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2021-085D
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2021-085D
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Entry Properties
Last modified
7/19/2021 3:09:40 PM
Creation date
7/19/2021 3:06:38 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
06/15/2021
Control Number
2021-085D
Agenda Item Number
8.E.
Entity Name
JSR Enterprises East Coast, LLC.
dba JSR Fueling Technologies, LLC
Subject
Fleet Facility Fuel Island Canopy Refurbishment
Project Number
IRC-2025
Bid Number
2021024
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PRINCIPAL: <br />JSR Enterprises East Coast, LLC UA,SRT ting <br />Printeted Name <br />01-1 <br />Printed Title <br />'Technologies, LLC <br />STATE OF l` <br />COUNTY OF Varel <br />SURETY, <br />United States Fire Insurance Company <br />Gloria A. Richards) <br />Printed Name.- ; <br />Attorney -in -Fact & Florida Licensed Resident Agent ` <br />Printed Title Inquiries: 467-786-7770 <br />The foregoing Inst ument was acknowledged before me this day of <br />by 4hiz , as (title) of 4V____ <br />(name of corporation), a (.State) corporation, on behalf of <br />the corporation. Me/She [please check as applicable] 1 ✓/ is personally known to me, or has <br />produced / / his/her (state) driver'slicense, or /_ / his/her <br />(type of identification) as identification <br />DONNAM.PURDY <br />MY COMMISSION # GG 236526 <br />EXPIRES: August 9, 2022 <br />.Fodt 4• Bonded Tiuu Notary Public Underwriters <br />STATE OF FLORIDA <br />COUNTY OF Orange <br />1�?L1'1 C1 rn Pf LIJI��� <br />(Si nature) <br />(Printed..Name) <br />NOTARY PUBLIG, STATE OF <br />( ornmission E-xpiration Date) <br />The foregoing instrument was acknowledged before me this 28th day of June 2021 <br />U Gloria A. Richards (name), as Attorney -in -Fact (title) of <br />United States Fire Insurance Company name of car oration .-� DE <br />( p ), (State) corporation, on <br />behalf of the corporation. She is personally known to nye:. <br />Notary Public Sbft of Flodde <br />^ Teresa L Durham <br />pa My Commission GG 284543 <br />a �9" Expires 02/22/20523 <br />akl" <br />(Signature) <br />Teresa L. Durham <br />(Printed Name) <br />NOTARY PUBLIC, STATE OF FLORIDA <br />2/22/2023 <br />(Commission Expiration Date) <br />
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