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<br /> , <br /> - , <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: C.,. :::'~~d2 <br /> ~ -- - ------ --------------- <br /> TITLE: __~~~~~€~_____________ <br /> DATE: jYk.e-J_?-J-J.:l1;b <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 ~eyiew, 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 revieMed the .eans, Ilethods, sequences, <br /> techniques, or proceedures of construction or safety precautions or programs incident <br /> incident thereto or that the ENGINEER has Ilade any examination to ascertain <br /> how O~ 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 encullbrances, or that the Contractor(s) have cOllpleted <br /> their work exactly in accordance with the Contract Documents. <br /> ENGINEER: ~AIER STEWART & ASSOCIATES, INC. <br /> BY: ___~_~~~_____ <br /> TITLE: __~~_~~~________ <br /> DATE: _____d:=L'~:J?~__ <br /> --------------------------------------------------------------------------------- <br /> --------------------------------------------------------------------------------- <br /> Approved by Owner/Co.mission <br /> BY: <br /> . CITY OF ARDEN HILLS ------------------------------------ <br /> TITLE: <br /> ------------------------------------ <br /> DATE: <br /> ------------------ <br /> ================================================================================= <br />