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Accompanying this proposal isra Certified Check, Cashier's Check, or Bidder's Bond from <br />LCY PipI yya~~- of ►Y vY Qty (City /State) <br />me of Surety) <br />in the amount of <br />dollars <br />Y-0 r being 10 % of the amount bid according to the conditions of the Call for Bids and <br />(in figures) <br />Specifications. <br />lfthis proposal should be accepted by the City and the undersigned should fail to execute a satisfactory contract <br />and bond within ten (10) days from the date of notification, then the City may, as stated in the specifications, determine <br />that the undersigned has abandoned the contract and thereupon this proposal shall be null and void, and the certified <br />check, cashier's check or Bidder's bond accompanying this proposal shall be forfeited to and become the property of the <br />City. Otherwise, the certified check, cashier's check or Bidder's bond accompanying this proposal shall be returnedto the <br />undersigned. <br />The full name and residence of all parties and persons interested in this bid as principals are as follows: <br />NAME <br />RESIDENCE <br />~2+-4--~n ~o'~I~ oZ~7S~ ~r e ~-N• <br />~Lt ~~D ►F~I'' f«t <br />The name and business address of the surety company which will furnish the required performance and payment <br />bonds is 0t Ck~ <br />Itize ESQ . (sue 5 3 Zal <br />All General and Specialty Construction Contractors must have a valid Certificate of Registration with the <br />Construction Contractor Board/State Landscape Contractors Board in order to submit a Bid or offer to undertake any <br />construction Work in the State of Oregon. (ORS 701.055/ORS 671.530). <br />REGISTRATION NO. ['L- "J 43 EXPIRATION DATE q- 30`io <br />PROPORAT._.TnTT #d61A <br />