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2. Updated Construction Schedule per Specification Section 01310, and <br />. - <br />Dated February 8, 2019 By: •� <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Page 2 of 5 <br />(CONTRACTOR — must be signed by <br />an Officer of the Corporation) <br />Scott Biederman — President <br />Print Name and Title <br />Before�j me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />CI.�Otto ono AN_ who being by me first duly sworn upon oath, says that he/she is the <br />)1%ci&o.,,, A-- of the CONTRACTOR mentioned above and that he/she has been duly <br />authorized to act on behalf of it, and that he/she executed the above Contractor's Application for <br />Payment and Contractor's Certification statement on behalf of said CONTRACTOR; and that all of <br />the statements contained herein are true, correct, and complete. Subscribed and sworn to before <br />me this DS day of noho t:1 rt`,rlT , 20 1q . <br />`xc-:* Q \.e�C,..urv-T.A v-\ ers ovally to me or has produced <br />as identification. <br />0 t <br />NOTARY PUBLIC: -INQ 0i it, tv <br />(SEAL) Printed name: CbPrt3 <br />v"'r4CHERYL DUNCAN <br />jai• MY COMMISSION # GG033600 <br />'.",�;��;�+' EXPIRES September 26, 2020 <br />Commission No.. to ('. <br />Commission Expiration: ` np f , <br />Please remit payment to: <br />Contractor's Name: _ Southern Coatings, Inc. <br />Address: _ 2241 NW 22nd Street, #201 <br />Pompano Beach, FL 33069 <br />*>tr******************************************************,v*******************+rye,ear,tart******** err***** * <br />[The remainder of this page was left blank intentionally] <br />00622-2 <br />CAUsersUmmyTesktopleillings\IRC-1803 PA1_20181106.1- Rev. 2-8.2019.doc Rev 05/01 <br />IRC -18032A1_20181106-1 - Rev. 2-8-2019 <br />53 <br />