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f <br /> CITY <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”ifd I'l claims of whatsoever nature which I may have, arising out of the performance of <br /> sai• orltract hich are not' set forth in said estimate. <br /> V Ld X <br /> X _` .1i V <br /> CONTRA 1TO ' TITL <br /> Granite C 8 st ct Fr Company <br /> Subscrib and sworn to before me this , day of Jck1-1 - -OI cl Notary Public <br /> State of Washington <br /> X �' ��j7 Carol L. Johnson <br /> Notary u c Commission Expires 06-08-2022 <br /> in and for the State of Washington, residing at 6'\ oc 1. \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 Da : 1— " LU I <br /> X Wn;-Zttc X .. - <br /> Construction Manager Pub is 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 />