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2015-025A
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2015-025A
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Last modified
5/7/2018 11:53:30 AM
Creation date
4/26/2016 12:09:47 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
02/17/2015
Control Number
2015-025A
Agenda Item Number
8.F.
Entity Name
Timothy Rose Construction
Subject
Contract/Specifications Old Dixie Sidewalk Improvements
Part 1
Area
38th Lane to 45th St.
Project Number
0845B
Bid Number
2014032
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J. Certification Regarding De. - _ = is ibiIity and Voluntary <br />Exclusion - Primary Covered <br />K. Certification of Non Segrec =- <br />L. Buy America Certificate of Corr;,: =r •' <br />M. Drug free Workplace Certification/ <br />ri-,retion, <br />N. LAP Certification of Capacity / Status of Contracts on Handl <br />0. Certification of Sublet Work' <br />8.01 The terms used in this Bid with initial capital letters have the meanings indicated in <br />the Instructions to Bidders, the General Conditions, and the Supplementary Conditions. <br />SUBMITTED on i J aU _ \ ! , 20 IL-+. <br />State Contractor License No. ii -C.-01. 2_gi <br />Bidder is: <br />An Individual <br />Name (typed or printed): <br />By: (SEAL) <br />(Individual's signature) <br />Doing business as: <br />Business address: <br />Phone No.: FAX No.: <br />A Partnership <br />Partnership Name: (SEAL) <br />By: <br />(Signature of general partner -- attach evidence of authority to sign) <br />Name (typed or printed): <br />Business address: <br />Phone No.: FAX No.: <br />A Corporation <br />Corporation Name7170 c)4?_(f +1h r- 'to t .... (SEAL) <br />State of Incorporation: 41- (V- A__ i <br />Type (General Business, Professional, Service, Limited Liability):t. j) A:I Y/4 <br />00310-5 00310 - Bid F. c: _= _ _ ; _ - - =S ONLY.doc <br />F:\Public Works\ENGINEERING DIVISION PROJECTS 1=.3 - Old Dixie Hwy Sidewalk (38th Ln - 45th St)V\dmim\bid docur.;-:s _' = - <br />PROJECTS ONLY.doc <br />- ..rte -_-c,. _.._..-. <br />.. s+'�.�.oS anr..a}�:z'�.a=3•..-`bSvwhif- -.w mtF� -ent`e.mrii <br />
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