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<br />City of Sunny Isles Beach |Request to Qualify No. 22-12-01 27 <br /> <br />Firm Name: <br /> <br />_____________________________________________________________________________ <br />Street Address: <br /> <br />_____________________________________________________________________________ <br />Mailing Address (if different): <br /> <br />_____________________________________________________________________________ <br /> <br /> <br />Telephone No. _______________________________Fax No. _________________________ <br /> <br />Email Address: _______________________________FEIN No. __/__-__/__/__/__/__/__/__ <br /> <br /> <br /> <br />*“By signing this document the vendor agrees to all Terms <br /> <br />Signature: <br /> <br />__________________________________________________________________ <br />(Signature of authorized agent) <br /> <br />Print Name: _________________________ <br /> <br /> <br />Title:_________________________________________ <br /> <br /> <br />THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF VENDOR TO BE BOUND BY THE TERMS <br />OF ITS SUBMITTAL. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED <br />REPRESENTATIVE SHALL RENDER THE SUBMITTAL NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE <br />DISCRETION, ACCEPT ANY SUBMITTAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS <br />THE VENDOR TO THE TERMS OF ITS OFFER. <br />