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<br />9.19. List all claims, arbitrations, administrative hearings and lawsuits brought by or against the Bidder <br />or its predecessor organization(s) during the last three (3) years. The list shall include all case <br />names; case, arbitration or hearing identification numbers; the name of the project. If none, <br />write "none". <br /> <br />Dated this <br /> <br />day of <br /> <br />,2007. <br /> <br />BY: <br /> <br />Signature <br /> <br />Print Name <br /> <br />Title <br /> <br />The foregoing instrument was acknowledged before me this <br />20_, by <br /> <br />day of <br /> <br />(AFFIX NOTARY STAMP HERE) <br /> <br />Notary Public - State of Florida <br /> <br />Print or Type Commissioned Name <br /> <br />Personally Known <br />Produced Identification <br /> <br />OR <br /> <br />; Type of Identification Produced <br /> <br />END OF SECTION <br /> <br />PAGE 69 OF 92 <br />BID NO. 07-10-04 <br />