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CERTIFICATION OF ENGINEER (WHERE APPLICABLE) : <br /> I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial <br /> Payment; that to the best of my knowledge and belief it is a true and correct statement of the work <br /> performed and/or material supplied by the Contractor. <br /> Dated Z <br /> / ENGINEER SIGNATURE <br /> CERTIFICATION OF ENGINEER /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 . It is my opinion that this <br /> statement of work performed and/or materials supplied is accurate , that the Contractor is observing <br /> the requirements of the Contract , and that the Contractor should be paid the amount requested <br /> above . <br /> Dated � � 2 7 O l <br /> tNRG NST / ENGINEER) SIGNATURE <br /> Accompanying Documentation : Itemized List of Labor Bid Items <br /> * * END OF SECTION <br /> Page 2 of 2 <br /> Z:\Job Folders\Indian River County\Annual Contract\Water Services\IRC - 00622 - Application for Payment Grovenor.doc Rev. 07/01 <br />