Finance Committee - Agenda - 6/3/2020 - P178
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
Jomt Venture Name: (SEAL)