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SUBMITTED on ; r , 20 <br /> State Contractor License No . <br /> If Bidder is : <br /> An Individual <br /> Name ( typed or printed ) : <br /> By : <br /> (Individual 's signature) ( SEAL) <br /> Doing business as : <br /> Business address : <br /> Phone No . : FAX No . : <br /> r <br /> l <br /> A Partnership <br /> Partnership Name : SEAL <br /> By : <br /> (Signature of general partner -- attac'h evidence of authority to sign) <br /> Name ( typed or printed ) : <br /> Business address : <br /> Phone No . : , - FAX No . : <br /> A Corporation <br /> Corporation Name : w, c <br /> P 'T `� � � r✓ 1 ` � Cc3_ vt - C6� G�. C' tin ( SEAL) <br /> State of Incorporation : <br /> Type ( General Business , Professional , Service , Limited Liability ) : <br /> ( nature -- attach evidence of authority to sign) <br /> Name (typed or printed ) : �j VvL c <br /> Title : 7VVZ- e <br /> ( CORPORATE SEAL ) <br /> Attest <br /> (Signature of Corporate Secretary) <br /> Business address : o F <br /> Phone No . : '77 ,:; - >L �-/ - 7 e) o FAX No . : P7 ' <br /> Date of Qualification to do business is jqqj <br /> 00310 - 6 00310 - Bid Form . doc <br /> F . \EngineeringTand Development Permits\Quail Creek PD\Bid-Contract Documents\00310 - Bid Form . doc Rev . 05/ 16/01 <br />