CN-550000-C9W91-00060000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

CERTIFICATION OF COMPLETION AGREEMENT

375-030-81

PROCUREMENT

OGC – 03/17

Contract No. C9W91

Financial Project I.D. 43972213201, 43972216202

F.E.I.D. No. F464372109

THIS CERTIFICATION OF COMPLETION AGREEMENT, made and entered into on , (This date to be entered by DOT only) by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agency of the State of Florida, hereinafter called the "Department," and of duly authorized to conduct business in the State of Florida, hereinafter called the "Consultant."

WITNESSETH:

WHEREAS, the Department and the Consultant heretofore on entered into an Agreement whereby the Department retained the Consultant to furnish certain services in connection with

Design of SR 75 (US 231) from North of SR 73 to North of County Road 162 (Jacob Road) in Jackson County.

; and

WHEREAS, the services which the Consultant agreed to furnish are 100% complete, for which the Consultant is entitled to a fee of $ detailed as follows:

FPID 43972213201-$678,375.87

FPID 43972216202-$20,662.76

and;

WHEREAS, there has been previously paid to the Consultant under the terms of said Agreement the sum of $699,038.63.

Leaving a balance of $0.00 still due and payable to the Consultant by the Department;

Leaving an overpayment of $ due and payable to the Department by the Consultant;

NOW, THEREFORE, THIS INDENTURE WITNESSETH: That the Consultant, does hereby agree with the Department to the completion of the Agreement dated October 30, 2017, and all amendments and supplemental agreements thereto, except for those provisions wherein the Consultant agrees to protect, indemnify, defend, save, and hold harmless the

Department from all claims, demands or liabilities which may arise out of or because of said Agreement, which provisions will remain in full force and effect. The Consultant agrees that the amount to be paid is the final payment due for services rendered pursuant to the Agreement.

IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed, the day and year first above written.

Chipola Engineering Group, Inc.

STATE OF FLORIDA

DEPARTMENT OF TRANSPORTATION

Name of Consultant

BY: BY:

Authorized Signature

Jason Peters, P.E.

(Print/Type) (Print/Type)

Title: Title: Director of Transportation Operations

Contracting Office Approval:

Chipola Engineering Group, Inc.

4420 Jackson Street, Marianna, FL 32448

October 30, 2017

$699,038.63

DocuSign Envelope ID: 8C316E94-16BB-49F0-88D8-71203CD221FE

Nick Grosso

Vice President

May 13, 2021