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SUBMITTED on May 5th 2021 . <br />State Contractor License No. CUC1225021 <br />If Bidder is: <br />An Individual <br />Name (typed or printed): <br />By: (SEAL) <br />(Individual's signature) <br />Doing business as: <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: Ag-Scape Services Inc DBA Florida Site Contracting <br />State of Incorporation: Florida. <br />Type (Gene Business, Professional, Service, Limited Liability): <br />By: <br />(Signature -- att ch evidence of authority to sign) <br />Name (typed or printed): Shane Barrer <br />Title: President <br />Attest , <br />(CORP EAL) <br />(Signatu of rorporate Secretary) <br />Business address: 866 11th Ct SW <br />Vero Beach FL 32962 <br />Phone No.: 772-473-1072 FAX No.: 772-778-5196 <br />Email: shanebRfloridasitecontractinq.com <br />Date of Qualification to do business is 06%17/2005 <br />DIV 0-2—Bidding- Documents - 20201118A=00310 - 5 <br />F9HuhlieWarkslENGINEERING.DIVISION. FROJECTS120224th StCutverttReplacement at90thAVeH-AdminlRidsTidDoeumentsiDIV0 2_8idd_ina ocements- <br />20201118.docx <br />