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2022-256
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2022-256
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Last modified
12/20/2022 12:53:24 PM
Creation date
12/20/2022 12:51:57 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
12/13/2022
Control Number
2022-256
Agenda Item Number
8.P.
Entity Name
State of Florida Department of Transportation (FDOT)
Subject
Utility Work by Highway Contractor Agreement for the Extension and Relocation
Services of Utility Main Lines for the Interchange I-95 and Oslo Road
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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT <br />(AT FDOT EXPENSE) <br />If to the UAO: <br />Harrison Youngblood, P.E., Utilities Engineer <br />1801 - 271h Street, Bldg. A, Vero Beach, FL 32960 <br />hyoungblood@ircgov.com (727)226-4343 <br />If to the FDOT: <br />Kadian McLean, District Utilities Administrator <br />3400 W Commercial Blvd., Fort Lauderdale, FL 33309 <br />kadian.mclean@dot. state. fl. us (954)777-4360 <br />10. Certification <br />Form No. 710-010-21 <br />UTILITIES <br />11/14 <br />This document is a printout of an FDOT form maintained in an electronic format and all revisions thereto by <br />the UAO in the form of additions, deletions, or substitutions are reflected only in an Appendix entitled <br />Changes To Form Document and no change is made in the text of the document itself. Hand notations on <br />affected portions of this document may refer to changes reflected in the above-named Appendix but are for <br />reference purposes only and do not change the terms of the document. By signing this document, the UAO <br />hereby represents that no change has been made to the text of this document except through the terms of the <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 <br />Appendix entitled "Changes to Form Document." <br />1N WITNESS WHEREOF, the parties hereto have executed this Agreerp(5ive the day and year first written. <br />UTILITY: Indian River County <br />BY: <br />(Typed Title: ) Chairman <br />Recommend Approval by the District Utility Office <br />DATE: IZ-,* <br />BY: (Signature) DATE: <br />Attest: Jeffrey R. Smith, Clerk of <br />Circuit Court and Comptroller APPROVED AS TO FORM <br />AN'CI L.EU-AL SI✓FFICIENCY <br />Aeo= <br />BY De Clerk <br />B� <br />Dewy <br />`s''w_fe� t`'ci'Ca `sI_tJ <br />COUNTY ATTORNEY <br />
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