CCAgenda_03Sep24 - Laserfiche WebLink

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• :T;:~ .::::::::::::::.:::::::::.:::::.:::i::~:;; ::; ::; :::: _ ::::::::::::::::;:::::::::;::::;::;; 5P l..E....,..._...EG ....:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.tTr=M:D4RIR3lOf;(.::;.:~:~:::~:~:~:•:::~: ~ •: :.:.:~:::: :~::: ;;;;::;:::;:;:::.::::;~:::;;::;;: :~:•:~: C3': .: ... H S.FERIQD:~:=:~:~:i~: ...f1Nlt~:::•:: ............ :~ .:is;7'r~~;~!~A~io~eJN~~~ ~? ci~K'~~~`~At~nt~lfN7•. :`?~RICE:~:::EE :~ I hereby certify that all items and amounts shown by this pay estimate are correct for the work completed to date. CONTRACTOR: JAY BROS. INC. BY: TRLE: ~ y~ DATE: ~ .... ~ r O V Based on the ENGINEER'S on-site inspections as an experienced and qual'fied design professional and on review of application for payment end the accompanying data and schedules, the ENGINEER has determined, to the best of his knowledge and belief, that the quantities shown 6y this estimate are corteil and that, based on such inspections and review, that the work has progressed to the point indicated (subject to an evaluation of such work as a functioning Project upon Substantial Completion, to the results of any subsequent tests required by the Contrail Documents, and to any qualrficatrons stated in his recommendation), and that payment of the amount recomrnanded is due Contractor(s); but by recommending any payment, the ENGINEER will not thereby be deemed to have reviewed the means, methods, sequences, techniques, or proceadures of construction or safety precautions or programs incidentthereto orthatthe ENGINEER has made any • examination to ascertain how or for what purpose any Contractor has used the monies paid on account of the Contrail Price, or that title to any of the work, materials, or equipment has passed to the Owner free and clear of any lein, claims, security interests or encumbrances, or that the Contractor(s) have completed their work exactly in accordance with the Contract Documents. ENGINEER HOWARD R. GREEN COMPANY BY: / TITLE: ' " /~d~~ ~ ~~i f~.f t/' DATE: S~/~" ~ 3 ~ SL Pau/Regiona/ WaierServices BY: TITLE: DATE: Approved by Owner/Commission CITY OF FALCON HEIGHTS • BY: TITLE: DATE: O:WmfBZ0.980JIMriWaril& f'q~mneWtyesl M3 ~C\C~1r~aan ~r V C~ ~ ~- S~i~cc~, ~risu~ -~ 1 ~ ~-~ FAGEa 16