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IN WITNESS WHEREOF, OWNER and CONTRACTOR have signed this Agreement in duplicate. One <br />counterpart each has been delivered to OWNER and CONTRACTOR. All portions of the Contract <br />Documents have been signed or identified by OWNER and CONTRACTOR or on their behalf. <br />This Agreement will be effective on April 13. 2021 (the date the Agreement is approved by the Indian <br />River County Board of County Commissioners, which is the Effective Date of the Agreement). <br />OWNER: <br />APPROVED AS TO FORM AND LEGAL SUFFICIENCY: <br />0 <br />Dylan Reingold, County Attorney <br />Jeffrey R. Smith, Clerk of Court and Comptroller <br />Attest:Oh LL <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />Name: Keith McCully <br />Title: Stormwater Engineer <br />Address: 180127th Street, Vero Beach <br />Phone: 772-226-1562 <br />Email: kmccully@ircgov.com <br />c:\gra n i cus\I egi sta r5\I5\tem p\6cdd36a3-c034-!4520-a 45a-25de4329456d.doc <br />8 <br />CONTRACTOR: <br />: <br />gY <br />(Contractor) <br />(CORPORATE SEAL) <br />Attest <br />Address for giving notices: <br />r <br />License No. <br />(Where applicable) <br />Agent for service of process: <br />Designated Representative: <br />Name: <br />Title: <br />Address: <br />Phone: <br />Email: <br />(If CONTRACTOR is a corporation or a partnership, <br />attach evidence of authority to sign.) <br />INDIAN RIVER COUNTY <br />J sher, <br />gwn(,, <br />By. <br />, <br />Jason <br />County A <br />ministrator <br />APPROVED AS TO FORM AND LEGAL SUFFICIENCY: <br />0 <br />Dylan Reingold, County Attorney <br />Jeffrey R. Smith, Clerk of Court and Comptroller <br />Attest:Oh LL <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />Name: Keith McCully <br />Title: Stormwater Engineer <br />Address: 180127th Street, Vero Beach <br />Phone: 772-226-1562 <br />Email: kmccully@ircgov.com <br />c:\gra n i cus\I egi sta r5\I5\tem p\6cdd36a3-c034-!4520-a 45a-25de4329456d.doc <br />8 <br />CONTRACTOR: <br />: <br />gY <br />(Contractor) <br />(CORPORATE SEAL) <br />Attest <br />Address for giving notices: <br />r <br />License No. <br />(Where applicable) <br />Agent for service of process: <br />Designated Representative: <br />Name: <br />Title: <br />Address: <br />Phone: <br />Email: <br />(If CONTRACTOR is a corporation or a partnership, <br />attach evidence of authority to sign.) <br />