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Johnson Engineering Inc.
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(16-12-01) Professional Planning and Zoning Cosult Svcs
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Johnson Engineering Inc.
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1/4/2017 2:41:58 PM
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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 REPRESENTATIVE 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 /> <br />Johnson Engineering, Inc. <br />6941 SW 196th Ave. Ste. 32, Pembroke Pines, FL 33332 <br /> (954) 626-0123 (239) 334-0046 <br />mdickey@johnsoneng.com 5 9 1 1 7 3 8 3 4 <br />Vice President <br />Michael S. Dickey, P.E.
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