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EpdvTjho!Fowfmpqf!JE;!2193E418.88DB.5943.:22G.914D7G:28845EpdvTjho!Fowfmpqf!JE;!ED64EEGG.2G1:.5:C6.C4CB.73549671:658 <br />Tvqqmjfs;MBR CONSTRUCTION, INC. <br />AFFIDAVIT <br />RLI # 19031MFW <br />GENERAL CONTRACTORS PRE-QUALIFIED LIST <br />x 2/Opof!pg!uif!Qspqptfst!Dpsqpsbuf!Pggjdfst-!Pxofst-!Qbsuofst-!Fnqmpzfft-!Bhfout!ps! <br />joejwjevbmt!uibu!xjmm!cf!xpsljoh!po!uijt!CTP!dpousbdu!ibwf!cffo!dpowjdufe!pg!b! <br />njtefnfbops-!gfmpoz!ps!ibwf!dsjnjobm!bdujpo!qfoejoh/! <br />OR <br />3/Uif!gpmmpxjoh!Qspqptfst!Dpsqpsbuf!Pggjdfst-!Pxofst-!Qbsuofst-!Fnqmpzfft-!Bhfout!ps! <br />joejwjevbmt!uibu!xjmm!cf!xpsljoh!po!uijt!CTP!dpousbdu!ibwf!cffo!dpowjdufe!pg!b <br />njtefnfbops-!gfmpoz!ps!ibwf!dsjnjobm <br />tiffu!opubsj{fe/ <br />2/ <br />Mfhbm!ObnfEsjwfs <br />Qsfwjpvt!Obnft!VtfeUjumf0Evujft!qfsgpsnfe <br />3/ <br />Mfhbm!ObnfEsjwfs <br />Qsfwjpvt!Obnft!VtfeUjumf0Evujft!qfsgpsnfe <br />It is the successful Proposers responsibility to notify BSO during the term of the contract if <br />additional names need to be added to the above affidavit due to conviction of a felony or have <br />position title of the employee and duties performed. <br />Successful Proposer must maintain an environment that is safe and will not be harmful to the <br />public or to BSO employees. <br />MBR Construction, Inc. <br />)Dpnqboz!Obnf* <br />Michael R. Boss <br />Fmfduspojd!Tjhobuvsf!)Qsjou!Obnf* <br /> <br />