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I ;1 <br /> ijf <br /> ti <br /> II r: <br /> l; <br /> • <br /> 9 City of Everett 00 4113-5 <br /> rl Diversion Dam Road Phase 3 UT 3707&UT 3708 <br /> 'j 1.8' INTERESTED PARTIES <br /> ' iii' <br /> i The full names and residences of all persons and parties interested in this Bid as principals are <br /> as follows: <br /> 11 NAME TITLE ADDRESS <br /> '!`I j wt I�tilia.a,v ?rdrlr .,-t" ._ PO .8& c iZ - 6/ wqualni f1 ,CJ4 , �ga=. <br /> i, � � f <br /> Pi t1J✓� t 31�C/�Cit,bt a.4/(.. F IP.iLi El r��I Ofi✓L c3 n�UH, <br /> 111 Iizi 44 <br /> I 6 <br /> 1� <br /> i ! <br /> 1.9 BID FORM SIGNATURES <br /> ' By submitting this Bid, Bidder certifies that it has reviewed the insurance requirements of <br /> id 'Document 00 72 00—GENERAL CONDITIONS and certifies that coverage will be provided as <br /> ` required. <br /> ' Signed this c7 J day of _Ltv&L , 201 <br /> ,, Name of Bidder: Q ti/t_ .v,---, <br /> I ., Signature of Bidder's Authorized Agent: <br /> Wit.. Title: { ✓uS1 aL(?v�-f <br /> Phone: L(-S__ $V—"'DtOUci <br /> . _ <br /> lState of Incorporation Contractor's License No. <br /> Washington State <br /> Email address of Bidder's authorized Agent: by-I f,(0 ,t. Ut e ova yt.v%f <br /> .., <br /> I ..:::i . • <br /> :.! <br /> : <br /> �� END OF SECTION 00 4113 <br /> II <br /> Ii <br /> 1Y . <br /> i <br /> i 00 4113 -5 SID FARM <br /> I 121 <br /> . <br /> Prou.ded to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />