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Page 2 of 5 <br /> 2 . Updated Construction Schedule, and <br /> Dated By : <br /> ( CONTRACTOR — must be signed by an Officer of the <br /> Corporation ) <br /> Print Name and Title <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> Before me , a Notary Public , duly commissioned , qualified , and acting , personally appeared <br /> , who being by me first duly sworn upon oath , says that he/she is the of <br /> the CONTRACTOR mentioned above and that he/she has been duly authorized to act on behalf of <br /> it , and that he/she executed the above Contractor' s Application for Payment and Contractor' s <br /> Certification statement on behalf of said CONTRACTOR ; and that all of the statements contained <br /> herein are true , correct , and complete . Subscribed and sworn to before me this day of <br /> 20 <br /> is personally known to me or has produced <br /> as identification . <br /> NOTARY PUBLIC : <br /> ( SEAL ) Printed name : <br /> Commission No . : <br /> Commission Expiration : <br /> [The remainder of this page was left blank intentionally] <br /> 28 <br /> FAPublic Work s\ENGINEERING DIVISION PROJECTS\ 1042 VB Sports Village Lighting\Admim\bid documents\Bid Docs VBSV Lighting revised <br /> 12- 13 - 10. doc <br />