Bid Form (Sample Guideline) Page 2
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Bid Form Continued..
PD______________
(Project Name)
Demolition Contractor
Underground Utility/Excavation State
Electrical, State Certified
Registered
Electrical, State Registered
Underground Utility/Excavation State
Electrical, Escambia County Contract
Certified
Only
Other
General Contractor, State Certified
Other
General Contractor, State Registered
Other
Other
General Contractor
License #
Lawn Sprinkler & Irrigation
Marine Contractor
Name Under Which License is Recorded
Mechanical Contractor, State Certified
Mechanical Contractor, State
Print or Type
Registered
Mechanical Contractor
I certify that:
Mechanical, Escambia County Contract
•
I
have
examined
the
plans
and
Only
specifications
Roofing, Unlimited, State Registered
•
I hold the necessary license to perform
Roofing, Unlimited, State Certified
the work indicated in the plans and
Roofing, Limited
specifications
Roofing, Unlimited
•
My license is current and meets all of
Sign Electrical Contractor, State
the requirements of the Escambia
Registered
Competency Board
Sign Electrical Contractor, State
Certified
Steam Gen. Boiler/And Piping
Original Signature
Tower/Antenna
State of Florida Department of State
Certificate of Authority Document Number
Occupational License No.
Terms of Payment (Check one)
Proposer:
Net 30 Days ___
2% 10th Prox___
Other ___
By:
Will your company accept Escambia County
Signature:
Purchasing Cards?
Yes
No
Title:
Will your company accept Escambia County
Address:
Direct Payment Vouchers?
Yes
No
County Permits/Fees required for this
project:
Person to contact concerning this bid:
Permit
Cost
H:PRMAST_DOCUniformContractVolIBIDFORM_C.doc
(Revised 06/17/03) Page 2 of 4
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