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CITY <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: December 11, 2017 ADDRESS: 1201 Pacific Avenue Suite 600 <br /> CONTRACTOR: American Process Group, Inc. CITY/STATE: Tacoma WA 98402 <br /> PROJECT TITLE: 2017 Biosolids Removal WORK ORDER NO. 2600-4-1 <br /> DATE WORK COMPLETE: May 11, 2017 FINAL AMOUNT: $638,112.65 <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 any and all claims of whatsoever nature which I may have, arising out of the performance of <br /> said contract,which are not set forth in said estimate. <br /> ( , <br /> X ` _ Colleen Prince X Vice President <br /> CONTRACTOR TITLE <br /> American Process Group, Inc. <br /> Subscribed and sworn to before me this oZC day of Lttorx . 2017 <br /> JUSTIN DANZO <br /> X �L� Barrister&Solicitor <br /> to c !� A Commissioner for Oaths and Notary Public <br /> in and for the , residing at in and for the Province of Alberta <br /> J ��! � �I 64. �� lL�.,M�y.Comm�issi�on,Expires at Her Majesty's Pleasure A <br /> pr y�c7l/� , (T �!1/14eCC( <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to A I <br /> be true and correct. APPROVED Date: <br /> X ,c(17)-t X- JIlL <br /> Construction Manager Public Works if cto <br /> Tom Fuchs Dave Davis <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 />