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I hereby certify that all items and amounts shown by this pay estimate are <br /> correct for(lie work completed to date. <br /> CONTRACTOR: INTERSTATE PAVEMENT MAINTENANCE <br /> BY: <br /> i <br /> TITLE: fc.i <br /> DATE: LC 2iZ_. <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 knowledge and belief <br /> that the quantities shown by this estimate are correct and that,based ou such inspections <br /> and review,that the work has progressed to the point indicated(subject to an evaluation i <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 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 1 <br /> paid on account of the Contract Price,or that title to any of the work,materials,or equipment I <br /> has passed to the Owner free 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: ELFERING&ASSOCIATES <br /> i <br /> BY: ` <br /> i <br /> TITLE: yp - <br /> 1 <br /> DATE: <br /> Approved by Owner/Commission <br /> CITY OFARDEN HILLS,hIINNESOTA <br /> BY: <br /> i <br /> TITLE: <br /> i <br /> DATE: <br /> END.x1s <br />