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Exhibit C <br /> CERTIFICATION AS TO ACCURACY OF PAYMENT <br /> The undersigned on behalf of and as a duly authorized representative <br /> of, (hereinafter referred to as the "Agency") hereby certifies , <br /> to the best of Agency's knowledge , information and belief, to the Florida Department of Transportation <br /> (hereinafter referred to as the "Department" ) as follows : <br /> 1 . That the Invoice/Reimbursement Request package for Joint Participation Agreement Number <br /> Financial Project Number(s ) , (hereinafter referred to as <br /> the " Invoice") is in compliance with the Agreement, FHWA ER Manual or other acceptable plan as <br /> developed by the Agency, and <br /> 2 . That the Invoice is true and correct as determined by the Agency 's reasonable and <br /> independent investigation , measurements and verification of work performed ; and <br /> 3 . That the Agency hereby recommends that the Department make payment based on the <br /> attached Invoice and supporting documentation ; and <br /> 4 . That the Agency hereby agrees to indemnify and hold the Florida Department of <br /> Transportation , its officers and employees harmless from all liabilities , damages , costs , and attorney <br /> fees incurred and paid as a result of the negligence , recklessness , or intentional wrongful misconduct of <br /> the Agency and persons employed or utilized by the Agency in the preparation and/or audit of the <br /> Invoice , supporting documentation , and execution of the work as outlined in the Scope of Services . <br /> The Department also reserves the right to recover from the Agency any increased costs , delays or <br /> other damages to the Department due to errors and/or omissions under applicable Florida Statutes <br /> (334 . 044 (2 ) ; 334 . 048 . 20 . 23 (3 )(a ) and 337 . 015 ) . <br /> 5 . Monetary Amount Submitted <br /> A false statement or omission made in <br /> State of Florida connection with this certification is sufficient <br /> County of <br /> Swom to and subscribed before me this day of cause for suspension , revocation or denial of <br /> by payment, and may subject the person and/or <br /> entity making false statement to any or all civil <br /> (Print name of the person signing the Certification ) and criminal penalties available pursuant to <br /> applicable Federal and State Law, <br /> Notary Public <br /> Authorized Agency Official <br /> Commission Expires <br /> Personally Known OR Produced Identification By <br /> Type of Identification Produced Title <br />