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2016-188A
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2016-188A
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Last modified
12/1/2016 11:35:28 AM
Creation date
12/1/2016 11:33:50 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/08/2016
Control Number
2016-188A
Agenda Item Number
8.J.
Entity Name
Timothy Rose Contracting Inc.
Subject
Contract & specifications
8th St. Sidewalk Improvements
Area
58th Ave. to 21st Ct.
Project Number
1049
Bid Number
2017009
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i <br /> i <br /> J. Certification for Disclosure of Lobbying Activities on Federal-Aid Contracts; ! <br /> K. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary <br /> Exclusion—Primary Covered Transactions; <br /> j <br /> L. Certification of Non Segregation & Non Discrimination; <br /> M. Buy America Certificate of Compliance; <br /> i <br /> N. Drug free Workplace Certification; <br /> I <br /> O. LAP Certification of Capacity/Status of Contracts on Hand; and <br /> P. Certification of Sublet Work <br /> ! <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 � . <br /> State Contractor License No.CG W 15 Z9 ZQ <br /> If Bidder is: <br /> i <br /> An Individual <br /> Name (typed or printed): <br /> i <br /> By: (SEAL) <br /> (Individual's signature) <br /> Doing business as: <br /> Business address: i <br /> Phone No.: FAX No.: <br /> Email: <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 /> Email: <br /> 00310-6 00310-Bid Form for LAP PROJECTS ONLY i <br /> FAPub8c Works1ENGINEERING DIVISION PROJECTS11049_81h St Sidewalk Improvements(58th Ave to 21st Court)1Admimtbid documents\LAP Documents\00310-Bid Form <br /> for LAP PROJECTS ONLY.doc <br />
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