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GER'C[FIGATIQhlS: The undersigned cectifies thafi he is a.uthocize:d to execute crsnkcacts an <br />b4ti.a[i' af the @idder as (--gat'y rtarned, tftat tf-iis p; QpasaE is subrnitted in good faith without fraud <br />o-; co![usion wifh any ather Bfdder, fhat ttie data ind`€mted befow €s true a-td cornplIete, and tilat <br />the b;d is made En gacrd faith and in fu,( a=rd with State Law. Nodoe or acceptance may be <br />sent ta the undarsigned at gze adaress se€ farth fae(o.w_ <br />Legal Na;ne af 8iddec'. <br />MaCCiCtg ACd('esS: <br />By (LegaE Signafcre);: <br />Narrte Typee~: <br />T-ffie: <br />Total Abatement S.,vstems Corp_ <br />6142 H 27 Ro s Cit ex <br />Jack rrow <br />Vice resident <br />D/ATA OCti[ B[DCxER.: <br />Abatement Cont.racta~s State L%cense. <br />Subcnit Copy of Licerse_ <br />~ K a parMiershcp, lcst aFl p~artners aarrd their atfd~sses. If a cor'porationa aft corporaEe <br />s;eaf: ff bid is signef by other thac~ pre.s€dent or vic: ~~~~dent, attach wrden <br />acthor`sty to bind the cocporation. 6f art indMduat5 then so state. Any modfficabicz~ to a <br />bid shatt be eve~ ~ ~niti~Es, of the person signing. 1he. bid or of an agerit who supplred <br />wrdten au ftrity wfth the ma,dificatiort. <br />T~~ P'qeme h~O, '60-~J;~S <br />Ecz~ .0a.13 <br />;c~~se No. 0107 <br />1'E.g Q12 <br />8'fC? FC)'RM FOR HAZARDOUS MATERVP.LS REtVt!EMA,TICTIX - PAGE 3 <br />