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SUBMITTED on NO \/ 2 , 20ffe <br /> State Contractor License No . <br /> If Bidder is : <br /> An Individual <br /> Name (typed or printed ): <br /> By: (SEAL) <br /> (Individual's signature) <br /> Doing business as : <br /> Business address : <br /> Phone No . : FAX No . : <br /> A Partnership (SEAL) <br /> Partnership Name : <br /> By: <br /> (Signature of general partner -- attach evidence of authority to sign) <br /> Name (typed or printed ) : <br /> Business address : <br /> Phone No . : FAX No . : <br /> A Corporation L _ SEAL <br /> Corporation Name : `� 4' m) ( ) <br /> State of Incorporation : <br /> Type ( ne I Business , Pr fessional , Service , Limited Liability): <br /> By: , <br /> (Signature - attach evidence of authority to sign) <br /> Name (typed or printed ): /1'01 � A k <br /> Title : i e.. N� <br /> (CORPORATE SEAL) <br /> Attest <br /> (Signature of Corporate Secretary) <br /> Busigess address: f S - � ✓ N ,� I,G /� /V <br /> nod N W .. FAX No . ya > 3 <br /> phone No . . <br /> Date of Qualification to do business is <br /> 00310 - Bid Form REV 04-07.doc <br /> 00310 - 4 <br /> FAEngineedng\Spedei projeds\Endeve SubdlNsfon\Contmd Dacuments\Control Documents\The Endsve.dod=10 - Bid Forth REV 04-07.doc Rev. 05/16/01 <br />