HomeMy WebLinkAboutCERT OF COMPLETION - K CUNNINGHAM CONSTRUCTION Form 640003
03-04 wd
Iowa Department of Transportation
`gm CERTIFICATE of COMPLETION and
FINAL ACCEPTANCE of AGREEMENT WORK
COMPANY: K. Cunningham Construction Co., Inc. COUNTY/CITY: Black Hawk/Waterloo
F.Y. 2007 Cyclone Drive/Titan Trail
ADDRESS: 1025 Center Street, Cedar Falls, IA 50613 PROJECT Na: RM-8155(697)--9D-07
KIND OF WORK: Street Construction
AGREEMENT DATE: 3/2/07 FIELD COMPLETION DATE: 11/18/08
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: July 8 , 2009
Project Engineer(Res.Construction)(Area Engineer)(County)(City) Year
(Consultant) V3 Et14.1 IEEIZIN
*SIGNATURE: DATE:
District(Construction)(Maintenance)(Local Systems)Engineer Year
Approved and work accepted by the Board of Supervisors/City
Council of
this day of
Year
SIGNATURE:
Chairman/Mayor
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 n Copy to Company
I 'Copies to District I I Original to Files