g <br /> 1 <br /> I <br /> z <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION 1 <br /> I Certify the attached final estimate to be f <br /> based upon actual measurements and to3 f fitbe true and correct. APPROVED Date: <br /> X4aft <br /> Construction Manager Public Works Director <br /> Tom Fuchs st piti. L. 1.64% T'aNS 11,E <br /> 3 <br /> 1 <br /> INSTRUCTIONS 1 <br /> i <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 /> r <br /> 1 <br /> pi <br /> Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim t <br /> attached. t <br /> i <br /> i <br /> Revised 6/2012 <br /> t <br /> 1 <br />