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2017-005B
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2017-005B
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Last modified
2/17/2017 11:18:39 AM
Creation date
2/17/2017 11:18:12 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
01/17/2017
Control Number
2017-005B
Agenda Item Number
8.E.
Entity Name
Timothy Rose Contracting
Subject
Contract and Specifications
43rd Ave, Sidewalk Improvements
Area
Aviation Blvd. to Airport Drive West
Project Number
1123
Bid Number
2017013
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J. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary j <br /> Exclusion—Primary Covered Transactions <br /> K. Certification of Non Segregation & Non Discrimination <br /> I I <br /> L. Buy America Certificate of Compliance <br /> M. Drug free Workplace Certification <br /> N. LAP Certification of Capacity/Status of Contracts on Hand j <br /> I I <br /> O. 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 /> i <br /> SUBMITTED on 12 - 0 Z- _, 201(p. <br /> , ``�� <br /> State Contractor License No. �.C��- Z-940J� <br /> If Bidder is: <br /> An Individual <br /> Name (typed or printed): <br /> By: (SEAL) i <br /> (Individual's signature) <br /> Doing business as: I <br /> Business address: <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 /> A Corporation <br /> Corporation Name: e (SEAL) <br /> State of Incorporation: _ !!II <br /> Type (General Business, Professional, Service, Limited Liability):�' c1a/ <br /> 00310-6 <br /> SECTION 00310-Bid Form <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS\1123 43rd Ave Sidewalk Improvements 26th St.to Airport Dr <br /> WesMdmim\bid documents\Master Contract Documents\00310-Bid Form REV 04-07.doc <br />
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