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2011-204A
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2011-204A
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Last modified
7/19/2019 12:07:28 PM
Creation date
10/1/2015 2:53:55 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/13/2011
Control Number
2011-204A
Agenda Item Number
12.I.1
Entity Name
Timothy Rose Contracting
Subject
Intersection Improvements Indian River Boulevard
Area
Indian River Boulevard and 17th St.
Project Number
1024
Bid Number
2011048
Supplemental fields
SmeadsoftID
10258
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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 />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 />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 />5. The Work is complete and ready for final acceptance by the OWNER. <br />6. CONTRACTOR hereby certifies that it has no claims against the OWNER. <br />00632-1 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1024-17thStreet and IR Blvd IntersectionWdmim\Contract Documents\00632 - <br />Contractor's Final Certification REV 04-07.doc <br />
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