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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 />Phone No.: <br />Email: <br />A Partnership <br />Partnership Name: <br />Bv: <br />nNNS N-DAVJS, INC. <br />'W3 S. Mmgs Hwy <br />J. t Pierce, FL 34945 <br />(772) 468-9200 <br />t772) 468-9202 <br />FAX No.: <br />(Signature of general partner -- attach evince of authority to sign) <br />Name (typed or printed): <br />Business address: <br />Phone No.: <br />Email: <br />A Corporation <br />Corporation Name: <br />State of Incorporati <br />Type (General Bu <br />By: <br />(Signature <br />FAX No.: <br />Inc. <br />(SEAL) <br />(SEAL) <br />(SEAL) <br />, Service, Limited Liability): Underground Utilities and Excavation <br />evidence of 4thority to sign) <br />Name (ty ed or printed): Scott J <br />Title: President <br />hnson <br />Attest Christopher Johnson \ -.,(CORPORATE SEAL) <br />(Signature of Corporate Secretary <br />Business address: 863 S. Kings Hwy <br />Fort Pierce, FL 34945 <br />Phone No.: 772-468-9200 FAX No.: 772-468-9202 <br />Email: sjohnson@johnsondavis.com <br />Date of Qualification to do business is 07/1977 <br />A Joint Venture <br />Joint Venture Name: <br />By: <br />(Signature of joint venture partner -- attach evidence of authority to sign) <br />(SEAL) <br />00310 - Bid Form REV 04-07 <br />00310-7 <br />FAPublic Works\ENGINEERING DIVISION PROJECTS\1748 Gifford Neighborhood - 45th Street Beautification Project Phase II\1-Admin\RE-bids\Bid Documents\Master <br />Contract Documents\00310 - Bid Form REV 04-07.doc <br />