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ADDENDUM <br />12. The undersigned Bidder agrees that, in accordance with Document 00 7200 (General <br />Conditions), liquidated damages for failure to complete all Work in the Contract within the <br />time specified in Document 00 5200 (Agreement) shall be as set forth in Document <br />005200. <br />13. 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 <br />name of corporation, state where incorporated, and names of <br />president and secretary thereof; if a partnership, give name of the <br />firm and names of all individual co-partners composing the firm; if <br />Bidder or other interested person is an individual, give first and last <br />names in full. <br />NAME OF BIDDER: LEWIS AND TIBBITTS, INC <br />licensed in accordance with an act for the registration of Contractors, and with license <br />number: 281666 Expiration: 2/28/2022 <br />California <br />(Place of Incorporation, if Applicable) <br />(Principal) <br />Buster Segura, President <br />(Principal) <br />Eddie Renshaw, Vice President <br />(Principal) <br />I certify (or declare) under penalty of perjury under the laws of the State of California that <br />the foregoing is true and correct. <br />(Signature) <br />Its: Buster Segura, President <br />Title (If Corporation: Chairman, President <br />or Vice President) <br />a <br />By: <br />(Signature) <br />Its: Sai Vidya Dieringer, Secretary <br />Title (If Corporation: Secretary, Assistant <br />Secretary, Chief Financial Officer or <br />Assistant Treasurer) <br />NOTE: If Bidder is a corporation, set forth the legal name of the corporation together with the <br />signature of the officer or officers authorized to sign contracts on behalf of the corporation. <br />If Bidder is a partnership, set forth the name of the firm together with the signature of the <br />partner or partners authorized to sign contracts on behalf of the partnership. <br />Business Address: <br />1470 Industrial Ave,San Jose, CA 95112 <br />BID FORM <br />VETERANS MEMORIAL OFFSITE TRAFFIC CALMING — PACKAGE ONE <br />Page 5 of 6 <br />004113-5 <br />