HomeMy WebLinkAboutCERTIFICATE OF COMPLETION - K&W ELECTRIC - RESOLUTION 2006-530 G./9.-0�
Form 640003 �DG'�g�
8-00 wd
Iowa Department of Transportation K
CERTIFICATE of COMPLETION and
FINAL ACCEPTANCE of AGREEMENT WORK
COMPANY: K&W Electric COUNTY/CITY: Black Hawk/Waterloo
ADDRESS: 1127 Lincoln Street, Cedar Falls,IA 50613 PROJECT NO.: CS-TSF-8155(44)-85-07
KIND OF WORK: Traffic Safety Improvements
AGREEMENT DATE: 01/22/2003 FIELD COMPLETION DATE: 06/09/2006
This is to certify that the work covered by the above referenced agreement has been completed in accordance with said
agreement and is hereby ac ted, subject to final audit of costs.
SIGNATURE: DATE: June 19 2006
Project ngmeer(Res.Construction)(Res. intenance)(County)(City)(Consultant) Year
*SIGNATURE: DATE:
District(Construction)(Maintenance)(Local Systems)Engineer '
Year
Approved and work accepted by the Board of Supervisors/City Council of C 4-‘I a T LJQJ.e Ho v
this /9 Day of dun 2 , a-oo d. .
Year
SIGNATURE:
hairman/M r
Acknowledge completion of project in accordance with referenced agreement by the Iowa Department of Transportation
this Day of
Year
SIGNATURE:
Iowa Department of Transportation
*On Local State Assisted DO NOT WRITE IN THIS BOX. CENTRAL OFFICE USE ONLY.
Projects District does (Check or Initial Appropriate Box)
NOT certify but
acknowledges
completion of project. ❑ Office of Audits 0 Copy to Company
['Copies to District ❑ Original to Files