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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: C <br />DATE: CD"l°~-'O ~"~ <br />Based on the ENGINEER'S on-site inspections as an experienced and qualified design <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 Contractor(s); <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 equipment <br />has passed to the Owner free and clear of any lein, claims, security interests or encumbrances, <br />or that the Contractor(s) have completed their work exactly in accordance with the Contract <br />Documents. <br />• ENGINEER: HOWARD R. GREEN COMPANY <br />BY: <br />TITLE: ~./Z~,~~ <br />DATE: 17 J v~ o y <br />Approved by ST. PAUL REGIONAL WATER SERVICES <br />BY: t <br />TITLE: ~ e~~~ S ~~~~ ~:,~ <br />DATE: (o ~ (~`~ f~ <br />Approved by Owner CITY OF FALCON HEIGHTS <br />BY: <br />• TITLE: <br />DATE: <br />END.xIs <br />iµ <br />