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2006-265
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Last modified
8/24/2016 11:13:18 AM
Creation date
9/30/2015 9:53:41 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/18/2006
Control Number
2006-265
Agenda Item Number
11.I.1.
Entity Name
Timothy Rose Contracting
Subject
Roadway improvements to SR A1A and CR 510
Project Number
9701
Bid Number
2006079
Supplemental fields
SmeadsoftID
5753
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J SECTION 00632 - CONTRACTOR ' S FINAL CERTIFICATION <br /> OF THE WORK <br /> (TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR PAYMENT) <br /> STATE OF <br /> COUNTY OF <br /> Personally before me the undersigned officer, authorized by the laws of said state to <br /> J administer oaths , comes who on oath <br /> says: That he is the CONTRACTOR with whom Indian River County, Florida , a political <br /> subdivision of said state , did on the day of ,20_, enter <br /> into a contract for the performance of certain work, more particularly described as follows: <br /> Roadway Improvements to SR Al A and CR 510 <br /> INDIAN RIVER COUNTY PROJECT #9701 <br /> UNDER PENALTY OF PERJURY, affiant further says that said construction has <br /> been completed and the Contract therefore fully performed and final payment is now due <br /> and that all liens of all firms and individuals contracting directly with or directly employed by <br /> such CONTRACTOR have been paid in full EXCEPT: <br /> ] Name Description/Amount <br /> who have not been paid and who are due the amount set forth . <br /> Affiant further says that: <br /> 1 . CONTRACTOR has reviewed the Contract Documents. <br /> 2. CONTRACTOR has reviewed the Work for compliance with the Contract <br /> Documents. <br /> 3 . CONTRACTOR has completed the Work in accordance with the Contract <br /> Documents. <br /> 4. All equipment and systems have been tested in the presence of the ENGINEER or <br /> his representative and are fully operational with no defects or deficiencies except as <br /> listed below. <br /> 00632 — Contractor's Final Certification of the Work <br /> FAPublic Works\Capital Projects\SR AlA & CR 510 Tum Lanes_IRC-9701 \BID DOCUMENTS 2006079\00632 - <br /> Contractor's Final Certification.doc <br />
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