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2020032 Special Needs Shelter Medical Services <br />The undersigned hereby certifies that they have read and understand the contents of this <br />solicitation and agree to furnish at the prices shown any or all of the items above, subject to <br />all instructions, conditions, specifications, and attachments hereto. Failure to have read all <br />the provisions of this solicitation shall not be cause to alter any resulting contract or request <br />additional compensation. <br />Company Name:LKCS,OL_L' -RcNs Ck M P A N 10 N CP ZCeR-4J Cs LLC <br />Company Address: 52-`} 6A i LkfzrA 'ST yLC- CT I 5u % TZ: tt-- 1 0 <br />City, State VJ 1 -f P,- -Yy) Be I,LkA , F-�- Zip Code 3 Sy o 1 <br />Telephone <br />E-mail: (\ �-L' <br />Authorized Signature: <br />Fax: 5 c� 1 — S-->-1 — G'3 `A 1 <br />Date: 3 <br />Name: Jty--eTiD Ki y OA %:> (:::Ue-D Title: CCO <br />(Type / Printed) <br />Page 16 of 31 <br />