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I <br /> I <br /> I hereby certify'that all items and amounts shown by this pay estimate are <br /> I <br /> correct for the work completed to date. <br /> CONTRACTOR: North Valley lncorporatecl <br /> BY. <br /> i <br /> "TITLE: <br /> i <br /> DATE: .2 Cl� 0 <br /> Based on the ENGINEER'S on-sire 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 tho 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 recornrnended is due Comractor(s); <br /> but by recommending any payment,the ENGINEER will not thcrehy 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 /> E,VG1jNTEER: <br /> BY: <br /> TITLE: Assistant City Engineer <br /> i <br /> DATE: <br /> Approved by Owner/Commission CITY OF ARDEN HILLS <br /> BY: <br /> "Olt' <br /> EN HILLS TITLE; <br /> DATE: <br /> i <br /> END.xls <br />