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DocuSign Envelope ID: B94F2D40-3B3C-47A7-86C2-6F1 1341`92C62C <br /> DOCUMENT 00 42 13 BID FORM--SINGLE PRIME(ALL TRADES)CONTRACT <br /> The undersigned contractor also states that he is certified through IICRC to perform the work identified throughout the <br /> documents. <br /> SUBMISSION OF BID <br /> Respectfully submitted thisday o 20 11 By: - � wt C3rv1iCL-a j V?G <br /> (Name of g firm or rporation) <br /> Witness; By; <br /> at <br /> h � <br /> (Type or print name) <br /> Title; ilolu',$r. ,-r— <br /> (OwmerlPartnerlPreSldentMre Pres.) <br /> Attest: Address: 72 3-7 <br /> By. W k1. f N c-4 2717 7 <br /> Title: Phone; --�{y9 <br /> (Corpo ate Secretary or Assistant Sec tary Only) <br /> Fax; <br /> License, <br /> '? 3 <br /> Federal ID No.: � <br /> �QMl <br /> (A a 7� <br /> h <br /> END OF DOCUMENT 00 4213 <br />. s ♦y(.1 <br /> 9SS�R MP <br /> dBOOMERANG DESIGN 00 42 13-2 610 Meadowlands Drive,Hillsborough,NC <br /> BD#1836 ORANGE COUNTY,NC 12107/2018 <br /> ADDENDUM#1 <br />