HomeMy WebLinkAboutNotarized DocumentTHE OFFEROR ACKNOWLEDGES AND UNDERSTANDS THAT THE
INFORMATION CONTAINED IN RESPONSE TO THIS QUALIFICATIONS
STATEMENT SHALL BE RELIED UPON BY OWNER IN AWARDING THE
CONTRACT AND SUCH INFORMATION IS WARRANTED BY OFFEROR TO
BE TRUE, THE DISCOVERY OF ANY OMISSION OR MISSTATEMENT THAT
MATERIALLY AFFECTS.THE OFFEROR'S QUALIFICATIONS TO PERFORM
UNDER THE CONTRACT SHALL CAUSE THE OWNER TO REJECT THE
PROPOSAL, AND IF AFTER THE AWARD TO CANCEL AND TERMINATE
THE AWARD AND/OR CONTRACT.
Signature
State of Florida County of F 1'
On this the 2- day of 07A7 , 2006, before me, the undersigned Notary Public
of the State pf, Florid , personally ppeared
/
(Name(s) of individual(s) who appeared before notary)
and
whose name(s) is/are Subscribed to the within instrument, and he/she/they
acknowledge that he/she/they executed it. �-..
wa-
/ NOTARY 'U: C STATE OF FLORIDA
NOTARY PUBLIC
SEAL OF OFFICE:
,,,,,,,,,,,
rr E;: Mafia Liliana Lai iegue
; i, MYCOMMiSSION# DD221148 EXPIRES
77 Tune 9, 2007
'Fpx °� BONDED T1IAUTROYFAIN INSIIRANCFINC
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(Name of Notary Public: Prin
Stamp, or Type as Commissioned.)
I;ersonally known to me, or
❑ Produced identification:
(Type of Identification Produced
0 DID take an oath, or 0 DID NOT
take an oath.
OPTIONAL INFORMATION:
Type of Document: Number of Pages: Number of Signatures Notarized:
56