TIC 2018-10-08 Item 2C - Final Acceptance - Interurban Avenue South (South 143rd Street to Fort Dent Way) with Walsh Construction Company

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OP Final Contract Voucher Certificate Contractor Walsh Construction Co II LLC Street Address 16400 Southcenter Parkway, Ste 501 City Seattle State WA Zip 98188 Date 8/14/18 City Project Number 03-RW02 — 90310402 Federal -Aid Project Number STPUL-1045(007) Contract Title Interurban Ave S. Roadway Improvements Date Work Physically Completed June 16,2016 Final Amount $8,917,921.31 Contractors Certification 1, the undersigned, having first been duly sworn, certify that I am authorized to sign for the claimant; that in connection with the work performed and to the best of my knowledge no loan, gratuity or gift in any form whatsoever has been extended to any employee of the City of Tukwila nor have I rented or purchased any equipment or materials from any employee of the City of Tukwila; I further certify that the attached final estimate is a true and correct statement showing all the monies due me from the City of Tukwila for work performed and material furnished under this contract; that I have carefully examined said final estimate and understand the same and that I hereby release the City of Tukwila from any and all claims of whatsoever nature which I may have, arising out of the performance of said contract, which are not set forth in said estimate. 0NCNEC �fido Signature Required Ray Riojas, Area Manager ibed and sworn to before me this kQ(.,Ortary Public in and for the State of Residing at Printed Signature Name day of Ze ck . 20 5\4 Owner Certification I, certify the attached final estimate to be based upon actual measurements, and to be true and correct. x �d 1 Project EngineeY/ Projec Administrator Approved Date Public Works Director 18