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CCP 11-13-1995
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CCP 11-13-1995
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5/8/2007 1:10:38 PM
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<br /> "---- ---~- <br /> ~-- , <br /> I hereby certify that all items and amounts shown by this pay estimme are , <br /> correct for the work completed to date. <br /> CONTRACTOR: DA VE PERKINS C~NTRACTING, INC. . -, <br /> / <br /> 1/ Il/,l <br /> BY: I ~/ CV':; ,- ,:5,-1 c::..---- , <br /> / <br /> TITLE: ~;:-.~ <br /> DATE: JI!JJJ '7'; , <br /> Based on the ENGINEER'S on-site inspections as an experienced and qualified design I <br /> professional and on review of application for payment and the accompanying data and <br /> schedules, the ENGINEER has detennined, to the best of his 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 [Q the point indicated (subject to an evaluation <br /> of such work as a functioning Project upon Substantial Completion, to the results of any I <br /> subsequent tests required by the Contract Documems, and [Q any qualifications stated in <br /> his recommendation), and that paymem of the amount recommended is due Comractor(s); <br /> but by recommending any payment, the ENGINEER will not thereby 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 accoum of the Contract Price, or that title to any of the work, materials, or equipmem <br /> has passed to the Owner free and clear of any Iein, claims, security imerests or encumbrances, I <br /> or that the Contractor(s) have complered their work exactly in accordance with the Comract <br /> Documents. <br /> ENGINEER: I <br /> BY: ---- , <br /> TITLE: I <br /> DATE: ~ NflJ.t.'J.^,.'t:,"C:.t> \o..Q. S- <br /> f <br /> Approved by Owner/Commission I <br /> CITY OF ARDEN HILLS, klINNESOTA I <br /> BY; <br /> TITLE: , <br /> DATE: . <br /> , <br /> , <br /> .. . <br />
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