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CITY <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: October 17,2018 ADDRESS: 425 Williams Court, Suite 100 <br /> CONTRACTOR: Synagro West,LLC,c%Synagro Technologies,Inc. CITY/STATE: Baltimore,MD 21220 <br /> PROJECT TITLE: 2018 Biosolids Removal &Disposal Project WORK ORDER NO. UP 2600-4-1 <br /> DATE WORK COMPLETE August 15,2018 FINAL AMOUNT: $1,076,008.15 <br /> Exclusive of State Sales Tax <br /> • <br /> CONTRACTOR'S CERTIFICATION <br /> I,the undersigned,having first been duly sworn,certify that the attached bill is a proper charge for work performed <br /> and material furnished to the City of Everett, that the same or any part thereof has not been paid, and that I am <br /> authorized to sign for the claimant; that I have not rented or purchased any equipment or materials from any <br /> employee of the City; I further certify that the attached final estimate is a true and correct statement showing all <br /> the monies due me from the City of Everett under this contract; that I have carefully examined said final estimate <br /> and understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature <br /> which I ma. have, arising out of the performance of said contract,which are not set forth in said estimate. <br /> X ►,: _ t �1 �l OE X AS S A-NI SOfei---TAN-y <br /> CONTRA TOR <br /> TITLE <br /> Synagro Techologies,Inc. <br /> Subscribe and sworn to before me this 1 5 day of /v 0 t'n"h ,2018 <br /> X <br /> otary Public <br /> in and for the State of WssiliTIPTIT, residing at G5 -7:g Cv f ici /4-u-e g Jf wrI10 <br /> Constance A. Reynolds Maty 1 i v <br /> Notary Public <br /> Anne Arundel County,Maryland <br /> M6 p mberron 28,Expires <br /> 9 PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to ., /� /� <br /> be true and correct. APP' i : D Date 4f �( <br /> X MI .Ae2i .• X, ty, _ <br /> Facilities Manager Public Works T uector , <br /> Mike Robinson 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 G/2012 <br />