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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 /> // <br /> TITLE: <br /> DATE; ~' l7'~ -/ <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 equipn <br /> has passed to the Owner free and clear of any lein, 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 <br />GREEN COMPANY <br /> / <br />BY; C <br /> TITLE: ~/Lc~-~.e,~~ ~...~,~,,,s... <br /> DATE: / ~~T ~ Jc~- <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 />