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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />STATE HIGHWAY LIGHTING, MAINTENANCE, AND COMPENSATION <br />AGREEMENT <br />9. Certification <br />710-010-30 <br />UTILITIES <br />02/03 <br />Page 5015 <br />This document is a printout of an FDOT form maintained in an electronic format and all revisions thereto by <br />the Maintaining Agency in the form of additions, deletions or substitutions are reflected only in an Appendix <br />"Changes To Form Document" and no change is made in the text of the document itself. Hand notations on <br />affected portions of this document may refer to changes reflected in the above-named Appendix but are for <br />reference purposes only and do not change the terms of the document. By signing this document, the Maintaining <br />Agency hereby represents that no change has been made to the text of this document except through the terms <br />of the Appendix entitled "Changes To Form Document." <br />You MUST signify by selecting or checking which of the following applies: <br />Co No changes have been made to this Forms Document and no Appendix entitled "Changes To Form <br />Document" is attached. <br />Q No changes have been made to this Form Document, but changes are included on the attached Appendix <br />entitled "Changes to Forms Document." <br />IN WITNESS WHEREOF, the parties hereto have executed this Agreement effective the day and year first written. <br />MAINTAINING AGENCY <br />BY: (Signature <br />(Typed Name: <br />(Typed Title: CHAIRMAN ) <br />KFA1t\1FTH R MA('HT <br />•DATE: April 1.5, 2003 <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />BY: (Signature) <br />(Typed Name: ) <br />(Typed Title: ) <br />DATE: <br />FDOT Legal Review <br />BY: (Signature) <br />District Counsel <br />(Typed Name: ) <br />DATE: <br />