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2008-009 (2)
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2008-009 (2)
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Last modified
3/21/2016 10:10:41 AM
Creation date
9/30/2015 11:52:34 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
01/08/2008
Control Number
2008-009 (2)
Agenda Item Number
11.I.1
Entity Name
H & J Contracting
Subject
CR 512 Phase IV Improvements
Area
CR 512
Project Number
9611
Bid Number
2008012
Supplemental fields
SmeadsoftID
6829
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r <br /> r <br /> SECTION 00632 - CONTRACTOR' S FINAL CERTIFICATION <br /> OF THE WORK <br /> r (TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR PAYMENT) <br /> STATE OF <br /> r COUNTY OF <br /> Personally before me the undersigned officer, authorized by the laws of said state to <br /> administer oaths, comes , who on oath <br /> says : That he is the CONTRACTOR with whom Indian River County, Florida, a political <br /> subdivision of said state, did on the day of 20 , enter <br /> r <br /> into a contract for the performance of certain work, more particularly described as follows: <br /> CR 512, PHASE IV ROADWAY IMPROVEMENTS <br /> UNDER PENALTY OF PERJURY, affiant further says that said construction has <br /> been completed and the Contract therefore fully performed and final payment is now due <br /> and that all liens of all firms and individuals contracting directly with or directly employed by <br /> 'r such CONTRACTOR have been paid in full EXCEPT: <br /> Name Description/Amount <br /> r <br /> who have not been paid and who are due the amount set forth . <br /> Affiant further says that: <br /> 1 . CONTRACTOR has reviewed the Contract Documents. <br /> 2 . CONTRACTOR has reviewed the Work for compliance with the Contract <br /> Documents. <br /> 3. CONTRACTOR has completed the Work in accordance with the Contract <br /> Documents. <br /> ,. 4. All equipment and systems have been tested in the presence of the ENGINEER or <br /> his representative and are fully operational with no defects or deficiencies except as <br /> listed below. <br /> r <br /> r <br /> r <br /> 5. The Work is complete and ready for final acceptance by the OWNER. <br /> r <br /> 00632-1 <br /> FAEngineenng\Capital Projects\9611 -CR 512 widening\9611 CR 512 PHASE MContract Documents\00632 - Contractors Final <br /> Certification REV 04-07.doc <br /> r <br />
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