HomeMy WebLinkAboutIDOT_Failor Hurley - Certificate of Completion STP-U-8155(755)--70-07 - 8.1.2022Form 640003
03-04 wd
�,IOWADOT
CERTIFICATE of COMPLETION and
FINAL ACCEPTANCE of AGREEMENT WORK
COMPANY: Failor Hurley Construction
ADDRESS: 3337 Marnie Ave, Waterloo, IA 50701
KIND OF WORK: Room Remodeling
COUNTY/CITY: Waterloo
PROJECT NO.: STP-U-8155(755)--70-07
AGREEMENT DATE: 18-STP-104
FIELD COMPLETION DATE: 4-21-2022
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:
DATE: g - 1 , 2o29,
Project Engineer (Res. Construction) (Area Engineer) (County) (City) Year
(Consultant)
*SIGNATURE: DATE:
District (Construction) (Maintenance) (Local Systems) Engineer Year
Approved and work accepted by the City
Council of Waterloo
this 1st day of August 2022
Year
SIGNATURE:
Querz-art 3(CrE
DIGITALLY
SIGNED
Chairmart/Mayor
Acknowledge completion of project in accordance with referenced agreement by the Iowa Department of
Transportation
this 7 day of February 2024
Year
SIGNATURE: Debra Arp-
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 111 Copy to Company
❑Copies to District 111 Original to Files