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RFP No. 14-11-01 NE 174th St. Roadway Improvements
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6/14/2017 4:14:46 PM
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Trench Safety Act (Chapter 553.60-553.64, Florida Statutes). The bidder further <br />identifies the costs to be summarized below*: <br /> <br /> <br /> Trench Safety Units of Unit Extended <br /> Measure Measure Quantity Unit Cost Cost <br /> <br />A. <br /> <br />B. <br /> <br />C. <br /> <br />D. <br /> <br /> TOTAL: <br /> <br />Method of Compliance (Specify) <br /> <br /> <br /> <br /> Date: , 19__ <br /> <br /> <br /> NAME OF AFFIANT <br /> <br />SWORN to and subscribed before me this <br /> <br /> day of , 20__. <br /> <br /> <br /> <br />NOTARY PUBLIC, State of Florida at Large <br /> <br />(Notary Seal) <br /> <br />My Commission expires: _________________________________________________ <br /> <br />*Bidders: Add extra sheet(s), if needed. <br /> <br />If Bidder fails to complete and execute this sworn statement/affidavit, his Bid may be <br />declared non-responsive and rejected by CITY OF SUNNY ISLES BEACH. <br /> <br />END OF SECTION <br /> <br />City of Sunny Isles Beach <br />NE 174th Street Roadway Improvements <br />00458-2 Bidder’s Affidavit in Compliance <br />With Florida Trench Safety Act <br />14-1758 / 09-19-2014 <br />
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