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<br /> I <br />I hereby certify that all items and amounts shown by this pay estimate are -.. <br /> .. I <br />correct for the work completed to date. <br /> CONTRACTOR: MlOW'", ASPHALT, INC. ~ .. <br /> BY: tr?~'A- <br /> TITLE. V.? ,1. €'?; I' /.;) (9\/ I <br /> DATE: z./z. -Z- / q-6 I <br /> , <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 determined, to the best of his knowledge and belief, <br />that the quantities shown by this estimate are correct and that, based on such inspections I <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 />subsequent tests required by the Contract Documents, and to any qualifications stated in I <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 />reviewed the means, methods, sequences, techniques, or proceedures of construction I <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 />or that the Contractor(s) have completed their work exactly in accordance with the Contract <br />Documents. I <br /> ENGINEER: <br /> BY: I <br /> TITLE: I <br /> DATE: .:?{;2. f1::-p 9-!,v <br /> I <br />Approved by Owner/Commission <br />CITY OF ARDEN HILLS, MINNESOTA I <br /> BY: <br /> TITLE: I <br /> DATE: I <br /> .. <br />END.XLS I <br />-.-- <br />