Laserfiche WebLink
Attachment I <br />CONSULTANT'S APPLICATION FOR PAYMENT NO. Final THROUGH <br />WORK ORDER NO.2 <br />66th AVENUE PHASE 2 WATER MAIN CONFLICTS <br />IRC PROJECT NO. UPC 4040 <br />ENGINEER'S CERTIFICATION: <br />THE UNDERSIGNED ENGINEER'S REPRESENTATIVE CERTIFIES that I have checked <br />and verified the above Application for Payment No. Final and that to the best of my <br />knowledge and belief, it is a true and correct statement of work performed and/or material <br />supplied by the ENGINEER; that all work and/or materials included in the Application for <br />Payment have been inspected by me and/or by my duly authorized representative or assistants; <br />that is has been performed and/or supplied in full accordance with the requirements of the <br />referenced Contract and with sound engineering practice and judgment; and that the payment <br />amount claimed and requested by the ENGINEER is correctly computed on the basis of work <br />performed and/or materials supplied to date. <br />THE UNDERSIGNED ENGINEER'S REPRESENTATIVE ALSO CERTIFIES that all <br />previous progress payments received from the COUNTY on account of Work done under the <br />Contract referred to above have been applied on account to discharge ENGINEER'S legitimate <br />obligations incurred in connection with Work covered by prior Applications for Payment <br />numbered I through 13 inclusive; and if this is a Final Pay Request, I further certify that <br />all persons doing work upon or furnishing materials or supplies for this project under this <br />foregoing Contract have been paid in full. <br />ENGINEER: CARTER ASSOCIATES, INC <br />1708 21 st Street <br />Vero Beach, Florida 32960 <br />(772) 562-4191 <br />Dated 1/28/2014 <br />ENGINEER'S REPRESENTATIVE: <br />Name & Title: Seven �Sno erger <br />State of Florida <br />County of Indian River <br />Subscribed and sworn to before me this 28th day of _January, 2014. <br />tary Public <br />My Commission expires: 09/23/2016 <br />,> Notary Punic State of Florida , <br />Joan M Ross ` <br />My Commission EE 837 73., <br />'# w Expires 0912312016 , 7: <br />JAAR\Manual Invoices\09-63 E IRC Utility Services 66th Ave\09-63 E Invoices 2013 <br />Project Manager <br />Page 2 of 3 <br />23 <br />