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Accompanying this proposal is a Certified Check, Cashier's Check, or Bidder's Bond from <br />(Name of; ety / ty l tate) <br />in the amount of dollars <br />( 3 e dollar amount in words) <br />5 17 C. 3°T being 10 % of the amount bid according to the conditions of the Call for Bids and <br />(in figures) <br />Specifications. <br />Ifthis 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 ofthe <br />City. Otherwise, the certified check, cashier's check or Bidder's bond accompanying this proposal shall be returned to 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 />Ad <br />The name and business address of the surety company which will finishthe required performance and payment <br />bonds is y~I~~~G ~.C L N f ~~ri?tze~t4 C~ l It fit, LrL `4ti u ( 2%~c,~( 30 <br />(Na ne or Surety Company umber and street address) (City! State! Zip) <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. EXPIRATION DATE A,2 <br />PRAPACA1.-.IAR HArM PAf'T.2 nfA <br />