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Pellco Construction Inc <br /> PROPOSAL SIGNATURE SHEET <br /> The full names and residences of all persons and parties interested in the foregoing bid as principals are as <br /> follows: <br /> Name Title Address <br /> Michael J Pellitteri President 13036 Beverly Park Road, Mukilteo WA 98275 <br /> Brenda R Pellitteri Sec/Treas 13036 Beverly Park Road, Mukilteo WA 98275 <br /> • <br /> The name and mailing address of the Surety Company which will furnish the required Performance Bond is: <br /> Propel Insurance of Propel Insurance <br /> Post Office Box 2940 <br /> Surety Company Representative: Eric Zimmerman Tacoma, 98401 <br /> Bidder acknowledges receipt of Addenda d through (� _ <br /> �e that <br /> the thirdparty liabilityinsurance provisions of the Contract and hereby certifies Bidder has reviewed p <br /> coverage will be provided as required. XXX Yes No <br /> Name of Bidder: Pellco Construction Inc <br /> State of Washington Contractor's Licen.- No. PELLCI !-.z'*!' <br /> Signature of Bidder's Authorized Agent: / // Michael J Pellitteri <br /> Dated at: 13036 Beverly Park Road, Mukilteo A, •8 75 late: 4/12/2016 <br /> ided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com Always Verify Scale <br />