Laserfiche WebLink
DocuSign Envelope ID: 01899E69-0508-47AA-8D43-72282BC6EBA9 <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-60 <br />STATE -FUNDED GRANT AGREEMENT PROGRAM MANAGEMENT <br />osn 7 <br />Page 1 of 1 <br />EXHIBIT "C" <br />ENGINEER'S CERTIFICATION OF COMPLIANCE <br />Engineer's Certification of Compliance. The Recipient shall complete and submit the following Notice of <br />Completion and, if applicable, Engineer's Certification of Compliance to the Department upon completion <br />of the construction phase of the Project. <br />NOTICE OF COMPLETION <br />STATE -FUNDED GRANT AGREEMENT <br />Between <br />THE STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION <br />and INDIAN RIVER COUNTY <br />PROJECT DESCRIPTION: Construction and CEI (Milling and resurfacing) of 49th Street (LINDSEY <br />ROAD) from 58th Ave. (CR -613) to 31St Avenue. <br />FPI D#: 436850-1-54-01 <br />In accordance with the Terms and Conditions of the State -Funded Grant Agreement, the undersigned <br />provides notification that the work authorized by this Agreement is complete as of , 20_ <br />By: <br />Name: <br />Title: <br />ENGINEER'S CERTIFICATION OF COMPLIANCE <br />In accordance with the Terms and Conditions of the State -Funded Grant Agreement, the undersigned <br />certifies that all work which originally required certification by a Professional Engineer has been completed <br />in compliance with the Project construction plans and specifications. If any deviations have been made <br />from the approved plans, a list of all deviations, along with an explanation that justifies the reason to accept <br />each deviation, will be attached to this Certification. Also, with submittal of this certification the Recipient <br />shall furnish the Department a set of "as -built" plans certified by the Engineer of Record/CEI. <br />SEAL: <br />la <br />Name: <br />Date: <br />