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FORM WHERE BIDDER IS A CORPORATION <br />STATE OF <br />COUNTY OF <br />being duly sworn, deposes and says: <br />I am the of <br />the corporation described in and which executed the foregoing Proposal; that I have <br />been duly authorized to execute and did execute the foregoing Proposal pursuant to that authorization, <br />and that the several matters therein stated are in all respects true. <br />9199 "It <br />Print or type name of entity <br />By: <br />Signature <br />Print or type name <br />Date <br />The foregoing instrument was acknowledged before me this (date) <br />by (name of officer or agent, title of <br />officer or agent) of <br />(name of corporation acknowledging), a (state or place of incorporation) <br />corporation, on behalf of the corporation. He /she is personally known to me or has produced <br />(type of identification) as identification and who did (did not) take <br />an oath. <br />(Signature of person taking acknowledgement) <br />(Name of acknowledger - type, print, or stamp) <br />(Title or rank) <br />(Serial number, if any) <br />