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<br /> <br />Street Address: ~. J <br /> <br />~/1rH,fL- <br />Mailing Address (If different): I <br /> <br />JfJJ,tl 'N. ]Jp~ 11v'V1VL- <br />"1,?OW <br /> <br />qt;!{, gftI. 'YJp(p q&s I L 75C,' f &72-- <br />Telephone No. . Fax No. T.' r. t:I b <br />Emall Address:~~(IiJ~lt>;.~NO.0L.QJ.01.JD.J/.1/-t <br /> <br />* "By signing this document the bidder agrees to all Terms <br /> <br />Signature: <br /> <br /> <br />--- <br /> <br />./ <br />,,----.~/"'"- <br />- u__._ <br />(Signat <br /> <br /> <br />Olaut!l~rized agent) <br />~ J~ bo/v~i) <br /> <br />Uti;! 0 ~ cpf{ ~ c5 of-6w <br /> <br />Print N <br /> <br />Title: <br /> <br />THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO <br />BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE <br />INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL <br />NON-RESPONSIVE. THE CITY MAY, HOWEVER; IN ITS SOLE DISCRETION, ACCEPT ANY <br />PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE <br />PROPOSER TO THE TERMS OF ITS OFFER. <br /> <br />City of Sunny Isles Beach IRequest for Proposal No. 12-01-04 <br /> <br /> <br />Oii'" :1 'il <br />..:J: ,U <br />