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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 <br /> Payment ; that to the best of my knowledge and belief it is a true and correct statement of the <br /> work performed and/or material supplied by the Contractor. <br /> Dated <br /> (ARCHITECT / ENGINEER ) SIGNATURE <br /> CERTIFICATION OF ENGINEER / INSPECTOR : <br /> I have checked the estimate against the Contractor' s Schedule of Amounts for Contract <br /> Payments and the notes and reports of my inspections of the project . It is my opinion that this <br /> statement of work performed and/or materials supplied is accurate , that the Contractor is <br /> observing the requirements of the Contract , and that the Contractor should be paid the amount <br /> requested above . <br /> Dated <br /> (ARCHITECT / ENGINEER ) SIGNATURE <br /> Accompanying Documentation : <br /> [The remainder of this page was left blank intentionally] <br /> 6706 -38666\2/5/04 00622 -2 VRB <br />