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I <br /> 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) i <br /> 1 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: INDIAN RIVER COUNTY SHOOTING <br /> RANGE HUNTER EDUCATION <br /> CLASSROOM <br /> INDIAN RIVER COUNTY PROJECT# 1213C <br /> r <br /> I FURTHER CERTIFY that I have personally performed the survey work for the preparation j <br /> of Record Drawings for the CONTRACTOR for this project or that such work was performed under <br /> my direct control and supervision. <br /> ---- --- 1--FURTHER--CERTIFY that-all-constructed-elevations-and-locations-of-the-Work--are-in---- <br /> conformance <br /> ocations-of-theWork-are-in- --conformance with the Contract Documents, except for discrepancies listed below. <br /> 1 <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 /> i <br /> Telephone Number: <br /> i <br /> 00634-Professional Surveyor and Mapper's Cert <br /> 00634-1 <br /> F•\Public Works\ENGINEERING DIVISION PROJECTS\1213C IRC Shooting Range Hunter Eduction Classroom\Admin\bid documents\Master Contract Documenls\00634- <br /> Professional Surveyor and Mappers Cert.doc Rev.06/01 <br /> i <br />