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2. Updated Construction Schedule per pDecifica ion Sect: on 01310, and <br />Dated September 4, 2015 By: <br />STATE OF FLORIDA <br />COUNTY OF ST LUCIE <br />(CCN <br />an Office <br />Page 2 of 5 <br />OR — must be signed by <br />f the Corporation) <br />Larry T Dale, President <br />Print Name and Title <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Larry T Dale , who being by me first duly sworn upon oath, says that he/she is the <br />_President of the CONTRACTOR mentioned above and that he/she has been duly <br />authorized to act on behalf of it, and that he/she executed the above Contractor's Application for <br />Payment and Contractor's Certification statement on behalf of said CONTRACTOR; and that all of <br />the statements contained herein are true, correct, and complete. Subscribed and sworn to before <br />me this 4th day of September , 20 15 . <br />Larry T Dale is personally known to me or has produced <br />as identification. <br />(SEAL) <br />NOTARY PUBLIC: Zig e <br />za ) <br />Printed name: <br />gELEP.A G. RENNEY Commission No.: <br />NOTARY PUBLIC <br />STAB OF FLORIDA Commission Expiration: <br />.. <br />v4E063327 <br />d1 EXpAres 4J5/2016 <br />********************* A*SAA*** ************ ********** * ,t****W****************** <br />[The remainder of this page was left blank intentionally] <br />3980 - 9 Retainage <br />00622 - 2 <br />Z:\My Documents\Excellspecial est forms13980 - 13th Streetl3980 - 9 Retainage.doc Rev. 05/01 <br />88 <br />