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2016-132A
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2016-132A
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Last modified
10/17/2016 10:45:45 AM
Creation date
10/17/2016 10:45:14 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/13/2016
Control Number
2016-132A
Agenda Item Number
8.L.
Entity Name
Guettler Brothers Construction
Subject
South County Park Gereral Use Field
Area
South County Park
Project Number
1425
Bid Number
2016048
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SECTION 00634 - PROFESSIONAL SURVEYOR AND MAPPER'S CERTIFICATION AS TO <br /> ELEVATIONS AND LOCATIONS OF THE WORK <br /> (TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER RETAINED <br /> BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR <br /> PAYMENT) <br /> I CERTIFY that I am a Florida Professional Surveyor and Mapper retained by: <br /> (Insert name of CONTRACTOR) <br /> Who is the CONTRACTOR for the following Project: <br /> PROJECT NAME: SOUTH COUNTY PARK GENERAL <br /> USE FIELD <br /> INDIAN RIVER COUNTY PROJECT# 1425 <br /> 1 FURTHER CERTIFY that I have personally performed the survey work for the preparation <br /> of Record Drawings for the CONTRACTOR for this project or that such work was performed under <br /> my direct control and supervision. <br /> I FURTHER CERTIFY that all constructed elevations and locations of the Work are in <br /> conformance with the Contract Documents, except for discrepancies listed below. <br /> [Attach additional sheets as necessary] <br /> (SURVEYOR'S SEAL) <br /> CERTIFIED BY: <br /> Printed Name: <br /> Florida Professional Surveyor and Mapper Registration Number: <br /> Date Signed and Sealed by Professional Surveyor and Mapper: <br /> Company Name: <br /> Company Address: <br /> Telephone Number: <br /> 00634-Professional Surveyor and Mappers Cert <br /> 00634-1 <br /> FAPublic WorksIENGINEERING DNISION PROJECTS\1425 S County Park-General Use FieldWdminibid documentsWlaster Contract Documents\00634-Professional <br /> Surveyor and Mappers Cert.doc Rev.06101 <br />
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