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2011-226B
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2011-226B
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Last modified
2/17/2016 2:14:52 PM
Creation date
10/1/2015 3:10:48 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/01/2011
Control Number
2011-226B
Agenda Item Number
8.N.
Entity Name
Goodson Paving Old Dixie Highway Sidewalk
Subject
Old Dixie Highway Sidewalk Improvements
Volume I
Project Number
0845
Bid Number
2011045
Supplemental fields
SmeadsoftID
10417
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aim <br /> K. Certification Regarding Debarment, Suspension , Ineligibility and Voluntary <br /> Exclusion — Primary Covered Transactions ; <br /> L . Certification of Non Segregation & Non Discrimination ; and <br /> M . Buy America Certificate of Compliance . <br /> N . Drug free Workplace Certification . <br /> O . LAP Certification of Capacity / Status of Contracts on Hand <br /> P. Certification of Sublet Work <br /> 8 .01 The terms used in this Bid with initial capital letters have the meanings indicated in <br /> the Instructions to Bidders , the General Conditions , and the Supplementary Conditions . <br /> SUBMITTED on �u (w . � S�C , 20 ( L. <br /> State Contractor License No. Q6!>44(. 1 �2a 000094 (, <br /> If Bidder is : <br /> An Individual <br /> Name (typed or printed ) : N/p, <br /> By* �JQ (SEAL) <br /> (Individual 's signature) <br /> Doing business as : N/A <br /> Business address : uJi <br /> Phone No . : li FAX No . : <br /> A Partnership <br /> Partnership Name : (SEAL) <br /> By: 0f A <br /> (Signature of genera! partner — attach evidence of authority to sign) <br /> Name (typed or printed ) : <br /> Business address : _ N �A <br /> Phone No . : N f A FAX No. : Y <br /> A Corporation <br /> Corporation Name : Gooason PAV �(A 11NG _ (SEAL) ; <br /> State of Incorporafion : V'iog%pA <br /> Type ( Ge eral Business , Professional , Service , Limited Liability) : 60W ro . 1 4450r' V55 <br /> ONDETZ 60ZOU 6 ltrlc 1TL1 ' <br /> By: &WA9 T Vi eAe� F12&6 <br /> 00310 - Bad form REV Nee doc <br /> 00310-7 <br /> FAPublic Works\ENGINEERING DIVISION PROJECTS\0845-01d Dixie Hwy Sidewalk US1 _691h (LAP )1Admimlbld <br /> documents100310 - Bid Form REV 0"Tdoc <br />
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