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CITY <br /> CITY OF EVERETT <br /> FINAL CONTRACT VOUCHER CERTIFICATION <br /> DATE: March 29, 2018 ADDRESS: P.O. Box 97 <br /> CONTRACTOR: Marshbank Construction Inc. CITY/STATE: Lake Stevens, WA 98258 <br /> PROJECT TITLE: 41st St to WMVD Freight Corridor Improv. WORK ORDER NO. PW-3472 <br /> DATE WORK COMPLETE: February 2, 2018 FINAL AMOUNT: $3,083,395.47 <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 paid, and <br /> that I am authorized to sign for the claimant; that I have not rented or purchased any equipment or materials <br /> from any employee of the City; I further certify that the attached final estimate is a true and correct statement <br /> showing all the monies due me from the City of Everett under this contract; that I have carefully examined said <br /> final estimate and understand the same and that I hereby release the City of Everett from any and all claims of <br /> whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in <br /> said estimate. <br /> x x PR c Si 0E7/07" <br /> ti <br /> ' <br /> CONTRACTOR TITLE `\ E C U ti '%, <br /> Marshbank Construction Inc. .`�.�`SSiO �' <br /> Subscri - . . to Before me this )arth day of /2)-pri../ , 201 c +s-. <br /> X 1 7BLiG <br /> ary ' <br /> 1 ' • <br /> ',, F WA St-1\ vvv`v <br /> In an. or e State of Washington, residing at ai,c 3./ <br /> aha-ng 8.// u_)14 902% <br /> PUBLIC WORKS DEPARTMENT CERTIFICATION <br /> I Certify the attached final estimate to be <br /> based upon actual measurements and to �,�O�a'/l <br /> be true and correct. APPRO D Date: <br /> - xx <br /> • <br /> Construction Manager Public Works i erector <br /> Tom Fuchs Paul Kaftanski <br /> INSTRUCTIONS <br /> The Affidavit of Wages Paid must be prepared by the prime contractor, all subcontractors, and all subcontractor's <br /> 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 claim <br /> attached. <br /> Revised 6/2012 <br />