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SERVICE PROVIDER:Please fill in the spaces and sign in the box appropriate for your business <br /> entity. <br /> Corporation <br /> Full Legal Name Advisicon,Inc. <br /> Signature: <br /> C7--------Z14.1/1, <br /> Name of Signer: Tim Runcie <br /> Title of Signer: President <br /> Partnership <br /> Full Legal Name: <br /> Signature: ,Partner <br /> Name of Signer: <br /> Sole Proprietor <br /> Signature: , Sole Proprietor <br /> Name: <br /> Limited Liability Company <br /> Full Legal Name <br /> Signature: ,Managing Member <br /> Name of Signer: <br /> At the sole discretion of the City,the City may consent to the Service Provider's signature on this <br /> Agreement being by email,fax,photocopy,pdf or other electronic means, in which case such Service <br /> Provider signature will be deemed an original signature for all purposes. The City will be deemed to <br /> have given such consent effective upon execution of this Agreement by the Mayor of the City. <br /> Page 3 of 4 <br /> Standard Document Approved 10.9.18/Office of City Attorney <br />