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CERTIFICATION OF ENGINEER: <br />I certify that I have reviewed the above and foregoing Periodic Estimate for Partial <br />Payment; that to the best of my knowledge and belief it appears to be a reasonably <br />accurate statement of the work performed and/or material supplied by the Contractor. I am <br />not certifying as to whether or not the Contractor has paid all int . ors, laborers, <br />issue. <br />materialmen and suppliers because 1 am not in a position to accur. - :e -rmine that <br />Dated (9)2111 <br />SIGNATURE Jo -. W. Schulke, P.E. <br />ct Engineer <br />CERTIFICATION OF INSPECTOR: <br />I have checked the estimate against the Contractor's Sc edule of Amounts for Contract <br />Payments and the notes and reports of my inspections of the project. To the best of my <br />knowledge, this statement of work performed and/or materials supplied appears to be <br />reasonably accurate, that the Contractor appears to be observing the requirements of the <br />Contract with respect to construction, and that the Contractor should be paid the amount <br />requested above, unless otherwise noted by me. I am not certi • as to whether or not <br />the Contractor has paid all subcontractors, laborers, materia -n and s . • •,tiers because I <br />am not in a position to accurately determine that issue. <br />Dated 012-q111 <br />SIGNAT RE o -ph W. Schulke, P.E. <br />oject Engineer <br />[The Remainder of This Page Was Left Blank Intentionally] <br />P50 <br />