Finance Committee - Agenda - 2/1/2017 - P97

A Corporation

Corporation Name: (SEAL)

Date and State of Incorporation:

List of Executive Officers

Name Title

Type (General Business, Professional, Service, Limited Liability):
By:

(Signature -- attach evidence of authority to sign)

Name (typed or printed):

Title: (Corporate Seal)
Attest:

(Signature of Corporate Secretary)

Business Address:

Phone No.: Fax No.:

Date of Qualification to do business is

A Joint Venture

Bid Form

Joint Venture Name: (SEAL)

Date and State of Organization:

Name, Address and Form of Organization of Joint Venture Partners: (Indicate managing partner

by an asterisk *)

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