View RFQ - Loudoun Water
View RFQ - Loudoun Water
View RFQ - Loudoun Water
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<strong>Loudoun</strong> <strong>Water</strong><br />
Request for Qualifications<br />
<strong>RFQ</strong># 2013-057-220A<br />
PART H.<br />
SIGNATURE PAGE<br />
The undersigned hereby certifies under oath that he or she is duly authorized to submit<br />
this Statement of Qualification on behalf of the Applicant and that the information set<br />
forth herein, including any information submitted as an attachment, is true, correct, and<br />
complete in all respects.<br />
_____________________________________<br />
Name of Applicant<br />
_____________________________________<br />
Signature of Authorized Representative<br />
_____________________________________<br />
Name of Representative<br />
_____________________________________<br />
Title<br />
_____________________________________<br />
Date<br />
[Notary Acknowledgements on Following Pages]<br />
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