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D <br />A Corporation <br />Corporation Name: _ <br />State of Incorporation: <br />Type (General <br />(�' ire -- attach evidence <br />Name (typed or printed): <br />Title: <br />Attest <br />ssional, Service, Limited Liability): <br />to sign) <br />(SEAL) <br />�j (CORPORATE SEAL) <br />/ /` n <br />( <br />Signature of Corporate Secretary) <br />Business address: <br />Phone No.: `j `1,- /l Y7 e og <br />Date of Qualification to do business is <br />A Joint Venture <br />Joint Venture Name: <br />By: <br />FAX No.: <br />(Signature of joint venture partner -- attach evidence of authority to sign) <br />Name (typed or printed): <br />Title: <br />Business address: <br />Phone No.: <br />Joint Venture Name: <br />By: <br />FAX No.: <br />(Signature -- attach evidence of authority fo sign) <br />Name (typed or grin <br />Title: <br />Business address:; <br />Phone No.: <br />Phone and. <br />r <br />FAX No.: <br />AX Number, and Address for receipt of official communications: <br />(SEAL) <br />(SEAL) <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 />00310 -Bid Form REV 04-07.doc <br />00310-7 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\7024-17thStreet and IR <br />01 <br />vd Intersection\Admi m\Contract <br />Documents\00310 -Bid Form <br />REV 04-07.doc <br />