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Page 4 of 5 <br />CERTIFICATION OF INDIAN RIVER COUNTY PROJECT MANAGER: <br />I certify that I have reviewed the above and foregoing Periodic Estimate for Partial <br />Payment; that to the best of my knowledge and belief it appears to be a reasonably <br />accurate statement of the work performed and/or material supplied by the Contractor. I am <br />not certifying as to whether or not the Contractor has paid all subcontractors, laborers, <br />materialmen and suppliers because I am not in a position to accurately determine that issue. <br />Dlgd.hy signed by: Rob Skok <br />Rob Skok DN CN = Rob Skok email = rskok@indiann,er <br />Dated gov C=AD <br />Date 9025 OR 11 13 ds 1A -04'00' <br />SIGNATURE <br />CERTIFICATION OF INDIAN RIVER COUNTY INSPECTOR: <br />I have checked the estimate against the Contractor's Schedule of Amounts for Contract <br />Payments and the notes and reports of my inspections of the project. To the best of my <br />knowledge, this statement of work performed and/or materials supplied appears to be <br />reasonably accurate, that the Contractor appears to be observing the requirements of the <br />Contract with respect to construction, and that the Contractor should be paid the amount <br />requested above, unless otherwise noted by me. I am not certifying as to whether or not the <br />Contractor has paid all subcontractors, laborers, materialmen and suppliers because I am <br />not in a position to accurately determine that issue. Digitally signed by Rick <br />Dated <br />Rick ' v' a `h i SMaths <br />Date 12025.08.08 15:23:49 <br />SIG 4ATHRE -64,00, <br />**************************************************************************************************** <br />[The Remainder of This Page Was Left Blank Intentionally] <br />Page 5 of 5 <br />FS11_PA6_20250730 FinalR1 <br />00622-4 <br />G:\Project Files\IRCFD Station #11 Remodel\7. Project Accounting\1. Owner Pay App\6. July 2025\owner pay app\county\FS11_PA6_20250730 FinalRl.doc Rev. 05/01 <br />