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At <br /> letet <br /> 11 <br /> 10 , <br /> t , I'Fv = s '"t �' ^ ,�' .v^ d err w a -u . us` k a r - ..c, ra4Fi ' r ^s .�'` <br /> ° * <br /> tT .x. K^' - & .c; ° m. - . aye , ,4.: 7 e "�' 4r +•a" , ;` -ter S. `^ m . ' <br /> s -' <br /> It <br /> y� <br /> SECTION 00632 - CONTRACTOR ' S FINAL CERTIFICATION <br /> OF THE WORK <br /> ' (TO ACCOMPANY CONTRACTOR ' S FINAL APPLICATION FOR PAYMENT) <br /> PROJECT NAME : OSLO ROAD PHASE III ROADWAY IMPROVEMENTS ( BETWEEN <br /> 58TH AVENUE AND 43RD AVENUE ) <br /> IRC PROJECT NO : 0517 <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 /> IF <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 /> I, 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 /> FRI <br /> 00632 - 1 <br /> F : \Public Works\ENGINEERING DIVISION PROJECTS\0517-OSLO ROAD 43rd Ave to 58th Ave- Phase III \Admim\bid documents\00632 - <br /> Contractor's Final Certification REV 04-07 . doc <br /> at77777777 %7777 1-777T7r477FV I IF <br /> FFA <br /> IF <br /> Ft <br />