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I hereby certify that all items and amounts shown by this pay estimate are <br /> correct for the work completed Co date. <br /> CON1 <br /> R,4CTOR: T. A. SCHIPSKY & SONS <br /> I3Y: <br /> 'TITLE: <br /> DATC: <br /> T3ased 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 knowledge and belief, <br /> that the quantifies 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 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 procedures of consU uction <br /> or safety precautions or programs incident thereto or that the ENGINEER has made asy <br /> examination to ascertain how or for what propose any Contractor has usod the monies <br /> paid on account of Che ConUstct Price, or that title to any of the work, materials, or equipment <br /> has passed to the Owner tree and clear of any lien, 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: 6LPERING & ASSOCIA'1 ES <br /> 13Y; <br /> TITLE: <br /> nATe: <br /> Approved by Owner/Conunission <br /> C!7'Y OF C/TILE G'ANAUA, MINNESOTA <br /> 13Y: <br /> TITLE: <br /> DATE: <br /> <br /> END <br /> 10 <br /> <br />