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DocuSign Envelope ID:29F350EB-C553-4EEB-BD97-898B3775EE03 <br /> i <br /> DOCUMENT 00 42 13 1310 FORM—SINGLE PRIME(ALL TRADES)CONTRACT <br /> ACKNOWLEDGEMENT OF ADDENDA <br /> The undersigned Bidder acknowledges the receipt of and use of the following Addenda in the preparation of this Bid: <br /> Addendum No. 1,dated 61:i <br /> Addendum No,2,dated 02- <br /> � <br /> Addendum No,3,dated <br /> BID SUPPLEMENTS <br /> Attached to this Bid Form and incorporated herein are the following documents,completed in full by the undersigned: <br /> Bid Form Supplement-Minority Business Participation-Affidavit of Good Faith Effort <br /> Bid Form Supplement-Allowances <br /> Bid Form Supplement-Alternates <br /> Bid Form Supplement-Unit Prices <br /> Bid Form Supplement-Bid Security <br /> Bid Form Supplement-E-Verify Affidavit <br /> CONTRACTOR'S LICENSE <br /> The undersigned further states that he is a duly licensed Contractor,for the type of work proposed,in the State of North <br /> Carolina,and that all fees,permits,etc.,pursuant to the submission of this proposal have been paid in full. <br /> SUBMISSION OF BID <br /> Respectfully submitted this day of 20� By: �C '�tY4fC ►�OYI�jD <br /> (Na 5b ding fi or lion) <br /> Witness: By: j <br /> (Signature) <br /> (Type or paint name) j <br /> Title: <br /> artnedPresident/Vice Pres.) <br /> ,�re Ls.)t /) <br /> Attest: Address: Ito P�KXi'TOY► ilt fW, <br /> 'rite: Phone: IM <br /> (Corpo ate Secretary or Assistant cretary Only) <br /> Fax <br /> License: <br /> Federal ID No.: �' r<� `!1'✓ <br /> (Affix Corporate Seal Here) <br /> END OF DOCUMENT 00 4213 <br /> w <br /> Q1300MERANG DESIGN#1316 004213-2 Cedar Grove Community Center <br /> Orange County 11/11/14 <br /> i <br />