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2004-104
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2004-104
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SECTION 00632 - CONTRACTOR' S FINAL CERTIFICATION <br /> OF THE WORK <br /> (TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR PAYMENT) <br /> STATE OF Florida <br /> COUNTY OF Indian River <br /> Personally before me the undersigned officer, authorized by the laws of said state to <br /> administer oaths , comes Phil Barth , 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 16th day of December , 20 03 , enter <br /> into a contract for the performance of certain work, more particularly described as follows : <br /> KITCHING STATION TRAILHEAD <br /> INDIAN RIVER COUNTY PROJECT #0219 <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 /> such CONTRACTOR have been paid in full EXCEPT: <br /> Name Description/Amount <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 /> 00632 — Contractor's Final Certification of the Work <br /> 00632- 1 <br /> FAr=ngineering\Capital Projects\0219-Kitching station Trailhead\0219 Kitching-Contract Docs\0219-00632 - Contractors <br /> Final Certification .doc <br />
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