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<br />SIGNATURE OF BIDDER FORM <br />BID NO. 2002-097 <br />Lifeguard Towers for South Beach Park and Red Reef Park <br /> <br />ThIs form must be signed in the presence of a Notary Public or other omcer authorized to administer oaths and <br />submitted with the bid packa2e on the specified bid opening date. The undersigned bidder certifies that this bid <br />package is submitted in accordance with the specifications in its entirety and with full understanding of the conditions <br />governing this bid. <br /> <br />SIGNATURE OF BIDDER <br /> <br />If an Individual: <br /> <br />N/A <br /> <br />, doing business <br /> <br />Signature <br /> <br />as <br /> <br />If a Partnership: N/ A <br /> <br />by: <br /> <br />General Panner's Signature <br /> <br />IfaCorporation: Coastal Contracting and Development, Inc. <br />Co orale Name <br /> <br />Title: <br /> <br />President <br /> <br /> <br />Corporation) <br /> <br />(a <br /> <br />by: <br /> <br />Attest: <br /> <br />SEAL) <br /> <br />Business Address or Bidder: <br /> <br />807 N. Northlake Drive, Hollywood, FL 33019 <br /> <br />Telephone No. 954-920-7444 <br /> <br />Fax No. 954-927 -4480 <br /> <br />Federal ID. No. 65-0013610 <br /> <br />StateofFL General Contractor Certification No.: CB-C053647 <br /> <br />Palm Beach County Certificate of Competency No.: <br /> <br />N/A <br /> <br />(if applicable) <br /> <br />NOTE: All certifications/licensesshall be issued in the Bidder's name. <br /> <br />STATE OF: Florida COUNTY OF: Broward <br /> <br />The foregoing instrument was acknowledged before me this 12 tlMay of Sep tembe r 2002. by <br />Ga ry J. McGeddy who is (/4JJl'iJ'iiNfJ personally known to me'J/J.U't"1lY,X'Prli~w.. <br /> <br />XlX Me)6~&Jt/XI)i XlM )(;)ta( 1UD; X,WrKtl(dtXJ( OFfICIAL NOTARY SEAL <br />P h-vI , DEBRA OOROON <br />NOTARY PUBLIC SIGNATURE: i:l.u,L-' NOTARY <br />NOTARY NAME, PRINTED,TYPEDOR STAMPED: Debra Gordon l ,COM:'{~~JONNO.CC818300 <br /> <br />Commission Number: CCBIB300 <br /> <br />My Commission Expires: March 16, 2003 <br /> <br />19 <br /> <br />SIB <br />