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INDIAN RIVER COUNTY , FLORIDA <br /> SEALED BID NO . 2010028 <br /> PROJECT NO . 0744 <br /> PROJECT TITLE : 8th St . Sidewalk Improvements Between U . S . 1 and 6th Ave . <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 /> . 63 - Contractor Verification <br /> 12/28/2009 4:25:45 PM <br />