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s <br />SUBMITTED on , 20_ <br />rr <br />State Contractor License No. <br />If Bidder is: <br />:7 <br />r <br />r. <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 />A Partnership <br />r <br />Partnership Name: <br />Rv <br />r <br />• <br />r <br />No <br />r <br />iow <br />s <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.: 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 />By: <br />(Signature — attach evidence of authority to sign) <br />Name (typed or printed): <br />Title: <br />(CORPORATE SEAL) <br />Attest <br />(Signature of Corporate Secretary) <br />Business address: <br />Phone No.: FAX No.: <br />Date of Qualification to do business is <br />00310 - Bid Form REV 04-07.doc <br />r 00310-2 <br />F\ErigineeringlCapital Project Ml l -CR 512 Wideningr9511 CR 512 PHASE MCOMd DommeM V)0310- Bid Form REV 0 -07.dm <br />