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SECTION 00632 - CONTRACTOR'S FINAL CERTIFICATION OF <br />THE WORK <br />(TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR PAYMENT) <br />PROJECT NAME:66TH AVENUE ROADWAY WIDENING (49TH STREET TO 69TH STREET) <br />PROJECT NO: IRC -1505 <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 ,20 , enter <br />into a contract for the performance of certain work, more particularly described as follows: <br />The proposed improvements to 66th Avenue from north of 49th Street to north of 69th <br />Street consisting of the widening and reconstruction of the existing roadway to a 4 - <br />lane divided roadway section within the project limits. Curb and gutter and a raised <br />median will be provided. An 8' wide concrete sidewalk will be provided on the west <br />side of the roadway. There are 5 bridges within the project limits. The side streets on <br />the east and west of the intersection approaches will be widened to a 3-1ane roadway <br />section. Also included will be stormwater drainage improvement, pavement markings, <br />traffic signals and landscape and irrigation improvements. <br />UNDER PENALTY OF PERJURY, affiant further says that said construction has been <br />completed and the Contract therefore fully performed and final payment is now due and that <br />all liens of all firms and individuals contracting directly with or directly employed by such <br />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 />Contractor's Final Certification of the Work - 00632-1 <br />F:\PubIicWorks\ENGINEERING DIVISION PROJECTS\1505-66th Ave Widening_49th St to 69th St\1-Admin\Bid Documents\Master <br />Contract Documents\DIV 0_3_Contract Forms.docx <br />