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` "Y Jp SVV4 Pte,_ <br />Firm Name: <br />5 wrf ER. TW� j Pl? I NTIuG (XK-PA ' zNC. <br />Street Address: <br />950 S� Fl,ST)rEE T H/ALEA H3-70/0Mailing Address (if different): <br />Telephone No. J QS & — J ?07 Fax No. 3u 5 ^ Sff IQ903 <br />Email Address: FEIN W n"1 FEIN No. JS-� 7b?/_ _ / <br />*'By signing this document the vendor agrees to all Terms <br />Signature: <br />(Signature/6f <br />authorized agentt) <br />Print Name:0(JG r - w <br />r9w <br />Title: CO N 12 v L L El� <br />THE EXECUTION OF THIS FORM CONSTITUTESTHE UNEQUIVOCAL OFFER OF VENDOR TO BE BOUND BYTHE TERMS <br />OF ITS SUBMITTAL. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED <br />REPRESENTATIVE SHALL RENDER THE SUBMITTAL NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE <br />DISCRETION, ACCEPT ANY SUBMITTALTHAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS <br />THE VENDOR TO THE TERMS OF ITS OFFER. <br />City of Sunny Isles Beach I Request to Qualify No. 22-12-01 it, <br />