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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 />FAX No.: <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 />(SEAL) <br />(SEAL) <br />A Corporation <br />Corporation Name: - - _ _ (SEAL) <br />State of Incorporation: <br />Type (General Business, Professional, Service, Limited Liability): <br />i _ <br />(Signature -- attach evidence of authority to sign) <br />Name (typed or printed): <br />Title: <br />Attest <br />(Signature of Corporate Secretary) <br />r w,, :hi <br />Business address: - <br />Phone No.: 7FAX No.: 7- <br />Email: - - <br />Date of Qualification to do business is 06/10/1986 <br />A Joint Venture <br />Joint Venture Name: <br />By. <br />(CORPORATE SEAL) <br />(Signature ofjoint venture partner -- attach evidence of authority to sign) <br />(SEAL) <br />DIV 0-2—Bidding Documents - 20201002Bid Form - 00310 - 5 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\2030 Tax Colector Office Expansion Bldg B\1-Admin\Bids\Bid DocumentsWiaster Contract Documents\DIV <br />0-2—Bidding Documents - 20201002.docx <br />