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<br /> 111"1 <br /> I hereby certify that all items and amounts shown by this pay estimate are .1 <br /> correct for the work completed to date, <br /> CONTRACTOR: JAY BROTHERS, INC. <br /> BY: ~~~ ~- ~- I <br /> I <br /> TITLE: t, t- (j <br /> DATE: S-t-9G I <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 /> (j7 Iw4 '/ (q,q b <br /> DATE: <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 />