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If Bidder is: <br />An Individual <br />Name (typed or printed): <br />By: <br />(individual's signature) <br />Doing business as: <br />Business address: <br />MRSTITZ"s <br />A Partnership <br />Partnership Name: <br />FAX No.: <br />By: <br />(Signature of general partner -- attach evidence of authority to sign) <br />Name (typed or printed): <br />Business address: <br />Phone No.: <br />Email: <br />FAX No.: <br />A Corporation <br />Corporation Name: Community Asphalt Corp. <br />Stateof IncKPoration: Florida <br />Type <br />,p(Gen en e, Professional, Service, Limited Liability):_ <br />By: 1��ss <br />(Signature;Iattach Vvidence of authority to sign) <br />Name (typed or printed): Manuel Aguiar <br />Title: Corporate Vice <br />(Signature of <br />Business address: 2975 Industrial Blvd Vero Beach, FL 32967 <br />Phone No.: (786) 418-3561 FAX No.: (772) 770-3707 <br />Email: Joel. Acevedora_,,Ohlna. com. <br />Date of Qualification to do business is September 22. 1980 <br />A Joint Venture <br />Joint Venture Name: <br />(SEAL) <br />(SEAL) <br />(SEAL) <br />(CORPORATE SEAL) <br />By: <br />(Signature of joint venture partner -- attach evidence of authority to sign) <br />(SEAL) <br />00310 - Bid Form REV 04-07 <br />00310-8 <br />FAPubhc VVorks\ENGINEERING DIVISION PROJECTS\ I 305-C R 512 Resurf (SCOP) Myrtle St to 125th StlAdmtm\bid documentsWaster Contract Documents=310 -Bid <br />Form REV 04-07 doc <br />