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2018-044A
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2018-044A
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Last modified
12/21/2020 1:05:14 PM
Creation date
3/12/2018 11:10:29 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/06/2018
Control Number
2018-044A
Agenda Item Number
8.J.
Entity Name
Advanced Roofing
Subject
Health Department Roof Replacement and Exterior Repair
Project Number
IRC-1736
Bid Number
2018013
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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: IRC HEALTH DEPARTMENT ROOF REPLACEMENT AND EXTERIOR <br />REPAIR PROJECT <br />PROJECT NO: IRC -1736 <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 ,20 , 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 fines and individuals contracting directly with or directly employed by <br />such CONTRf1CTOR 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\1736 IRC Health Department Roof Replacement Project\1-Admin\Bid . <br />DocumentsWaster Contract Documents\60632 - Contractor's Final Certification REV 04-07.doc <br />e <br />
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