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Engineer's Certification <br />of Disbursement Request <br />ONLY SUBMIT IF CONSTRUCTION IS PART OF THE PROJECT <br />, being the Professional Engineer retained by <br />(name of Professional Engineer) <br />, am responsible for overseeing construction of the project <br />(name of Grantee) <br />described in the Agreement and do hereby certify that for DEP Agreement No. and Payment Request No. <br />1. All permits and approvals required for the construction, which is underway, have been obtained. <br />2. Payment is in accordance with construction contract provisions. <br />3. Construction up to the point of this payment request is in compliance with the approved plans and permits. <br />4. Equipment, materials, labor, and services represented by the construction invoices have been satisfactorily purchased or received and <br />applied to the project in accordance with construction contract documents filed with and previously approved by the Department of <br />Environmental Protection. <br />Signature of Professional Engineer <br />Firm or Affiliation <br />(Date) (P.E. Number) <br />Attachment 13-1, DEP Agreement No. S0839, Page 3 of 6 <br />