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ATTACHMENT I: CERTIFIED PROJECT COMPLETION REPORT <br /> PUBLIC WORKS TRUST FUND - CONSTRUCTION LOANS <br /> Loan Number: PC13-961-008 Contractor:City of Everett <br /> Project Name: Everett Water Pollution Control Facility Address: 3200 Cedar Street <br /> Expansion Everett,WA 98201-4516 <br /> Original or Extended Project Completion Date: 9/18/2017 <br /> Chief Executive Officer Certification <br /> The Chief Executive Officer of the Borrower/Contractor certifies that: <br /> • To the best of his/her knowledge,the financial information and data provided in this report is true and correct as of <br /> the signature date indicated below,and no project costs listed in this report incurred more than twelve(12)months <br /> before agreement/contract execution or after the date of the project completion; <br /> • Records supporting the information provided in this report are on file and will be made available by the <br /> Borrower/Contractor upon request; and <br /> ..._ ..rA Ai O / lli / / ,(71 <br /> Signatures hiefExe.R ive Officer Title t--() <br /> 1-?05-(-- pkta-no h ( 2' 3 )C11 <br /> Print Na Date of Signa <br /> AT „ ST: <br /> 610 <br /> Project Engineer or Consultant Certification -! i J iLd <br /> City Clerk <br /> The Project Engineer or Consultant of the Borrower/Contractor certifies that: <br /> • To thebest of his/her knowledge,the data provided in this report is true and correct as of the signature date <br /> indicated below; <br /> • The project was completed in accordance with the Loan Agreement/Contract's Scope of Work;and <br /> • The project was completed on //720//6 <br /> (Actual Date of Project Completion) <br /> ; €*/ ,- 6.-151".w.- <br /> Signatur of Pro' ct Engineer or Consultant Title <br /> j-.)k n 4)f-ft-yr n5 kW*" //7/y//7 <br /> Print Name Date of Signature <br /> AP OVED DM RM <br /> JAMES D.ILES,City Attorney <br /> City of Everett <br /> PC13-961-008 10/17/2017 Public Works Trust Fund <br />