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(Signature — attach evidence of authority to sign) <br />Name (typed or printed): Daniel L Muschweck <br />Title: dice President <br />Attest <br />(Sign <br />ILeittiAD <br />e Secretary) <br />Business address: 127 Delaware Avenue, Ft. Pierce, FL 34950 <br />,OPY <br />(CORPORATE SEAL) <br />Phone No.: 772-985-5015 <br />FAX No.: 772-209-7700 <br />Date of Qualification to do business is November 09, 2007 <br />A Joint Venture <br />Joint Venture Name: <br />By: <br />(Signature of joint venture partner — attach evidence of authority toesign <br />Name (typed or printed): <br />Title: <br />(SEAL) <br />Business address: <br />Phone No.: FAX Nd.: <br />Joint Venture Name: % (SEAL) <br />By: <br />(Signature — attach evidence of acafhority to sign) <br />Name (typed or printed): <br />Title: <br />Business address: <br />Phone No.: <br />FAX No.: <br />r <br />Phone and FAX Nuriiber, and Address for receipt of official communications: <br />(Each joint venturor must sign. The manner of signing for each individual, partnership, and <br />corporation that is a party to the joint venture should be in the manner indicated above.) <br />**END OF SECTION** <br />00310 - Bid Form for LAP PROJECTS ONLY <br />00310 - 7 <br />F:1Public Works\ENGINEERING DIVISION PROJECTS11205-Vero Lake Estates Swk-87th 5t 101st Ave to CR510 (IAP)1Admimtbid docarrnentsWaster Contract <br />Documents100310 - Bid Form for LAP PROJECTS ONLY.doc <br />