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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 /> <br /> <br />CONTRACTOR: F.M. FRATT;Ah;LONE INC. <br />BY: y) <br />TITLE: ~~~~~~4~~~~~~~~~~~~~~~ <br /> <br />DATE: j'jyk.~L?.t-L'i1d= <br /> <br /> <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 recom.ended is <br />is due Contractor(s); but by recommending any payment, the ENGINEER will <br />not thereby be deemed to have reviewed the means, .ethods, 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 .hat 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 /> <br />ENGINEER: MAIER STEWART & ASSOCIATES, INC. <br /> <br />BY: ___~_~~_____ <br />TITLE: __~~__~~~________ <br />DATE: 1'- /..!- '1,:2.. <br />________L~________ <br /> <br />--------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------- <br />Approved by Owner/Commission <br />BY: <br />. CITY OF ARDEN HILLS TITLE: ------------------------------------ <br /> <br />------------------------------------ <br />DATE: <br />------------------ <br /> <br />=;===~=====;================;==============================;==;================;= <br />