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<br />SUBMITTED THIS <br /> <br />DAY OF <br /> <br />,20 <br /> <br />If BIDDER is: AN INDIVIDUAL <br /> <br />By (SEAL) <br /> <br />(Individual's Name) <br /> <br />Doing business as : <br />Business address <br /> <br />Phone No <br />Facsimile No <br /> <br />If BIDDER is: A PARTNERSHIP <br /> <br />By (SEAL) <br /> <br />(Firm's Name) <br /> <br />General Partner <br />Business address <br /> <br />Phone No <br />Facsimile No <br /> <br />If BIDDER is: A CORPORATION <br /> <br />By <br /> <br />(Corporation's Name) <br /> <br />State of Incorporation: <br />Representative <br /> <br />(Name of Person Authorized to Sign) <br /> <br />Title <br />Business address <br /> <br />Phone No <br />Facsimile No <br /> <br />Attest: <br /> <br />(President) <br /> <br />(Corporate Seal) <br /> <br />If BIDDER is: A JOINT VENTURE <br /> <br />(Name) (Address) <br /> <br />(Name) (Address) <br /> <br />(Each joint venture must sign. The manner of signing for each individual, partnership, and corporation <br />that is a party to the joint venture should be in the manner indicated above.) <br /> <br />PAGE 59 OF 92 <br />BID No. 07-10-04 <br />