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f <br /> A Corporation <br /> Corporation Name: ) (SEAL) <br /> State of IncorporationL_: y W Vi <br /> Type (General Bus' , Professional, Service, Limited Liability): Gll <br /> By: <br /> (Si ature—attach evidence of authority to sign) <br /> Name(typed or printed): <br /> Title: <br /> 1 <br /> (CORPORATE SEAL) <br /> Attest <br /> (Signature of Corporate Secretary) <br /> i <br /> Business address: 1a0a ZW 0kCA WW <br /> R Z <br /> Phone No.: FAX No.:'1-1 _IX$`� <br /> Email: <br /> Date of Qualification to do business is g rJ <br /> A Joint Venture <br /> Joint Venture Name: (SEAL) <br /> By: <br /> (Signature of joint venture partner—attach evidence of authority to sign) j <br /> Name (typed or printed): <br /> Title: <br /> Business address: <br /> Phone No.: FAX No.: <br /> Email: <br /> Joint Venture Name: (SEAL) <br /> By: <br /> (Signature-- attach evidence of authority to sign) j <br /> Name (typed or printed): <br /> Title: j <br /> Business address: <br /> i <br /> Phone No.: FAX No.: <br /> Email: <br /> i <br /> I <br /> I <br /> 00310-7 00310-Bid Form for LAP PROJECTS ONLY <br /> i <br /> F:1Publi0 <br /> Warks\ENGINEERING DIVISION PROJECTS11049_8th St Sidewalk Improvements(58th Ave to 21st Court)VAdmimlbid documents\LAP DocumentsIOGM0-Bid Farm <br /> W LAP PROJECTS ONLY.doc <br />