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-a FLOC` S� <br />rl; Of Sutd �N <br />e. Dame or licensee/certified emrluy=(3), licen,e/cErtiffcation number, and relationship Lo <br />company: <br />SFS <br />f. Names %f previous liczn3ed/certified employee(s), with license/ceRificauon number [luring <br />the past ME (5) years including, license numbers reladonsh4p io company and years as <br />qualifier for the company <br />- � ✓�s 760 :�- - 7riF� <br />2. Name and L4c,-nj= of any prior cvmpani1-=: <br />Nam= of Company Eicen5E Ido. Issuancz Dat, - <br />3. Type -Vf Currmpany: <br />I Corporation C]�S� Corporation C] LLC U Sole Proprietuorship E] Other: <br />Corporations will be requireaa to proviee a copy ow- me:r ca.—pa etc bolation prior to <br />executing a contra") <br />4. Company Ownership: <br />a. itlendry all owner of the company <br />Name Title <br />r <br />Bio of ownership <br />t -ra jD d v <br />U-1,, or Sunny isles Beach I Invitation to Bid No. 17-05-01 <br />Lukes' Landscaping, Inc. <br />