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2019-212B
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Last modified
1/23/2020 12:17:20 PM
Creation date
1/23/2020 11:53:13 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
12/17/2019
Control Number
2019-212B
Agenda Item Number
12.F.1.
Entity Name
Timothy Rose Contracting, Inc.
Subject
Contract for SR60 and 43rd Avenue Intersection Improvements
Area
SR60 and 43rd Avenue Intersection
Project Number
Project No: IRC-0853,
Bid Number
BID NO. 219073
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SECTION 00632 - CONTRACTOR'S FINAL CERTIFICATION <br />OF THE WORK <br />(TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR PAYMENT) <br />PROJECT NAME: SR 60 and 431 AVENUE INTERSECTION IMPROVEMENTS <br />PROJECT NO: IRC -0853 <br />STATE OF <br />COUNTY OF <br />Personally before me the undersigned officer, authorized by the laws of said state to <br />administer oaths, comes who on oath <br />says: That he is the CONTRACTOR with whom Indian River County, Florida, a political <br />subdivision of said state, did on the day of 120 , enter <br />into a contract for the performance of certain work, more particularly described as follows: <br />UNDER PENALTY OF PERJURY, affiant further says that said construction has <br />been completed and the Contract therefore fully performed and final payment is now due <br />and that all liens of all firms and individuals contracting directly with or directly employed by <br />such CONTRACTOR have been paid in full EXCEPT: <br />Name Description/Amount <br />who have not been paid and who are due the amount set forth. <br />Affiant further says that: <br />CONTRACTOR has reviewed the Contract Documents. <br />2. CONTRACTOR has reviewed the Work for compliance with the Contract <br />Documents. <br />3. CONTRACTOR has completed the Work in accordance with the Contract <br />Documents. <br />4. All equipment and systems have been tested in the presence of the ENGINEER or <br />his representative and are fully operational with no defects or deficiencies except as <br />listed below. <br />00632-1 <br />F:\PublicWorks\ENGINEERING DIVISION PROJECTS\0853-43rd AVE 18th ST to 26th ST (Arcadis)\1-Admin\Bid DocumentMaster <br />Contract Documents\00632 - Contractor's Final Certification REV 04-07.doc <br />
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