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2015-095A
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2015-095A
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Last modified
3/30/2017 10:34:14 AM
Creation date
7/24/2015 10:06:55 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
05/12/2015
Control Number
2015-095A
Agenda Item Number
8.J.
Entity Name
Timothy Rose Contracting
Subject
Intersection Improvements
Area
20th Ave. & 16th Street
Project Number
0225
Bid Number
2015037
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WOO <br />OSP <br />IOW <br />Under penalty of perjury, Contractor declares that it has read the foregoing affidavit and the <br />facts stated in it are true. <br />Contractor: <br />FURTHER AFFIANT SAYETH NAUGHT <br />Authorized Signature: <br />Printed Name: <br />Date: <br />(If signing as Owner's Agent, attach Letter of Authorization to Sign from Owner) <br />The foregoing instrument was subscribed and sworn to before me this <br />day of <br />, 20 by <br />who is personally known to me or has produced <br />as identification and who did take oath. <br />My Commission expires: <br />Notary Public State of Florida at Large <br />+ + END OF SECTION + + <br />01025-13 Technical Specifications <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\0225 20th Ave and 16th St Intersection Improvement\Admim\bid <br />documents\Master Contract Documents\Technical Specifications.doc <br />
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