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The undersigned hereby certifies the bidder has read the terms of this bid document, and is <br />authorized to bind the firm to the information herein set forth. <br /> <br /> ! <br />Date: <br /> Name of lbirm <br /> <br />Name, Title and Signature <br /> <br />*NOTE: Bid response check off list to be included with this bid item. <br /> <br /> <br />