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PROPOSAL SIGNATURE SHEET <br /> The undersigned bidder understands that the quantities mentioned herein arc approximate only and are <br /> subject to increase or decrease, and hereby proposes to perform all quantities of work as either increased or <br /> decreased in accordance with the provisions of the Drawings and Specifications and at the unit prices bid in <br /> the Bid Schedule, unless such schedule designates lump sum bids, or force account items. <br /> The full names and residences of all persons and parties interested in the foregoing bid as principals are as <br /> follows: <br /> Name 1r `Titlep ,'•• Address 1 <br /> � tSe�r S',7'r \ ?fe.--; `em4- Ohre; Cxe,u1T��G Gt�,;.rl CAtquit , �$ c., Ac. <br /> Cirh F1rnnc.i cx, ck( Cri tcf.ctr , 4 C,ctxac. <br /> 41,A1.p1��em Fkecu�ive \icr. ? k. -- CAS a�r na4yti. <br /> Vice- �1t c► y FiYtnvrt �fegU(e.✓ Cr. �Qrt A Cavtalic <br /> } 1 `' L004.J-1011S I t /t /� <br /> F.uSt�( lc Vire. Vte-si l CQ`q it/ /t$ i 1Q.1�taA <br /> �dvty� �i\\.;w3}rAn Vice, pies i QPr, , �a1�5 Cal n/ ► , CzaAai <br /> The name and mailing address of the Surety Company which will\ifurnish the required Performance Bond is: <br /> M-�nkf- 1A/ `vlSttrQ.YlCL cittety of tAtlut.t `Sit <br /> Surety Company Representative: (ofetr0. <br /> Bidder acknowledges receipt of Addenda through —_ <br /> Bidder has reviewed the third party liability insurance provisions of the Contract and hereby certifies that <br /> coverage will he provided as required. X Yes No <br /> Name of Bidder: Aw►siira.vl RofP-Ss Group }Ne\C. _-- —___-- <br /> Bidder Mailing Address: q blc u 3,ays ,, -.P ,- rz 6 <br /> Phone: 280• q l'j- 1ccz, c(-tvv,etke.@ ti, .Cowl _ <br /> State of Washington Contractor's License No. P EZVKcia74 S <br /> Signature of Bidder's Authorized Agent: ,- .' <br /> Dated at: a , Date: _ • dp k iA.G G _j <br /> 2016!Iiosolids Removal DIVISION P. P-3 December 1.2015 <br /> WORK ORDI-R#2600-4-1 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale <br />