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{ <br /> other than claims in stated amounts as may be specifically excepted by the CONTRACTOR for all things done or furnished in connection with <br /> this Work and for every act and neglect of the OWNER and others relating to or arising out of this Work. Any payment, however, final or <br /> otherwise, shall not release the CONTRACTOR or his sureties from any obligations under the Contract Documents or the Payment and <br /> Performance Bonds. <br /> Dated 7/31 /07 Darnelta CoAania& Inc <br /> (CON T <br /> r� By: <br /> State of <br /> County of Trj�!\ ro \ uer <br /> Subscribed and sworn to before me this t =%� � Ex <br /> tate of Florida <br /> of U 't,�� onDD646497 <br /> Notary public /2 0 1 1 <br /> My Commission expires: d , ; ' O L1 - fit) \\ <br /> CERTIFICATION OF ARGM VITEGT OR G0481611C44MG ENGINEER (WHERE APPLICABLE) : <br /> I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial Payment; that to the best of my knowledge <br /> and belief it is a true andcorrect statement of the work performed and/or material supplied by the Contractor. <br /> Dated — 0 <br /> 7 A21��, 441A <br /> / ENGINEE SIGNATURE <br /> CERTIFICATION OF ENGINEER MNSPEeTOR: <br /> I have checked the estimate against the Contractor's Schedule of Amounts for Contract Payments and the notes and reports <br />of my <br /> inspections of the project. It is my opinion that this statement of work performed and/or materials supplied is accurate, that the Contractor <br /> is <br /> observing the requirements of the Contract, and that the Contractor should be paid the amount requested above. <br /> 4 Dated O ' — o ae <br /> (Mcrtr=T / ENGINE ) SIGNATURE <br /> Accompanying Documentation : <br /> final pay request for relfections retainage <br /> 00622 - 2 <br /> CiDowments and SettingsymcfallMy DocumentsgRC Annual robs\REFLECTIONS IRC\final billing\final pay request for relfedions retainage cm Rev. 05101 <br />