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J. DBE Affirmation Action Plan <br />Certiffidatido of'NOn Segregation . Q I h & Non Discrimination <br />L. Certification of Sublet Work. <br />8.01 The terms -used in 'this, Bid With initial dapit6ll6ttets have:1he meanings indicated in <br />the Instructions to Bidders the General Condit <br />tibns, and the Sopplementary Condiflons. <br />SUBMITTED on .20 IV. <br />State Contractor License, No.. C6C,00-75L4 i <br />If Bidder is: <br />An Individual <br />Name (typed orprinted) <br />By;. <br />(1hdividUal's. Mgnaturq) <br />Doing business as. <br />Business address: <br />(SEAL) <br />Phone No.:, <br />A Partnership <br />Partnership Name: (SEAL) <br />EAL) <br />By: <br />(Signature of genera/ Partner - attach evidenoe, of authority to 01,qn) <br />Name (typed or printed <br />Business address.e <br />.Phone No.: FAX No. <br />A C000jaU4h <br />:C orporation Name; <br />State of incorporation: <br />Type(General Businessi <br />By. <br />(Signature1--at-tachevidonco:'of..,Iuthority to <br />UlmitedUability): C-11-,nLroj <br />Name <br />(typed or printed): t -W, N,j StL--� <br />Title-,- 0I0 -E pusay-k;- <br />(CORPORATE SEAL) <br />00310 - 61 <br />F.VWcW0ftUMlNEERING DIVISION PROJECTU455411h thud Sidewalk kPVvwMt$ Ift C1 to Old DW9%Ad m%WddoauYientsW03j0-Md Form FteAsEo 10.10. <br />nn Me . rra <br />