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8 • <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: January 3, 2019 ADDRESS: 1525 E. Marine View Drive <br /> CONTRACTOR: Granite Construction Company CITY/STATE: Everett,WA 98201 <br /> PROJECT TITLE: 2018 Pavement Maintenance Overlay Project WORK ORDER NO. UP 3667 <br /> DATE WORK COMPLETE: September 14, 2018 FINAL AMOUNT: $ 3,036,511.40 <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 <br /> paid,and that I am authorized to sign for the claimant;that I have not rented or purchased any equipment <br /> or materials from any employee of the City; I further certify that the attached final estimate is a true and <br /> correct statement showing all the monies due me from the City of Everett under this contract; that I have <br /> carefully examined said final estimate and understand the same and that I hereby release the City of <br /> Everett from an :n• a claims of whatsoever nature which I may have, arising out of the performance of <br /> sal -contract . hich are of set forth in said estimate. <br /> X <br /> � <br /> X V/2 <br /> CONTRAgTOR 1 `" TITLE <br /> Granite CO s ct in Company <br /> Subscrib=: .and sworn to before me this day of cxY1 a01 9 Notary Public <br /> State of Washington <br /> x y Carol L.Johnson <br /> Notary 'u: 'c .a Commission Expires 06-082022 <br /> C� <br /> in and for the State of Washington,residing at t\InWcac1. 'R <br /> 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. APPROVED Dat : 2-01 <br /> X x_ <br /> Construction Manager Public Works Director <br /> Tom Fuchs Ryan Sass <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all <br /> subcontractor's 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 <br /> claim attached. <br /> Revised 6/2012 <br /> 26 <br />