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<br /> <br />t)dDl '-SLtLG ~ooi~b;~ :;l.,LZ--/e ;;2'70 <br />Street Address: I <br />~ \(}.LLl, ~ ~n' J().- '3 3 ) ':?,.l.(? <br />Mailing Address (if differenh <br />~ As AboJ0 <br /> <br />Telephone No. 306,2,,(0 z - J 2- q 2- Fax NO.'3()() ~ '2& 2 - q 32.2- <br />Email Address:OIW)~tljtulb~\\JI-tlCllrh~oi~~INNO.fJ()-.0lJ!1;~J;;J!! <br /> <br />* "By signing this docu7t the bidder agrees to all Terms <br />Signature: ' '/' <br /> <br /> <br />(Signatur 1Jt rized agent) <br />Print Name: 0 (<. \ A-1\jr:to J\,10J0tti~tdo <br /> <br />Title: 0'p I 'Twd Se.~UiC<2~ b JI<SIOr-J <br />I <br /> <br />THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO <br />BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE <br />INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL <br />NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY <br />PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE <br />PROPOSER TO THE TERMS OF ITS OFFER. <br /> <br />City of Sunny Isles Beach I Request for Proposal No. 12-03-02 ~ <br />IL5 G\DfJLLC- d-[blCl Q/A'&<f)l"c!- CA-kr~rs I Ct.;;€. rXtj- <br />