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HomeMy WebLinkAboutSignature Page - Bid Form - Knife River ARTICLE 9—BID SUBMITTAL SUBMITTED on l.{ (�,U S,-F 1 C) OL (Date) Montana Contractor's Registration# 00 Employer's Tax ID No. If BIDDER is: An Individual: (Name typed or printed) By: (individual's Signature) Doing business-as:-- Business Address: Phone-No.: FAX No: A Partnership: (Partnership Name) By: (Signature) (Name,typed or printed) Business Address: Phone No.: FAX No: North 15th Avenue Improvements—Patrick to Tschache Bid Form Section 00300 KU Project 2104-00549 Page 10 of 13 A Corporation: l FE ) 1/C-( E E1—A"10 E- (Corporation Name) State of Incorporation: 1"!DwTd JAI A Type(General BusineA Professi nal,Service,Limited Liability): 6/1•6 L--EU 5/4'/ -- S By: (Signat a of rson authoed to sign) Title: 1 Glc ?� ! C��-!"r 4;Z.. riz Attest: �//^ (Signature) Business Address: '—P D. E©X ,/ 'Ecc.6�aoc- s9-7 Phone No.: 0!R c.o g 3 2_ FAX No: 47 Date of Qualification To Do Business Is: (,t GROUP SEAL I oar) ,(Cdrporat�Seal),GArr A Joint Venture: Each Joint Venture Must Sign Joint Venturer Name: (Name) By: (Signature of Joint Venture Partner) Name: (Name,printed or typed) Title: Business Address: Phone No.: FAX No: North 151h Avenue Improvements—Patrick to Tschache Bid Form Section 00300 KU Project 2104-00549 Page 11 of 13 Joint Venturer Name: (Name) By: (Signature of Joint Venture Partner) Name: (Name,printed or typed) Title: Business Address: Phone No.: FAX No: Address of Joint Venture for Receipt of Official Communication: Address: Phone No.: FAX No: (Each Joint Venture must sign. The manner of signing for each individual, partnership and corporation that is a party-to o the Jo s ould be in the manner indicated above.)_ _ END OF SECTION North 15th Avenue Improvements—Patrick to Tschache Bid Form Section 00300 KU Project 2104-00549 Page 12 of 13