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CCP 12-11-1995
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CCP 12-11-1995
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5/8/2007 1:10:43 PM
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<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: :rr &COMPANY~ . <br /> I- <br /> I TITLE: / flu. f;1iZu~1 ;t.)f~I-I <br /> , \I <br /> DATE: /I--z..f-q) <br /> I <br /> Based on the ENGINEER'S on-site inspections as an experienced and qualified design <br /> I professional and on review of application for payment and the accompanying data and <br /> schedules, the ENGINEER has determined. to the best of his knowledge and belief, <br /> I that the quantities shown by this esrirnate are correct and that. based on such inspections <br /> and review, that the work has progressed to the point indicated (subject to an evaluation <br /> of such work as a functioning Project upon Substantial Completion, to the results of any <br /> I subsequent tests required by the Contract Documents, and to any qualifications stated in <br /> his recommendation), and that payment of the amount recommended is due Contractor(s); <br /> but by recommending any payment, the ENGINEER will not thereby be deemed to have <br /> I 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 account of the Contract Price. or that title to any of the work, materials, or equipment <br /> has passed to the Owner free and clear of any lein, claims, security interests or encumbrances. <br /> I or that the Contractor(s) have completed their work exactly in accordance with the Contract <br /> Documents. <br /> I ENGINEER: <br /> BY: <br /> I TITLE: t;N <br /> I DATE: fi 1I-a~ (91b <br /> I Approved by Owner/Commission <br /> . CITY OF ARDEN HILLS, MINNESOTA <br /> BY: <br /> I TITLE: <br /> Ie DATE: <br /> I <br /> ---- <br />
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