R/W Form 309 "Certification of Consultant or Land Surveyor" - Oklahoma

What Is R/W Form 309?

This is a legal form that was released by the Oklahoma Department of Transportation - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Oklahoma Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of R/W Form 309 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Transportation.

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Download R/W Form 309 "Certification of Consultant or Land Surveyor" - Oklahoma

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CERTIFICATION OF CONSULTANT OR LAND SURVEYOR
I hereby certify that I am the
and duly authorized
representative of the firm of
, whose address and telephone number is
, and
That, except as expressly stated and described herein, neither I nor the firm of
has, in connection with its contract with
, which
has entered into pursuant to provisions of an agreement between the aforementioned Utility Owner and the State of
Oklahoma, as part of the highway project
:
(a)
employed or retained for a commission, percentage, brokerage contingent fee, or other consideration, any
firm, company or person, other than a bona fide employee working solely for me or the aforementioned
firm, to solicit or secure the contract, or
(b)
agreed, as an express or implied condition for obtaining the award of the contract, to employ or retain the
services of any firm, company, or person in connection with the carrying out of the contract, or
(c)
paid, or agreed to pay, to any firm, company, organization, or person, other than a bona fide employee
working solely for me or the aforementioned firm, any fee, contribution, donation or consideration of any
kind for, or in connection with procuring or carrying out the contract.
(Statement and explanation of exceptions, if any):
I hereby further agree to promptly and expeditiously prepare a Utility Relocation Agreement Form and Proposal of
Work, containing detailed cost estimates and plan drawings, for the adjustment-relocation of Utility Owner's
within this project. These documents are to be submitted to our Utilities Manager,
Mr./Ms.
, Department of Transportation, P.O. Box
,
, Oklahoma
.
I acknowledge that this certificate is to be furnished to the State of Oklahoma, Department of Transportation, in
connection with the aforementioned project involving participation of Federal-Aid Highway Funds, and is subject
to applicable State and Federal laws, both criminal and civil.
_______________________________________________
Signature
Date
P.E. or L.S. Number
R/W Form 309 (REVISED 06/2019)
CERTIFICATION OF CONSULTANT OR LAND SURVEYOR
I hereby certify that I am the
and duly authorized
representative of the firm of
, whose address and telephone number is
, and
That, except as expressly stated and described herein, neither I nor the firm of
has, in connection with its contract with
, which
has entered into pursuant to provisions of an agreement between the aforementioned Utility Owner and the State of
Oklahoma, as part of the highway project
:
(a)
employed or retained for a commission, percentage, brokerage contingent fee, or other consideration, any
firm, company or person, other than a bona fide employee working solely for me or the aforementioned
firm, to solicit or secure the contract, or
(b)
agreed, as an express or implied condition for obtaining the award of the contract, to employ or retain the
services of any firm, company, or person in connection with the carrying out of the contract, or
(c)
paid, or agreed to pay, to any firm, company, organization, or person, other than a bona fide employee
working solely for me or the aforementioned firm, any fee, contribution, donation or consideration of any
kind for, or in connection with procuring or carrying out the contract.
(Statement and explanation of exceptions, if any):
I hereby further agree to promptly and expeditiously prepare a Utility Relocation Agreement Form and Proposal of
Work, containing detailed cost estimates and plan drawings, for the adjustment-relocation of Utility Owner's
within this project. These documents are to be submitted to our Utilities Manager,
Mr./Ms.
, Department of Transportation, P.O. Box
,
, Oklahoma
.
I acknowledge that this certificate is to be furnished to the State of Oklahoma, Department of Transportation, in
connection with the aforementioned project involving participation of Federal-Aid Highway Funds, and is subject
to applicable State and Federal laws, both criminal and civil.
_______________________________________________
Signature
Date
P.E. or L.S. Number
R/W Form 309 (REVISED 06/2019)