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ITEMIZED BID SCHEDULE <br /> Prolcct Name: Roadwav Improvements to Sh Al and CR 510 <br /> Bidder Name: oAww I N? <br /> the Instructions to Bidders, the General Conditions , and the Supplementary Conditions. <br /> ^I SUBMITTED on 2000 <br /> Ckc t�sag <br /> State Contractor License No. <br /> JI 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 /> J' <br /> A Partnership <br /> Partnership Name: (SEAL) <br /> J <br /> By: <br /> �i (Signature of general partner -- attach evidence of authority to sign) <br /> Name (typed or printed) : <br /> Business address : <br /> Phone No. : FAX No. : <br /> J <br /> A Corporation —T— t 1 - <br /> l Corporation Name: 1loA4Nkj �jtllTrl� IrX (SEAL) <br /> Jj State of Incorporation : lpQtDiA <br /> ll Type (General Busines Pro ssio ial Service, Limited Liability) : <br /> J By: z � <br /> (Signature -- attach evidence of authority to <br /> sign) <br /> )� Name (typed or printed) : 1RY1O `RpS� <br /> � <br /> Title: r � ht� / <br /> \ <br /> Attest (CORPORATE SEAL) <br /> lj (Signature of Corporate Secretary) 1 <br /> J� usine address : I3�DVJ SLO b1c. CLIkie 4wq + I <br /> �l <br /> � I Phone NoAlo@ - 5WL1 - 11KOQ5 FAX No. : lea Sfo4 - 1 88 $ <br /> II <br /> 00310 - 19 00310 - Bid Form 2006079.doc <br /> 111 <br /> i F:\Public WOMB\Capital Projects\SR Al A & CR 510 Turn Lanes-IRC-970 I NBID DOCUMEOCUMENT520060]9\00840 - Bitl Form 2006079.tloc Rev. 05/01 <br />