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DocuSign Envelope ID: C327FODO-D8DF-4343-B5DB-90853D1ED8AA Exhibit A - RFP E-03-22 <br />Witnesses: <br />(Print or Type Name) <br />(Print or Type Name) <br />STATE OF <br />"CONTRACTOR" <br />(Print or type name of company here) <br />By: <br />Print Name: <br />Title: <br />Business License No. <br />The foregoing instrument was acknowledged before me, by means of ❑ physical presence <br />or ❑ online notarization, this day of , 20_, by <br />as of <br />, a Florida corporation on behalf of the <br />corporation or a Florida limited liability company on behalf of the company. He/she is <br />personally known to me or who has produced <br />(type of identification) as identification. <br />NOTARY'S SEAL: NOTARY PUBLIC, STATE OF FLORIDA <br />(Name of Acknowledger Typed, Printed or Stamped) <br />Commission Number <br />Service contract 11/7/2019 ACP <br />Service Contract Page 12 of 12 <br />