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<br />----.-- <br /> . <br />================================================================================= . <br />I hereby certify that all items and amounts shown by this pay estimate are <br />correct for the work completed to date. <br />CONTRACTOR: BITUMINOUS CONSULTING & CONTRACTING, IN <br /> BY, <br /> TITLE, ___x2~__________________________ <br /> DATE, __e_11LtJ~Q___ <br />--------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------- <br />Based on the ENGINEER'S on-site inspections as an experienced and qualified <br />design professional and on review of application for payment and the accompanying <br />data and schedules, the ENGINEER has determined. to the best of his <br />knowledge and belief, that the quantities shown by this estimate are correct <br />and that, based on such inspections and review, that the work has progressed <br />to the point indicated (subject to an evaluation of such work as a <br />functioning Project upon Substantial Completion. to the results of any <br />subsequent tests required by the Contract Documents, and to any qualifications . <br />stated in his recommendation), and that payment of the amount recommended is <br />is due Contractor(s); but by recommending any payment. the ENGINEER will <br />not thereby be deemed to have reviewed the means. methods. sequences. <br />techniques. or proceedures of construction or safety precautions or programs incident <br />incident thereto or that the ENGINEER has made any examination to ascertain <br />how or for what purpose any Contractor has used the monies paid on account <br />of the Contract Price. or that title to any of the work. materials. or <br />equipment has passed to the OWner free and clear of any lein. claims, <br />security interests or encumbrances. or that the Contractor(s) have completed <br />their work exactly in accordance with the Contract Documents. <br /> ENGINEER: MAIER STEWART & ASSOCIATES. INC. <br /> BY: LJ;:L_r:_zf~- <br /> TITLE: <br /> ------~~--~~------- <br /> DATE, __Z::~?:.:_f.cJ:._=_ <br />================================================================================= <br />Approved by OWner/Commission <br /> BY, <br />CITY OF ARDEN HILI..S ------------------------------------ <br /> TITLE: . <br /> ------------------------------------ <br /> DATE: <br /> ------------------ <br />================================================================================= <br />