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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: 58TH AVENUE RESURFACING/RECLAMATION FROM NORTH OF <br />26TH STREET TO SOUTH OF 49TH STREET <br />PROJECT NO: IRC -1324 <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 />The proposed improvements to 58th Avenue from north of 26th Street to south of 49th <br />Street consist of 'reconstructing the roadway utilizing full depth reclamation, milling <br />and resurfacing, widening the existing shoulders to 5 -feet, structural asphalt, surface <br />asphalt, minor drainage improvements, utility adjustments, signing, and pavement <br />markings. <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 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 />F:\PublicWorks\ENGINEERING DIVISION PROJECTS\1324 58th Ave Resurfacing (N. of 26th St to N. of 57th St)\1-Admin\Bid <br />documents\Master Contract Documents\00632 - Contractor's Final Certification REV 04-07.doc <br />