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CERTIFICATION OF ARCHITECT OR CONSULTING ENGINEER (WHERE <br /> APPLICABLE ) : <br /> I certify that I have checked and verify the above and foregoing Periodic Estimate <br /> for Partial Payment; that to the best of my knowledge and belief it is a true and correct <br /> statement of the work performed and/or material supplied by the Contractor. <br /> Dated "�S - <br /> (ARCHITECT/ENGIN SIGNATURE) <br /> CERTIFICATION OF ENGINEER/INSPECTOR : <br /> I have checked the estimate against the Contractor's Schedule of Amounts for <br /> contract Payments and the notes and reports of my inspections of the project . It is my <br /> opinion that this statement of work performed and/or material supplied is accurate , that <br /> the Contractor is observing the requirements of the Contract, and that the Contractor <br /> should be paid the amount requested above . <br /> Dated I - �7 Q C • I <br /> (ARCHITEC /ENGINEER SIGNATURE) <br /> Accompanying Documentation : <br /> (The Remainder of Page Intentionally Left Blank) <br />