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Fort Walton Beach Council agenda — 12-24-2010 Regular — reading text
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Addendum No. Dated
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FAILURE TO SUBMIT ACKNOWLEDGMENT OF ANY ADDENDUM THAT AFFECTS THE BID c
PRICES IS CONSIDERED A MAJOR IRREGULARITY AND WILL BE CAUSE FOR REJECTION OF r
THE BID. T-
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NAME OF BUSINESS a
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BY:
Signature co
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NAME & TITLE ( type or print)
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MAILING ADDRESS U.
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CITY, STATE, ZIP CODE O
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TELEPHONE NUMBER
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FAX NUMBER
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DATE s
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Packet Pg. 27
8.3. b -]
REFERENCES
Bidder shall submit as a part of the bid package, four ( 4) business references with name of the
business, address, contact person, and telephone number. All references shall be for similar work
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that has been performed within the last five (5) years. a
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Name: Name: a
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Name: Name:
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Address: Address:
Telephone: Telephone:
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8. 3. b
NO BID" RESPONSE TO INVITATION TO BID
IF YOU ARE NOT SUBMITTING A BID, PLEASE PROVIDE THE INFORMATION BELOW
AND RETURN THIS FORM BEFORE THE SCHEDULED BID OPENING DATE TO: L
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Purchasing Agent U
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City of Fort Walton Beach
P. O. Box 4009
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Fort Walton Beach, FI 32549
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Or by fax to (850) 833 -9643
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FAILURE TO RESPOND TO THREE ( 3) CONSECUTIVE BIDS MAY RESULT IN YOUR COMPANY
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BEING DELETED FROM THE CITY' S BIDDER' S LIST. E
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We have received your invitation to bid for Removal of Digester Covers at Sewer Plant, ITB No.
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11 -004, Opening at 2: 30 PM, on November 9, 2010. Reason for not bidding:
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Company Name
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Packet Pg. 29
8.3. b
Drug -Free Workplace Form
The undersigned vendor, on _ 2010, in accordance with section 287. 087, Florida L
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Statutes, certifies that [ business] does: 0
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Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,