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J SECTION 00634 - PROFESSIONAL SURVEYOR AND MAPPER ' S <br /> CERTIFICATION AS TO ELEVATIONS <br /> AND LOCATIONS OF THE WORK <br /> (TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER <br /> RETAINED BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR' S FINAL <br /> APPLICATION FOR PAYMENT) <br /> I CERTIFY that I am a Florida Professional Surveyor and Mapper retained by <br /> (insert name of CONTRACTOR) <br /> who is the CONTRACTOR for the following Project: <br /> Roadway Improvements to SR Al A and CR 510 <br /> INDIAN RIVER COUNTY PROJECT #9701 <br /> I FURTHER CERTIFY that I have personally performed the survey work for the <br /> preparation of Record Drawings for the CONTRACTOR for this project or that such work <br /> was performed under my direct control and supervision. <br /> I FURTHER CERTIFY that all constructed elevations and locations of the Work are <br /> in conformance with the Contract Documents, except for discrepancies listed below. <br /> [attach additional sheets as necessary] <br /> (SURVEYOR'S SEAL) <br /> CERTIFIED BY : <br /> Printed Name: <br /> Florida Professional Surveyor and Mapper Registration Number: <br /> Date Signed and Sealed by Professional Surveyor and Mapper: <br /> Company Name : <br /> Company Address: <br /> Telephone Number: <br /> + + END OF SECTION + + <br /> 00634- 1 <br /> F:\Public Works\Capital Projects\SR At & CR 510 Turn Lanes] RC-9701 \BID DOCUMENTS 2006079\00634 - <br /> Professional Surveyor's Certification.doc <br />