44Page 1 of 1 PARTICIPATION Statement of Intent to Contract and t Project Name Bidder or Proposer146s Company NameMarkB Business information for contract at ANY tier Mark all that apply Name ID: 874727
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4 4 Franklin County Page 1 of 1 PARTICIPATION Statement of Intent to Contract and t: _________________________________________________ Project Name: _________________________________________________ Bidder or Proposers Company Name: Mark B. Business information (for contract at ANY tier) Mark all that apply: Name: Address: SEBE Contact C. Certification of Intent By signing below, the Bidder or Proposer certifies that it intends to cont and /100 dollars ( $ he event the named Bidder or Proposer is NOT awarded a Contract, this Statement shall be null and void. Name and Title Date Signed Business Bidder or Proposer Authorized Signature Name and Title Date Signed END OF DOCUMENT