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DocuSign Envelope ID: 544A6C99-6080-4485-A93B-5BEB86A03FB3 <br />Alt Form 525-010.60eC STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525 -011 -OC <br />STATE -FUNDED GRANT AGREEMENT PROGRAM <br />MANAGEMENT <br />05121 <br />Page 1 of 1 <br />EXHIBIT C <br />ENGINEER'S CERTIFICATION OF COMPLIANCE <br />Engineer's Certification of Compliance. The Recipient shall complete and submit the following Notice <br />of Completion and, if applicable, Engineer's Certification of Compliance to the Department upon <br />completion 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:66th Ave from 69th St to CR -510/85'h St <br />F P I D#: 436379-2-54-01 <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 <br />completed in compliance with the Project construction plans and specifications. If any deviations have <br />been made from the approved plans, a list of all deviations, along with an explanation that justifies the <br />reason to accept each deviation, will be attached to this Certification. Also, with submittal of this <br />certification the Recipient shall furnish the Department a set of "as -built" plans certified by the Engineer <br />of Record/CEI. <br />SEAL: <br />By: P. E. <br />Name: <br />Date: <br />