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2021-053
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2021-053
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Entry Properties
Last modified
4/22/2021 2:02:23 PM
Creation date
4/22/2021 1:59:11 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
04/13/2021
Control Number
2021-053
Agenda Item Number
8.B.
Entity Name
Florida Department of Transportation (FDOT)
CEI
Subject
Construction (Milling and Resurfacing) and Construction Engineering Inspection (CEI)
Services for 6th Ave from SR-5/US 1 to 21st Street
Area
6 th Ave from SR-5/US 1 to 21st Street
Document Relationships
2021-028
(Agenda)
Path:
\Resolutions\2020's\2021
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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Al. SMITH, CL�V&,,o <br />STATE -FUNDED GRANT AGREEMENT PROGRAM MANAGEMENT <br />osm <br />Page 1 of 1 <br />EXHIBIT <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 (MILLING AND RESURFACING) AND CEI OF 6TH <br />AVENUE FROM SR-5/US-1 TO 21ST STREET <br />FPID#: 438074-1-54-01 <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 />By: P.E. <br />Name: <br />Date: <br />
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