2019/02/27 Council Agenda Packet

CITY OF EVERETT FINAL CONTRACT VOUCHER CERTIFICATION CONTRACTOR: Stellar J Corporation ADDRESS: 1363 Down River Drive CITY: Woodland STATE: WA 98674 DATE: July 5,2018 PROJECT TITLE: WFP Portal#1 Replacement Project WORK ORDER NO. UP 3602 DATE WORK COMPLETE: June 18, 2018 FINAL AMOUNT: $763,848.10 (includes WSST) 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 understand the same and that I hereby release the City of Everett from any and all claims of whatsoever nature which I may have, arising o of the erformance� of said contract,ewrhhich are not set forth in said estimate. C I R TITLE V °° ,G.'•.:1�(�Stellar Lora '; i ' .• MENrF �'p Subscribed and sworn to before � iyo�AR�- �N me thisy �of � 2D 6 = • PUBUG � ,rat ( Notary Public � � // �; • 'o'; Wand for the State Of w '�Washington residing at ��GnCr, `r . ''''%qIF aE ••ca'� °itFiWASN,;0 � PUBLIC WORKS DEPARTMENT CERTIFICATION I Certify the attached final APPROVED Date: estimate to be based upon actual measurements and to be true and correct. XDm/7X Construction ana er Utilities Director g Tom Fuchs Ryan Sass 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 64