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ATTACHMENT 1 <br /> (W CONSULTANT'S APPLICATION FOR PAYMENT No. 103 R 2 through <br /> AMENDMENT NO. 18 <br /> 66TH AVENUE PAVING AND DRAINAGE IMPROVEMENTS <br /> BETWEEN SR 60 AND 4TH STREET <br /> IRC PROJECT NO. 9810 <br /> ENGINEER'S CERTIFICATION: <br /> THE UNDERSIGNED ENGINEER'S REPRESENTATIVE CERTIFIES that I have checked <br /> and verified the above Application for Payment No. 103 R_2 and that to the best of my <br /> knowledge and belief, it is a true and correct statement of work performed and/or material supplied by the <br /> ENGINEER;that all work and/or materials included in the Application for Payment have been inspected by me <br /> and/or by my duly authorized representative or assistants;that it has been performed and/or supplied in full <br /> accordance with the requirements of the referenced Contract and with sound engineering practice and <br /> judgment;and that the payment amount claimed and requested by the ENGINEER is correctly computed on the <br /> basis of work performed andlor 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 102 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 /> (W foregoing Contract have been paid in full. <br /> Dated: June 4, 2013 <br /> Engineer: CARTER ASSOCIATES, INC. ENGINEER'S REPRESENTATIVE: <br /> 1708 21st Street / <br /> Vero Beach, Florida 32960 <br /> (772)562-4191 <br /> State of Florida <br /> County of Indian River <br /> Subscribed and sworn to before me this 4th day of June 2013 <br /> I*YL <br /> Rotary Public <br /> My Commission expires: 09/23/2016 <br /> �� Notary Public State of Florida <br /> Joan M Ross <br /> +� My Commission EE 837713 <br /> p� Expires 08/2312016 <br /> (W <br /> JAInvoices(Eng.)\AR\98-23A Rev-2 Appl for Paymt for Retainage on Design Fees 2013-05-30 <br /> 103 <br />