Laserfiche WebLink
710-010-22 <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION UTILITIES <br />UTILIES <br />UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT Occ-06/19 <br />(AT UTILITY EXPENSE) <br />appendix entitled Changes to Form Document. <br />You MUST signify by selecting or checking which of the following applies: <br />❑ No changes have been made to this Form Document and no Appendix entitled "Changes to Form <br />Document' is attached. <br />® No changes have been made to this Form Document, but changes are included on the attached Appendix <br />entitled "Changes to Form Document." <br />IN WITNESS WHEREOF, the parties hereto have executed this Agreement effective the day and year first written. <br />UTILITY: INDIAN RIVER COUNTY <br />BY:(Signature) DATE: <br />(Typed Name: Bob Solari) <br />(Typed Title: Chairman, Board of County Commissioners <br />Recommend Approval by the District Utility Office <br />BY: (Signature) DATE: <br />FDOT Legal review <br />BY: (Signature) DATE: <br />District Counsel <br />STATE OF FLORIDA <br />DEPARTMENT OF TRANSPORTATION <br />BY: (Signature) DATE: <br />(Typed Name: Steve Braun, P.E.) <br />(Typed Title: Director of Transportation Development) <br />FEDERAL HIGHWAY ADMINISTRATION (if applicable) <br />BY: DATE: <br />(Typed Name: ) <br />(Typed Title: ) . <br />Page 9 of 9 <br />208 <br />