CENTENNIAL MONUMENT - 13-0056-EN625-010-10
R�4JA6WAY DESVGN
OGC -'12112
Page 12 ot 12
Sectaon No. 15040 CAFA No. �� �� ��� ����'��° �
_�
• �., . . : i �� .. . !. �. � ��� • � � � �� ' �� Y �
� , � � 1
�• . i .. �' �t � !
COMMUNITY AESTHETIC FEATURE AGREEMENT
�etween
THE STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
and Cit� of Clearwater
PROJECT D�SCRIPTION: Construction of Centennial Monument Tower on city-leased FDOT �arce�,
In accordance with the Tecros and Conditions of the Comrnunity Aesthetic FP�t�.�re Ac�reement, the undersigs�e�� provides
notification that the work authorized by this Agreemen� is complete as of ���, m, ,,,�__„�20 15 .
r..
� �� ,� � � �� ..... �..._. _.. .
By� � f�°�°�� �� `� �__�_.._�� � .
Narne: �ichael D. Quillen, P.�.
Title: City Engineer
_ .• : --• � : ,�. ,. � � � ,. ,
In accordance with the Terms and Conditions of the Community Aesthetic Feature Agreement, the undersigner� certifies
that all work which originally required certification by a Professional Engineer has been completed in compliance with the
Project constructiorv plans and specifications. If any deviations have been made from the approved plans, a li�t of all
deviations, along wath an explanation fihat justifies the reason to accept each deviation, will be attached to this
Certification. Also, vvith submittal of this certification, the Agency shall furnish FDOT a set of "as-built° plans cer�ified by
the Engineer of Record.
.,„
v
, b
�- �, n ,
, � � , a _
, r , ,�;� ,,� ' � .
.....
. .....
� r =��' �� � �
gY. �� ��. � - �°""
_.., ,
,,,`_� �
, �C�rv ����.. � �� �».._/' ���'a� � �`� � �)�_,...a°^� ��� ��
S�AL: � � � . Name� r ��� �^�°"
Date: �"".�. °��;� . ,��