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SECTION 00634 - PROFESSIONAL SURVEYOR AND MAPPER'S <br />CERTIFICATION AS TO ELEVATIONS <br />AND LOCATIONS OF THE WORK <br />(TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER <br />RETAINED BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR'S FINAL <br />APPLICATION FOR PAYMENT) <br />I CERTIFY that I am a Florida Professional Surveyor and Mapper retained by <br />(insert name of CONTRACTOR) <br />who is the CONTRACTOR for the following Project: <br />Oslo Road (CR 606) / Lateral `S Canal Bridge Replacement <br />INDIAN RIVER COUNTY PROJECT #9705B <br />I FURTHER CERTIFY that I have personally performed the survey work for the <br />preparation of Record Drawings for the CONTRACTOR for this project or that such work <br />was performed under my direct control and supervision. <br />I FURTHER CERTIFY that all constructed elevations and locations of the Work are <br />in conformance with the Contract Documents, except for discrepancies listed below. <br />[attach additional sheets as necessary] <br />CERTIFIED BY: <br />Printed Name: <br />Florida Professional Surveyor and Mapper Registration Number: <br />Date Signed and Sealed by Professional Surveyor and Mapper: <br />Company Name: _ <br />Company Address: <br />Telephone Number: <br />+ + END OF SECTION + + <br />(SURVEYOR'S SEAL) <br />00634-1 <br />F:\Public Works\Capital Projects\Oslo Road Lateral J\BID DOCUMENTS\00634 Professional Surveyor's Certification.doc <br />M <br />