Resolutions-2018-102

CERTIFICATE of COMPLETION and FINAL ACCEPTANCE of AGREEMENT WORK COMPANY: Cornerstone Excavating COUNTY/CITY: Johnson / City of Tiffin ADDRESS: 1320 W. Main St. Washington, IA PROJECT NO.: RM-7662(611)--9D-52 KIND OF WORK: PCC Pavement - Grade and Pave AGREEMENT DATE: March 30, 2016 FIELD COMPLETION DATE: September 28, 2018 This is to certify that the work covered by the above referenced agreement has been completed in accordance with said agreement and is hereby accepted, subject to final audit of costs. SIGNATURE: [signature] DATE: 1 OCTOBER 2018 Project Engineer (Res. Construction) (Area Engineer) (County) (City) (Consultant) *SIGNATURE: DATE: District (Construction) (Maintenance) (Local Systems) Engineer Approved and work accepted by the Board of Supervisors/City Council of TIFFIN, IOWA this 22nd day of Oct., 2018 SIGNATURE: [signature] Chairman/Mayor Acknowledge completion of project in accordance with referenced agreement by the Iowa Department of Transportation this ______ day of ________________, ____________ SIGNATURE: ____________________________ Iowa Department of Transportation *On Local State Assisted Projects District does NOT certify but acknowledges completion of project. DO NOT WRITE IN THIS BOX. CENTRAL OFFICE USE ONLY. (Check or Initial Appropriate Box) [ ] Office of Audits [ ] Copy to Company [ ] Copies to District [ ] Original to Files