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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 cr arising out of this Work. Any payment , however, final or <br /> otherwise , shall not release the CONTRACTOR or his sureties from anv obligations under the Contract Documents or the Payment and <br /> Performance Bonds . / <br /> Dated <br /> /(PONTf�OR) <br /> By: &LA_ e <br /> State of FIIMd a- <br /> County of T,-, NG <br /> Subscribeo and sw rn to before me this <br /> day Of o� D p M" CONSTANCE W. YOUNG <br /> 1 rA• <br /> is _ MY COMMISSION DD 608243 <br /> n c ✓ 1 �S b— *� tr• gs EXPIRES: October 23, 2010 <br /> Notary Public <br /> BondedIDvNolary Publk Untleiwrners <br /> My Commission expires : D Q--3r a-�5 c�- bl D <br /> CERTIFICATION OF ARCHITECT OR CONSULTING 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 and correct statement of the work perfo med and/or material upplied by the Contractor. <br /> Dated � �l O ' 4 a� <br /> (ARetitTECT / ENGINEEK SIGNATURE <br /> CERTIFICATION OF ENGINEER / INSPECTOR: <br /> I have checked the estimate against the Contractor's Schedule of Amounts for Contract Payments and the notes and reports of <br /> 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 /> Dated <br /> / (ARC TECT / ENGINEER IGNATURE <br /> Accompanying Documentation : <br /> 0CR 512 - Contractor's Application for Final Payment - Per Marian <br /> C9Dowments and Settings\George FrenchlDesktoplCR 5121CR 512 - Coniractole Applicelion for Final Payment - Per Marian doc - 2.doc Rev. 05/01 <br />