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A Partnership : <br /> Partnership Name : (SEAL) <br /> By: <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 /> A Corporation : <br /> Corporation Name : Oklawaha Farms , Inc . ( SEAL) <br /> State of Incorporation : F l D r i d a <br /> Type (General Business , Professional , Service , Limited Liability) : General Business <br /> By: Ajr�o� . <br /> (Signature — taac , ence of auto sign) <br /> Name (typedted ) : s t eve n L . R i s i <br /> Title : Vice President <br /> Attest 4 -, (CORPORATE SEAL) <br /> (Signa re o rate Secre } <br /> Business ad a 9200 S . Dadeland Blvd . ,, Suite 705 , Miami , <br /> FL 33156 <br /> Phone No . : 305 - 670 - 9660 FAX No . : 305 - 670 - 9659 <br /> Date of Qualification to do business is (p C3 2_0 (� <br /> [The remainder of this page was left blank intentionally] <br /> Addendum #1 - 00310 - Bid Form - January 7 , 2004 — REBID <br /> 00310 - 7 <br /> F:tPubtic Works\KeithW Slonrevater Projects\Harrnony Oaks Mitigation ProjechConstruction ContractUNdding and Constriction Contract Docu nents4Wddendum pt - 00310 <br /> - Bid <br /> Foran • January 7, 2004 .doc Rev. 05/01 <br />