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This Agreement will be effective on , 20_ (the date the Agreement is approved by the <br />Indian River County Board of County Commissioners, which is the Effective Date of the Agreement). <br />OWNER: <br />INDIAN RIVER COUNTY <br />By: <br />Peter D. O'Bryan, Chairman <br />By: <br />Jason E. Brown, County Administrator <br />APPROVED AS TO FORM AND LEGAL <br />SUFFICIENCY: <br />By: <br />CONTRACTOR: <br />By: <br />(Contractor) <br />(CORPORATE SEAL) <br />Attest <br />Dylan Reingold, County Attorney Address forgiving notices: <br />Jeffrey R. Smith, Clerk of Court and Comptroller <br />License No. <br />Attest: (Where applicable) <br />Deputy Clerk <br />(SEAL) Agent for service of process: <br />Designated Representative: <br />Name: John M. Boyer, P.E. <br />Title: Utilities Engineer <br />Address: 180127th Street, Vero Beach, FL 32960 <br />Phone: 772-226-1823 <br />Email: jboyer@ircgov.com <br />Page 8 of 8 <br />Designated Representative: <br />Name: <br />Title: <br />Address: <br />Phone: <br />Email: <br />(If CONTRACTOR is a corporation or a <br />partnership, attach evidence of authority to sign.) <br />53 <br />