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CERTIFICATE OF PROJECT COMPLETION
Date Accepted:
10/4/19
Project Name & #:
Street Repaving & Reconstruction # Al 931
Total Project Expenditures:
$ 8,000.00
Project Location:
Concha Drive
Contractor(s):
Timothy Rose Contracting
Contract Amount(s):
$ 8,000.00
Pursuant to the above captioned contract and in compliance of same, we the undersigned do hereby certify
that this project is complete.
Issuance of this certificate releases the contractor from any further responsibility as stipulated in the contract
as it relates to bond performance, payment of subcontractors, release of liens, maintenance and indemnity. All
contractual obligations as to warranty, insurance, indemnification and patents, shall remain in full effect for the
contractually stipulated period of time. In no way does the issuing of this certificate release the Contractor from
all legal obligations as stipulated in Chapter 713 of the Florida Statutes.
Therefore, having reviewed the contract and inspected the work, the undersigned to hereby accept the
segment as being complete.
5 C 1a/8/Z019
Project Manager Date
N'A-
Building Official (if applicable) Date
City a Date
PROJECT ID A1931 Street Repaving & Reconstruction
Revenue $ 8,000.00 330010-381120 A1931 (Interfund Transfer from 120 LOGT)
Expenses $ 8,000.00 330151-606905 At 931 (Streets/Roads)
lmraola
DATE CHECK# PO# DESCRIPTION
10/12/18 97974 8580 Conchs- 1" overlay bety een Crowberry& Emerson
FY19
VENDOR AMOUNT
TOTALS
Concha
Timothy Rose Contracting 8,000.00
8.000.00
8,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
8,000.00
8,000.00
8,000.00
#152370
Balance
0.00
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