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(Signature - attach evidence of authority to sign)CSEE ��� <br /> Name (typed or printed ) : PNi � iP i`c-R ' V . <br /> Title : <br /> (CORPORATE REAL <br /> Attest _1 L <br /> (Signature of EOrporate Secretary) <br /> Business address : 00 Cac Raadl „ <br /> Phone No. : _3� t - �31- 5523 FAX No . : 3Z1 --o39 -oggj <br /> Date of Qualification to do business is Dace COiZFI:> z% iaro zig TZ <br /> G1 RR C�-�T Qu Ai + icac �J 7/21/2oo9 . 7 3 (/2ptk (9��V A1wC1;x(.4U)) <br /> A Joint Venture N /A <br /> Joint Venture Name : (SEAL) <br /> By: N /A <br /> (Signature of joint venture partner - attach evidence of authority to sign) <br /> Name (typed or printed ): <br /> Title : N /A <br /> Business address : p �A <br /> Phone No . : NAA FAX No . : <br /> Joint Venture Name: N / A (SEAL) <br /> By: N `A <br /> (Signature - attach evidence of authority to sign) <br /> Name (typed or printed ) : ti <br /> Title : N /A <br /> Business address : _ 0IA . <br /> Phone No. : N IA FAX No . : N A <br /> Phone and FAX Number, and Address for receipt of official communications : <br /> N/A <br /> ( Each joint venturor must sign . The manner of signing for each individual , partnership , and <br /> corporation that is a party to the joint venture should be in the manner indicated above . ) <br /> 06310 - Bid Form REV G4-07,doc <br /> 0031M <br /> FAPublic Works\ENGINEERING DIVISION PROJECTS\0845-old Dixie Hwy Sidewalk US1 _69th (LAP)\Admlm\bid <br /> documents\00310 - Bid Form REV 0"7.doc <br />