To ensure compliance with this section, please read and complete as appropriate: _____ No, I am not assigning or subcontracting any or all parts of this contract. _____ Yes, I am assigning or subcontracting any or all parts of this contract. _____________________________ NAME OF CONTRACTOR ENTITY ______________________________ Signature _____________________________ Printed Name of Authorized Representative ______________________________ Date STATE OF FLORIDA COUNTY OF __________ Sworn to and subscribed before me this ____________ day of __________ by ________________________________ (name of person making statement) _______________________________ Notary Public Personally known _______ ...
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