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SECTION 00632 - CONTRACTOR'S FINAL CERTIFICATION <br />OF THE WORK <br />(TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR PAYMENT) <br />PROJECT NAME: GO -LINE BUS TURN-OFF CR 510 (90"' AVENUE) <br />PROJECT NO: IRC -1715 <br />STATE OF _ <br />COUNTY OF <br />Personally before me the undersigned officer, authorized by the laws of said state to <br />administer oaths, comes , who on oath <br />says: That he is the CONTRACTOR with whom Indian River County, Florida, a political <br />subdivision of said state, did on the day of 120 , enter <br />into a contract for the performance of certain work, more particularly described as follows: <br />UNDER PENALTY OF PERJURY, affiant further says that said construction has <br />been completed and the Contract therefore fully performed and final payment is now due <br />and that all liens of all firms and individuals contracting directly with or directly employed by <br />such CONTRACTOR have been paid in full EXCEPT: <br />Name <br />Description/Amount <br />who have not been paid and who are due the amount set forth. <br />Affiant further says that: <br />1. CONTRACTOR has reviewed the Contract Documents. <br />2. CONTRACTOR has reviewed the Work for compliance with the Contract <br />Documents. <br />3. CONTRACTOR has completed the Work in accordance with the Contract <br />Documents. <br />4. All equipment and systems have been tested in the presence of the ENGINEER or <br />his representative and are fully operational with no defects or deficiencies except as <br />listed below. <br />• 00632-1 <br />FAPublic Works\ENGINEERING DIVISION PROJECTS\1715 Go -Line Bus Turn -Off (90th Avenue)\1-Admin\Bid Documents\Master <br />Contract Documents\00632 - Contractor's Final Certification REV 04-07.doc <br />