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12. The names of all persons interested in the foregoing Bid as principals are: <br /> (IMPORTANT NOTICE: If Bidder or other interested person is a corporation, give the legal name of <br /> corporation,state where incorporated,and names of president and secretary thereof;if a partnership,give name <br /> of the firm and names of all individual co-partners composing the firm;if Bidder,orpther interested person is Inc.an individual,give first and last names in full),_ &h i bit et-F titt'l� C✓r i in / <br /> �R,ti�i,hard W. n lo++i -- i�/1e, I - - . <br /> ItactLs L, �<<I - cecPe*J <br /> /NAME OF BIDDER) (q h I I ( 1dns\-yui,-k-i art earn Fa 1) ((IC• <br /> Pv CaU n a Cr e-A-5an <br /> licensed in accordance with an act for the registration of Contractors, and with license number: <br /> • rj P <br /> I certify(or deer:i; jkik .,�ty of perjury under the laws of the State of California that the foregoing is true <br /> and correct. i ,t• <br /> at Richard W. Ghiiotti <br /> Signature ofIIiddc. President <br /> NOTE: If Bidder is a corporation,set forth the legal name of the corporation together with the signature of the officer or <br /> officers authorized to sign contracts on behalf of the corporation.If Bidder is a partnership,set forth the name of the firm <br /> together with the signature of the partner or partners authorized to sign contracts on behalf of the partnership. <br /> Business Address: GHILOTTI CONSTRUCTION COMPANY <br /> 246 Ghilottl Avenue <br /> / &antts Rosa, CA 954u7 <br /> Telephone Numbers: 0-101') S'g J— I22-1 <br /> Date of Bid: L9\-1 i it <br /> END OF DOCUMENT <br /> BID FORM <br /> City of Livermore DOCUMENT 00410-PAGE 3 <br /> 0410-.mej-05/05 <br />