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City of Everett 00 6519 - 1 <br />Inductive Charging Infrastructure for Everett Transit <br />SECTION 00 6519 - CERTIFICATE OF COMPLETION FORM <br />CONTRACTOR: Valdez Construction. <br />ADDRESS:499 NE Midway Blvd Ste 2 <br />CITY: Oak Harbor STATE: WA <br />PROJECT TITLE: Eclipse Mill Park Inductive Charging infrastructure <br />for Everett Transit <br />DATE WORK COMPLETED: 06/05/2025 <br />FINAL CONTRACT SUM: $ 893,697.93 <br />CONTRACTOR'S CERTIFICATION <br />I, the undersigned, certify and declare, under penalty of perjury under the laws of the State <br />of Washington, that the foregoing is true and correct: I am authorized to sign for the <br />claimant; that in connection with the work performed and, to the best of my knowledge, no <br />loan, gratuity or gift in any form whatsoever has been extended to any employee of the City <br />Everett, nor have I rented or purchased any equipment or materials from any employee of <br />the City of Everett; that the attached final statement is a true and correct statement showing <br />all the monies due the claimant from the City of Everett for work performed and material <br />furnished under this Contract; that I have carefully examined said final statement and <br />understand the same and; that I, on behalf of the claimant, hereby release and forever <br />discharge the City of Everett from any and all claims of whatsoever nature which I or the <br />claimant may have, arising out of the performance of said Contract, which are not set forth <br />in the attached statement. <br />DATED at Oak Harbor WA this 23 <br />(City, State) <br />day of June <br />XPeter Uzunov o:e_zp=spss„po,21_0TO, x Proj ectmanager <br />20 25 <br />CONTRACTOR AUTHORIZED TITLE <br />SIGNATURE <br />DEPARTMENT CERTIFICATION <br />certify the attached final <br />statement to be true and correct <br />to the best of my knowledge. <br />x <br />APPROVED DATE: <br />Project Manager Director <br />00 6519 - 1 CERTIFICATE OF COMPLETION FORM <br />Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />