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CCP 12-08-1997
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CCP 12-08-1997
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5/8/2007 1:14:08 PM
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<br /> . ~'I <br /> I hereby certify that all items and amounts shown by this pay estimate are I <br /> correct for the work completed to date. <br /> CONTRACTOR: VALLEY PAVING, INC. .. <br /> ,~e-~ <br /> BY: <br /> ~ ..~ I <br /> TITLE: a-~ ~ ' <br /> cC.t:"~ . /""J.......,..~ ~ l -' <br /> DATE: /~/~~> 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 recorrunending 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 Ie in. 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: HOWARD R. GREEN COMPANY <br /> BY: ~~rfra('~ I <br /> TITLE: I <br /> /.z/2/?"? <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. xis I <br />
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