Laserfiche WebLink
PLease verify the ak~ve ~unts a~ the receipt of the fo[L~ing from the contractor <br />prior to <br /> <br />1. Certfficate of claims payment (~ien waiver), <br />2. AffiUavit for payment of State taxes (Mi r~q. State lax Form 1)4)0 <br /> Letter of consent from surety firm. <br /> <br />APPROVALS: <br /> <br />CONTRACTOR: Certification by Contractor: ) certify that att items and amounts <br /> shown are correct for t~e work co(~pketed to Oate. <br /> <br />BAUERL¥ BROS~ )NC. /~ <br /> <br />ENG)NEER: <br /> <br />HAKANSON ANDERSON ASSOCIATES, INC. <br /> <br />OUNER: <br /> <br />CITY DF RAMSEY <br /> <br />Signed: <br /> <br />TitLe: Date: <br /> <br />Fire: RA3:02-137 <br /> <br />,5/ <br /> <br /> <br />