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too Ili <br /> 11 r <br /> ok- ` `! +�, r <br /> ,4 5 a y'iF` A ok�VV "11 <br /> 'ire . ' . . a ' Vit, : , r• °` . -'�• , • ,;: ,t z ;.-'` as <br /> . <br /> 1.rto, Ilk I <br /> ,.; , z s . a <br /> SECTION 00632 - CONTRACTOR ' S FINAL CERTIFICATION <br /> OF THE WORK <br /> ( TO ACCOMPANY CONTRACTOR ' S FINAL APPLICATION FOR PAYMENT) IV <br /> STATE OF <br /> COUNTY OF <br /> Personally before me the undersigned officer , authorized by the laws of said state toIlk I <br /> administer oaths , comes who on oath <br /> says : That he is the CONTRACTOR with whom Indian River County , Florida , a political IV <br /> I <br /> subdivision of said state , did on the day of 20 enter I look, <br /> into a contract for the performance of certain work , more particularly described as follows : <br /> UNDER PENALTY OF PERJURY , affiant further says that said construction has 1 11 Ilk <br /> been completed and the Contract therefore fully performed and final payment is now due oil <br /> ol 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 /> to <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 , to <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 /> Ilk- <br /> 5 . The Work is complete and ready for final acceptance by the OWNER . <br /> VI <br /> 00632- 1 <br /> FAPublic Works\ENGINEERING DIVISION PROJECTS\0845- Dixie Hwy Sidewalk US1 _69th ( LAP )\Admim\bid <br /> documents\00632 - Contractor's Final Certification REV 04-07 . doc <br /> doi toPit <br /> kill tok <br /> % it <br /> fi <br /> y, 9 Ii <br /> .+ i <br /> R <br /> k;� i nT"ra k t z Lae 41 <br /> r I # <br />