2018/08/22 Council Agenda Packet

CITY OF EVERETT FINAL CONTRACT VOUCHER CERI'lkICATION CONTRACTOR: Faber Construction ADDRESS: 131 East Grove Street CITY: Lynden STA 1E: WA 98264 DA LE: June 4, 2018 PROJECT TITLE: Sewer Regulators R4&R39 Modifications WORK ORDER NO. UP 3633 DATE WORK COMPLEI'B: May 11,2018 FINAL AMOUNT: $1,155,037.44 CONTRACTOR'S CERTIFICATION I, the undersigned, having first been duly sworn, certify that the attached bill is a proper charge for work performed and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any employee of the City; I further certify that the attached final estimate is a true and correct statement showing all the monies due me from the City of Everett under this contract; that I have carefully examined said final estimate and unders d the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which I ha,e, arising out of the performance of aid contract,which are not set forth in said estimate. X A X Nil Dig-- CO v TOR TITLE N' `�� fi Fab• onstruction k4 ` SIONLe. .. t, Subscribed and sworn to before ; ��TA/43% o me this 9 day g-- .,v/g '♦•�- �' i X Notary Public if w,� p BL G 2 in and o the State of Washington,residing at L�N9a +�7,�:`�.•C�T_20. 4.0 PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final APPROVED Date: & ht estimate to be based upon actual measurements and to be true and correct. X "2,,W. Xl 4;‘.44„..„ Construction Manager Utilities Director Tom Fuchs Paul Kaftanski INSTRUCTIONS The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's agents and forwarded with the Final Contract Voucher Certification. Contractor's Claims, if any, must be included and the Contractor's Certification must be labeled indicating a claim attached. Revised 9/94 48