J.04_IBWC_Form_110.pdf

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Repair to Penstock #5 Gate Amistad Dam
Solicitation number
191BWC18B0003
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J.04 Form 110

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IBWC Form 110 (ACQ) 12/2015 Previous Editions are Obsolete

CERTIFICATION OF AUTHORITY FOR SIGNING BIDS/OFFERS

Signed this day of , 20

Title of Person Signing

Print Your Name I, , certify that I am the

Official Position of Enter Corporation Name which is the corporation named as the Contractor in the Bid/Offer dated , Date of Bid/Offer pursuant to Solicitation Number dated , Enter Solicitation Number Date of Solicitation issued by the United States Section of the International Boundary and Water Commission.

I additionally certify that , who signed this Bid/Offer on behalf of the of corporation herein named, is the Enter Title of Individual Signing Bid/Offer

Enter Name of Individual Signing Contract of said corporation, that said Bid/Offer was duly signed for and on behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers

Signature of Official (Corporate Seal)

Page of IBWC Form 110 (ACQ) 12/2015 Previous Editions are Obsolete

CERTIFICATION OF AUTHORITY FOR SIGNING BIDS/OFFERS

..\My Pictures\seal-Large.JPG Signed this day of , 20 Title of Person Signing Print Your Name I, , certify that I am the Official Position of Enter Corporation Name which is the corporation named as the Contractor in the Bid/Offer dated , Date of Bid/Offer pursuant to Solicitation Number dated , Enter Solicitation Number Date of Solicitation issued by the United States Section of the International Boundary and Water Commission.

I additionally certify that , who signed this Bid/Offer on behalf of the of corporation herein named, is the Enter Title of Individual Signing Bid/Offer Enter Name of Individual Signing Contract of said corporation, that said Bid/Offer was duly signed for and on behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers Signature of Official (Corporate Seal)

ACQ

Laura Baker Certification of Authority for Signing Bids/Offers 12/14/15 12/14/15

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