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Name ofComnanv t�Yj ��Casti,a (J\t�y��i,�� �R�irncf��C <br />Pre -Qualification Category <br />Second Oginion Excavation Special <br />Attach copies of the following docrunents: <br />1. License Number <br />2. Bond letter stating limits for single project and aggregate prog'am <br />3. (Corp. or LLC Only) Corporate authority and/or proof of regishy with the Secretary of State to <br />do business in Indiana <br />Principal Place of <br />Business: <br />j1 <br />p�y�°� -L�dtlrl eUt'k <br />Ld UU Iq <br />Mailing Address: <br />Telephone: <br />Cell: <br />Fax: E-Mail: <br />(V)) <br />Ownership Information <br />CUB <br />13 <br />