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INDIAN RIVER COUNTY, FLORIDA <br /> SEALED BID NO . 2008080 <br /> PROJECT NO . 0604 <br /> 12'h STREET SIDEWALK IMPROVEMENTS FROM 43`d AVENUE TO 27th AVENUE <br /> CONTRACTOR VERIFICATION FORM <br /> THE FOLLOWING IS TO COMPLETED BY PRIME BIDDER : <br /> Name of Firm : <br /> Corporate Title : <br /> Address : <br /> (Zip Code ) <br /> By: - <br /> (Print name ) ( Print title) <br /> (Authorized Signature ) <br /> Telephone : ( ) <br /> Fax: ( ) <br /> State License # (ATTACH COPY) <br /> County License # (ATTACH COPY) <br /> City License : (ATTACH PROOF OF REGISTRATION WITH THE CITY) <br /> Type of License : <br /> Unlimited (yes/no ) <br /> If " NO " , Limited to what trade? <br /> P-60 Contractor Verification <br /> 8/29/2006 320:34 PM <br />