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10/04/2022
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10/04/2022
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Last modified
1/4/2023 4:15:47 PM
Creation date
1/4/2023 4:00:55 PM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
10/04/2022
Meeting Body
Board of County Commissioners
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Alt Form 525-010-6OeC STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525 -011 -OC <br />STATE -FUNDED GRANT AGREEMENT PROGRAM <br />MANAGEMENT <br />0521 <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. -CONSTRUCTION AND CEI SERVICES FOR INTERSECTION <br />IMPROVEMENTS AT SR -60 AND 43RD AVENUE <br />FPI D#: 431759-2-54-01 <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: <br />Name: <br />Date: <br />126 <br />
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