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<br /> ---- -.--- ------ -~--'"'._..- -. _..- - -..------.-- -~_._._- -~_..._-_._-~._--- <br /> _._._------ _._._---_._~-----'---- , - <br /> I ' . <br /> .. I hereby certify that all items and amounts shown by this pay estimate are <br /> correct for the work completed to date. <br /> I CONTRACTOR: MIDWEST ASPHALT, INC. <br /> I BY: <br /> TITLE: <br /> I DATE: <br /> I 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 /> I 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 /> I to the point indicated (subject to an evaluation of such work as a <br /> functioning Project upon Substantial Completion, to the results of any subsequent tests <br /> required by the Contract Documents, and to any qualifications stated in his <br /> I recommendation), and that payment of the amount recommended is due Contractor(s); but by <br /> recommending any payment, the ENGINEER will not thereby be deemed to have reviewed <br /> the means, methods, sequences, techniques, or proceedures of construction or safety <br /> I- 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, <br /> I or equipment has passed to the Owner free and clear of any lein, claims, security <br /> interests or encumbrances, or that the Contractor(s) have completed their work <br /> exactly in accordance with the Contract Documents. <br /> I ENGINEER: MSA, CONSULTING ENGINEERS <br /> I BY: <br /> TITLE: <br /> I DATE: <br /> I .'.' <br /> Approved by Owner/Commission <br /> I CITY OF ARDEN HILLS, MINNESOTA <br /> BY: <br /> I TITLE: <br /> I- DATE: <br /> I <br />