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<br />City of Sunny Isles Beach |Request for Qualifications No. 16-12-01 27 <br /> <br />Firm Name: <br /> <br />_____________________________________________________________________________ <br />Street Address: <br /> <br />_____________________________________________________________________________ <br />Mailing Address (if different): <br /> <br />_____________________________________________________________________________ <br /> <br /> <br />Telephone No. _______________________________Fax No. _________________________ <br /> <br />Email Address: _______________________________FEIN No. __/__-__/__/__/__/__/__/__ <br /> <br /> <br /> <br /> <br />*“By signing this document the Responder agrees to all Terms <br /> <br />Signature: <br /> <br />__________________________________________________________________ <br />(Signature of authorized agent) <br /> <br />Print Name: _________________________ <br /> <br /> <br />Title: _________________________________________ <br /> <br /> <br />THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF FIRM TO BE <br />BOUND BY THE TERMS OF ITS SUBMISSION. FAILURE TO SIGN THIS SOLICITATION WHERE <br />INDICATED ABOVE BY AN AUTHORIZED REPRES ENTATIVE SHALL RENDER THE SUBMISSION <br />NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY <br />SUBMISSION THAT INCLUDES AN EXECUTED DOCUMENT, WHICH UNEQUIVOCALLY BINDS <br />THE FIRM TO THE TERMS OF ITS OFFER. <br />