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This Agreement will be effective on , 20_ (the date the Contract is approved by the <br />Indian River County Board of County Commissioners, which is the Effective Date of the Agreement). <br />OWNER: <br />INDIAN RIVER COUNTY <br />By: <br />By: <br />Joseph A. Baird, County Administrator <br />Peter D. O'Bryan, Chairman <br />APPROVED AS TO FORM AND LEGAL SUFFICIENCY: <br />By: <br />I <br />Dy an Reingold, County Attorney <br />Jeffrey R. Smith, Clerk of Court and Comptroller <br />Attest: <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />Name: Brian Burkeen <br />Title: Assistant Chief <br />Fire Rescue <br />4225 43rd Avenue <br />Vero Beach, FL 32967 <br />(772) 226-3864 <br />Facsimile: (772) 978-1820 <br />CONTRACTOR: <br />By: <br />(Contractor) <br />(CORPORATE SEAL) <br />Attest <br />Address for giving notices: <br />License No. <br />(Where applicable) <br />Agent for service of process: <br />Designated Representative: <br />Name: <br />Title: <br />Address: <br />Phone: <br />Facsimile: <br />(If CONTRACTOR is a corporation or a partnership, <br />attach evidence of authority to sign.) <br />147 <br />