HomeMy WebLinkAbout1. Name and License Number of the awarded Contractor - 91641BID FORMS
BIDDER ACKNOWLEDGEMENTS
By signing below, the bidder acknowledges and confirms that this bid is based on the information contained
in all contract documents, including the notice to bidders, plans, specifications, special provisions, and
addendum number(s) i (Note: You are responsible to verify the number of
addenda prior to the bid opening.)
The undersigned further agrees that in case of default in executing the required contract, with necessary
bonds, within eight days, (not including Saturdays, Sundays, and legal holidays), after having received a
mailed notice that the contract is ready for signature, the proceeds of the check or bond accompanying his
bid will become the property of the City of San Luis Obispo.
Licensed in accordance with an act providing for the registration of contractors, License No.174655Expiration
Date i 2020 .
The above statement is made under penalty of perjury, and any bid not containing this information "will be
considered non-responsive and will be r er�ted" Y.
Signature of Bidder
I UGK A P& r.S �R6Si��NT
(Print Name and Title of Bidder)
DIR— Public Works
Registration No: i b 00oo 39-79
Business Name (DBA): 3A JG0N �rzcNn►oLOrn r� S �NG
Owner/Legal Name:
Indicate One: DSole-proprietor D Partnership MCorporation
List Partners/Corporate Officers: l..NCK NAS01%JSffiS100%ST
Name Title
Name
Name
Title
Title
Business Address 53(41 ivr,
Street Address Sym r PV 4,30 11r,
Mailing Address S401r. 4S AJSd vfi_
City, State, Zip Code H,,T,,v,,,N 1&4ce t 0A- ?06V
w+ C7►y 891-2323
Phone Number
Fax Number (7(Lt) $9/-2524
Email Address
Date
6, DS 4� 519>VC.O11 • Cor"
512zlootq
BID FORMS
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