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INDIAN RIVER COUNTY, FLORIDA <br /> SEALED BID NO . 2008081 <br /> PROJECT NO . 0216 <br /> 12th STREET SIDEWALK IMPROVEMENTS FROM 16th AVE TO 111h PLACE <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 /> F :\Engineering\Capital Projects\0216- 12th Street Between 16th Avenue and 1 lth Place\0216 Federal Contract Provisions .doc P-60 <br /> Contractor Verification <br /> 8/29120083:06:25 PM <br />