My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2009-099A
CBCC
>
Official Documents
>
2000's
>
2009
>
2009-099A
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/7/2016 9:44:53 AM
Creation date
10/1/2015 3:27:54 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
04/07/2009
Control Number
2009-099A
Agenda Item Number
12.J.
Entity Name
Derrico Construction
Subject
Final Payment Application #4
FDOT Drainage
Area
US 1 from South Relief Canal to 9th St. (Oslo Road)
Project Number
UCP #2952
Supplemental fields
SmeadsoftID
10569
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
this Work and for every act and neglect of the OWNER and others relating to or arising out of this Work . Any <br /> payment , however , final or <br /> otherwise , shall not release the CONTRACTOR or his sureties from any obligations under the Contract Documents or the <br /> Payment and <br /> Performance Bonds . <br /> Dated 3 / 7 �7� t 'j Derrico Construction Corporation <br /> ( CONTRACTOR ) <br /> State of <br /> County of <br /> Subscribed and sworn, to before me this `% r4 <br /> day of ��� Y ° JEAN ROBERTSON <br /> Nota PUbiIC i 1 � C�C i ' !A MY COMMISSION # DD775901 <br /> Notary / "'��`'� � `-7 " " 'f'` - �OfA� EXPIRES : Sept. 26. 2009 <br /> My Commission expires : ='z i ? L `� (407) 38&0153 Ronde Nouy Service,eom <br /> CERTIFICATION OF A5 ! CT OR CONSULTING ENGINEER (WHERE APPLICABLE ) : <br /> I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial Payment ; <br /> that to the best of my knowledge <br /> and belief it is a true and correct statement of the work performed and/or material supplied by the Contractor . <br /> 400�t '00 <br /> Dated <br /> ffGT / ENGINEER ) SIGNATURE <br /> CERTIFICATION OF ENGINEER / INSPAR : <br /> I have checked the estimate against the Contractor' s Schedule of Amounts for Contract Payments and <br /> the notes and reports of my <br /> inspections of the project . It is my opinion that this statement of work performed and/or materials supplied is <br /> accurate , that the Contractor is <br /> observing the requirements of the Contract , and that the Contractor should be paid the amount requested above . <br /> Dated 7 / � Ply - 2 — <br /> CT / ENGINEER) IGNATURE <br /> Accompanying Documentation : <br /> * * END OF SECTION <br /> 00622 - Contractor's Application for Final Payment - Per Marian <br /> 00622 - 2 <br /> Y .\Projects\08-383 Oslo Road IRC Labor Contract\Payment Applications\OC622 - Contractor's Application for Final Payment - Per Marian .doc Rev. 05/01 <br />
The URL can be used to link to this page
Your browser does not support the video tag.