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CERTIFICATION OF ENGINEER (WHERE APPLICABLE): <br /> I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial <br /> Payment; that to the best of my knowledge and belief it is a true and correct statement of the work <br /> performed and/or material supplied by the Contractor. <br /> Dated 12- — /0 —/3- <br /> _44ReHtT-C-eT 1 ENGINEER IGNATURE <br /> CERTIFICATION OF ENGINEER/ INSPECTOR: <br /> I have checked the estimate against the Contractor's Schedule of Amounts for Contract <br /> Payments and the notes and reports of my inspections of the project. It is my opinion that this <br /> statement of work performed and/or materials supplied is accurate, that the Contractor is observing <br /> the requirements of the Contract, and that the Contractor should be paid the amount requested <br /> above. <br /> Dated / /o / <br /> CHITECT/ ENGINEER) SIGNATURE <br /> Accompanying Documentation: <br /> * END OF SECTION <br /> 00622-Contractor's Application for Final Payment <br /> 00622-2 <br /> FAusers\mary\ACTIVE PROJECTS and CONTRACTS 2012-2013\IRC 201005202011 ANNUAL REQUIREMENTS LABOR CONTRACT\00622-Contractors Application for Final <br /> Payment.doc Rev.05101 <br /> 42 <br />