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2018-169
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2018-169
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Last modified
1/4/2021 11:20:46 AM
Creation date
9/19/2018 12:16:29 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/11/2018
Control Number
2018-169
Agenda Item Number
8.Y.
Entity Name
State of Florida Department of Environmental Protection
Subject
Standard Grant Agreement
Approval of FDEP Funding Agreement
Area
West Wabasso Phase II Septic to Sewer
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Engineer's Certification <br />of Payment 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. Constriction 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 />DEP Agreement No. NS045 Exhibit C, Page 3 of 6 <br />
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