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I hereby certify that all items and amounts shown by this pay estimate are <br />correct for the work completed to date. <br />CONTRACTOR: JAY BROS., INC. <br />BY: <br />TITLE: ~ ~-~ <br />DATE: ~, ~` ~ ~ .-. ©`-I <br />Based on the ENGINEER'S on-site inspections as an experienced and qualified desigr <br />professional and on review of application for payment and the accompanying data and <br />schedules, the ENGINEER has determined, to the best of his/her knowledge and belief, <br />that the quantities shown by this estimate are correct and that, based on such inspections <br />and review, that the work has progressed to the point indicated (subject to an evaluation <br />of such work as a functioning Project upon Substantial Completion, to the results of any <br />subsequent tests required by the Contract Documents, and to any qualifications stated in <br />his/her recommendation), and that payment of the amount recommended is due Contra <br />but by recommending any payment, the ENGINEER will not thereby be deemed to have <br />reviewed the means, methods, sequences, techniques, or proceedures of construction <br />or safety precautions or programs incident thereto or that the ENGINEER has made any <br />examination to ascertain how or for what purpose any Contractor has used the monies <br />paid on account of the Contract Price, or that title to any of the work, materials, or equips <br />has passed to the Owner free and clear of any leis, claims, security interests or encumbrar <br />• or that the Contractor(s) have completed their work exactly in accordance with the Conti <br />Documents, <br />ENGINEER: HOWARD R. GREEN COMPANY <br />BY; <br />TITLE: ~/~,.~ ~ <br />G~ <br />DATE: /(y /~yt.»bstt Za v <br />Approved by ST. PAUL REGIONAL WATER SERVICES <br />BY: <br />TITLE: <br />DATE: <br />Approved by Owner CITY OF FALCON HEIGHTS <br />BY: <br />TITLE; <br />DATE; <br />END,xIs ~~ <br />