| Location: | Georgia |
|---|---|
| Posted: | Aug 17, 2026 |
| Due: | Sep 11, 2026 |
| Agency: | State Government of Georgia |
| Type of Government: | State & Local |
| Category: |
|
| Solicitation No: | PE-72155-NONST-2027-000000203 |
| Publication URL: | To access bid details, please log in. |
| Event ID | Event Title | Government Entity | Start Date (ET) | End Date (ET) |
| PE-72155-NONST-2027-000000203 | 26-176 Geotechnical Testing Services for Construction Projects | Augusta, City Of |
Aug 16, 2026 @ 11:16 PM
|
Sep 11, 2026 @ 11:00 AM
|
Start Date: Aug 16, 2026 @ 11:16 PM ET
End Date:
Sep 11, 2026 @ 11:00 AM ET
Augusta is seeking proposal from firms for the geotechnical testing services for construction projects for the Utilities Department.
| Code | Description |
| 84581 | Soil Testing Equipment, For Determining Permeability, Resistivity, Soil Chemistry, etc. |
| 84571 | Civil Engineering & Materials Testing Equipment |
| 92690 | Subsurface Testing, Environmental |
| 91275 | Quality Control Testing Services for Construction |
| 91216 | Boring, Drilling, Testing, and Soundings Services, Including Concrete Coring |
| 96148 | Laboratory and Field Testing Services, Including Hazardous Waste, (Not Otherwise Classified) |
| 90783 | Testing Services |
| 95885 | Soil and Land Management Services, Including Testing, Protection, Preparation, Planning, etc. |
| 92546 | Geotechnical Engineering |
| 90742 | Geotechnical - Soils |
Nancy Williams
nwilliams@augustaga.gov
706 821 2888
Request For Proposal #26-176
August 16, 2026
For the provision of
Geotechnical Testing Services for Construction
Projects
For
Augusta, GA On behalf of the Augusta
Utilities Department
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
One Original and One Electronic Version of RFP
on a USB Drive shall be submitted
Andy Penick
Procurement Director
535 Telfair Street, Suite 605
Augusta, Georgia 30901
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 1 of 58
Request for Proposal
Sealed proposal will be received at this office until Friday, September 11, 2026 @ 11:00 a.m. RFP
openings are open to the public in the Procurement Department located at 535 Telfair Steet, Suite
605, Augusta, GA 30901 and additional via Microsoft Teams: Meeting ID: 261 329 840 144 800;
Passcode: 9Tb3jC6z for furnishing:
RFP #26-176 Geotechnical Testing Services for Construction Projects for Augusta, GA - Augusta Utilities
Department
All submittals must be received during our normal office hours from 8:30 a.m. to 5:00 p.m., Monday
through Friday. No bids may be withdrawn for a period of ninety (90) days after bids have been
opened. No submittal will be accepted by email. Deliver bids to the location specified.
RFP documents, and all Addenda, may be viewed on the Augusta, Georgia website under the
Procurement Department ARCbid menu (https://www.augustaga.gov/681/ARCBid), Euna OpenBids
(https://network.demandstar.com) and Georgia Procurement Registry website located at
(https://ssl.doas.state.ga.us/gpr/index). Bidders must mark the RFP number on the outside of the
submittal envelope. Addenda will also be posted on the above listed website.
All questions, request for clarifications or interpretations must for this proposal must be submitted in
writing by electronic email to procbidandcontract@augustaga.gov to the Procurement Department
on or before the close of business Friday, August 28, 2026 @ 5:00 P.M.
Questions, request for clarifications, or interpretations regarding this propopsal, must be submitted to
the Procurement Department in writing noted below:
Augusta Procurement Department
Attn: Ms. Tywanna Scott
535 Telfair Street - Room 605
Augusta, Georgia 30901
Phone: 706-821-2422
Email: procbidandcontract@augustaga.gov
Bidders are cautioned that acquisition of the proposal documents through any source other than the
office of the Procurement Department is not advisable. Acquisition of proposal documents from
unauthorized sources placed the bidder at the risk of receiving incomplete or inaccurate information
upon which to base his qualifications.
Publish:
Augusta Chronicle August 13, 20, 27, 2026
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 2 of 58
| 1. Go to: https://teams.microsoft.com/meet/261329840144800?p=luJnp8qDLhroW5OimG |
|---|
| 2. Meeting ID: 261 329 840 144 800 |
| 3. Passcode: 9Tb3jC6z |
RFP OPENINGS:
All RFP openings are open to the public, either in person in the Procurement Department located at 535 Telfair
Steet, Suite 605, Augusta, GA 30901, or teleconferencing. Augusta uses the Microsoft Teams application for
those wanting to attend virtually. The application is free to use. The RFP Opening is Friday, September 11, 2026
at 11:00 a.m.
Follow these instructions to attend virtually via TEAMS:
1. Go to: https://teams.microsoft.com/meet/261329840144800?p=luJnp8qDLhroW5OimG
2. Meeting ID: 261 329 840 144 800
3. Passcode: 9Tb3jC6z
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 3 of 58
INSTRUCTIONS TO SUBMIT
1.1 Purpose: The purpose of this document is to provide general and specific information for use by bidders in submitting
a bid to supply Augusta, Georgia with equipment, materials, supplies, and or services as listed above. All bids are
governed by the Augusta, Georgia Code
1.2 Viewing the Augusta Code: All bids are governed and awarded in accordance with the applicable federal and
state regulations and the Augusta, Georgia Code. To view the Code visit Augusta's website at www.augustaga.gov
or http://www.augustaga.gov/index.aspx?NID=685 Guidelines & Procedures.
1.3 Compliance with laws: The Bidder shall obtain and maintain all licenses, permits, liability insurance, workman's
compensation insurance and comply with any and all other standards or regulations required by federal, state or
Augusta, Georgia statute, ordinances, and rules during the performance of any contract between the Bidder and
Augusta, Georgia. Any such requirement specifically set forth in any contract document between the Bidder and
Augusta, Georgia shall be supplementary to this section and not in substitution thereof.
1.4 Bids For All Or Part: Unless otherwise specified, County reserves The Right To make an award(s) for all Items, or
categories, or specific line items, to one or more bidders. Bidder may restrict their bid to consideration in the
aggregate by so stating but must name a unit price on each item submitted upon.
1.5 Any protests shall be made in writing to:
Attn: Andy Penick
Procurement Director
535 Telfair Street, Suite 605
Augusta, GA 30901
Email: procbidandcontract@augustaga.gov
1.6 Local Bidders Preference: The Local Bidders Preference policy shall only be applied to projects of one-hundred
thousand dollars ($100,000) or less and only when the lowest local qualified bidder is within 10% or $10,000,
whichever is less of the lowest non-local bidders.
1.7 Augusta, Georgia License Requirement: For further information contact the License and Inspection Department at
(706) 312-5050.
General Contractors' License Number, If applicable, is required in accordance with O.C.G.A. 43-41, or be
subjected to penalties as may be required by law.
(Utility) Contractor License Number: If applicable, is required in accordance with O.C.G.A. 43-14, or be subjected
to penalties as may be required by law.
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 4 of 58
| NOTICE TO ALL BIDDERSS |
|---|
| Exhibit A - Bidders Information, is a consolidated document consisting of: | |
| 1. Copy of Business License | |
| 2. W-9 Form | |
| 3. Acknowledgement of Addenda (if any) | |
| 4. Statement of Non-Discrimination | |
| 5. Non-Collusion Affidavit of Prime Bidder/Offeror | |
| 6. Conflict of Interest Statement | |
| Exhibit B - Contractor Affidavit for E-Verify | |
| Bidder's must provide their E-Verify affidavit along with their bid on the attached form. E-Verify User ID Number must | |
| be provided. | |
| Exhibit C - Systematic Alien Verification for Entitlements Program | |
| Business License Requirement: Bidder must be licensed in the Governmental entity (state or local) for where they | |
| do the majority of their business. The company's business license number must be provided. If your | |
| Governmental entity does not require a business license, your company will be required to obtain an Augusta, | |
| GA business license if awarded a contract. For further information contact the License and Inspection | |
| Department phone number (706) 312-5050. | |
NOTICE TO ALL BIDDERSS
Exhibit A - Bidders Information, is a consolidated document consisting of:
1. Copy of Business License
2. W-9 Form
3. Acknowledgement of Addenda (if any)
4. Statement of Non-Discrimination
5. Non-Collusion Affidavit of Prime Bidder/Offeror
6. Conflict of Interest Statement
Exhibit B - Contractor Affidavit for E-Verify
Bidder's must provide their E-Verify affidavit along with their bid on the attached form. E-Verify User ID Number must
be provided.
Exhibit C - Systematic Alien Verification for Entitlements Program
Business License Requirement: Bidder must be licensed in the Governmental entity (state or local) for where they
do the majority of their business. The company's business license number must be provided. If your
Governmental entity does not require a business license, your company will be required to obtain an Augusta,
GA business license if awarded a contract. For further information contact the License and Inspection
Department phone number (706) 312-5050.
The successful bidder will submit the following forms to the Procurement Department no later than five (5) days after
receiving the "Letter of Recommendation" (Bidder's letter will denote the date forms are to be received)
1. Georgia Sec urity and Immigration Subcontractor Affidavit
2. Non-Collusion Affidavit of Sub-Contractor
3. E-Verify Memorandum of Understanding (MOU)
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 5 of 58
PAGE 1 OF 2
Exhibit A
Augusta, Georgia
ATTN: Procurement Director
535 Telfair Street, Suite 605
Augusta, Georgia 30901
Company Name: _________________________________________________________________________________________________
Street Address: __________________________________________________________________________________________________
City, State, Zip Code: ____________________________________________________________________________________________
Phone: _______________________________________ Email: ____________________________________________________________
Where/How did you hear about this solicitation? __________________________________________________________________
Instructions:
1. Attach a copy of your Business License
2. Attach your Federal W-9 Form.
3. Provide a copy of your General, or other Contractor License, for the following (If applicable),
Utility Contractors License # ________________________________________________
General Contractor License # _______________________________________________
Additional Specialty License # ______________________________________________
4. Acknowledgement of Addenda: (#1) ____ (#2) ____ (#3) ____ (#4) ____ (#5) ____ (#6) ____ (#7) ____ (#8) ___
Check the appropriate box(es)to acknowledge receipt of addenda
Statement of Non-Discrimination
1. The undersigned understands that it is the policy of Augusta, Georgia to promote full and equal business opportunity
for all persons doing business with Augusta, Georgia. The undersigned covenants that we have not discriminated
against on the basis of race, religion, gender, national origin, or ethnicity, with regard to prime contracting,
subcontracting, or partnering opportunities.
2. The undersigned covenants and agrees to make good faith efforts to ensure maximum practicable participation of
local small businesses on the proposal or contract awarded by Augusta, Georgia. The undersigned further covenants
that we have completed truthfully and fully the required forms regarding good faith efforts and local small business
subcontractor/supplier utilization.
3. The undersigned further covenants and agrees not to engage in discriminatory conduct of any type against local small
businesses, in conformity with Augusta, Georgia's Local Small Business Opportunity Program. Set forth below is the
signature of an officer of the proposer/contracting entity with the authority to bind the entity.
4. The undersigned acknowledge and warrant that this Company has been made aware of understands and agrees to
take affirmative action to provide such companies with the maximum practicable opportunity to do business with this
Company;
5. That this promise of non-discrimination as made and set forth herein shall be continuing in nature and shall remain in full
force and effect without interruption;
6. That the promises of non-discrimination as made and set forth herein shall be and are hereby deemed to be made as
part of and incorporated by reference into any contract or portion thereof which this Company may hereafter obtain
and;
7. That the failure of this Company to satisfactorily discharge any of the promises of nondiscrimination as made and set
forth herein shall constitute a material breach of contract entitling Augusta, Georgia to declare the contract in default
and to exercise any and all applicable rights remedies including but not limited to cancellation of the contract,
termination of the contract, suspension and debarment from future contracting opportunities, and withholding and or
forfeiture of compensation due and owing on a contract.
Non-Collusion of Prime Bidder
1. By submission of a bid, the bidder certifies, under penalty of perjury, that to the best of their knowledge and belief:
A. The prices in the proposal have been arrived independently without collusion, consultation, communications, or
agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other
bidders or with any competitor.
B. Unless otherwise required by law, the prices which have been quoted in the proposal have not been knowingly
disclosed by the bidders prior to opening, directly or indirectly, to any other bidders or to any competitor.
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 6 of 58
C. No attempt has been made, or will be made, by the bidders to induce any other person, partnership, or corporation
to submit or not to submit a proposal for the purpose of restricting competition. Collusions and fraud in proposal
preparation shall be reported to the State of Georgia Attorney General and the United States Justice Department.
Conflict of Interest
By submission of a bid, the responding firm certifies, under penalty of perjury, that to the best of its knowledge and belief:
1. No circumstances exist which cause a Conflict of Interest in performing the services required by this Bid, and
2. That no employee of the County, nor any member thereof, not any public agency or official affected by this BID, has
any pecuniary interest in the business of the responding firm or his sub-consultant(s) has any interest that would conflict
in any manner or degree with the performance related to this BID. By submission of a bid, the bidders certifies under
penalty of perjury, that to the best of its knowledge and belief:
A. The prices in the bid have arrived independently without collusion, consultation, communications, or agreement,
for the purpose of restricting competition, as to any matter relating to such prices with any other bidders or with
any competitor.
B. Unless otherwise required by law, the prices which have been quoted in the bid have not knowingly been disclosed
by the bidders prior to opening, directly or indirectly, to any other bidders or competitor.
C. No attempt has been made, or will be made, by the bidders to induce any other person, partnership, or
cooperation to submit or not to submit a bid for the purpose of restricting competition. For any breach or violation
of this provision, the County shall have the right to terminate any related contract or agreement without liability
and at its discretion to deduct from the price, or otherwise recover, the full amount of such fee, commission,
percentage, gift, payment, or consideration.
The undersigned further agrees to submit a notarized copy of Exhibit A, and any required documentation noted as part of
the Augusta, Georgia Board of Commissions specifications which govern this process. In addition, the undersigned agrees
to submit all required forms for any subcontractor(s) as requested and or required. I further understand that my submittal
will be deemed non-compliant if any part of this process is violated.
________________________________ __________________________________________
Signatory Name in Print Company Name
_______________________________ __________________________________________
Signatory's Title Signature of Authorized Officer or Agent
DATE: ___________________________________
SUBSCRIBED AND SWORN BEFORE
ME ON THIS ______ DAY OF
_____________, 202___.
__________________________________ My Commission Expires: ______________
NOTARY PUBLIC (Seal or Stamp)
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 7 of 58
Exhibit B
Contractor Affidavit under O.C.G.A. 13-10-91(b)(l)
The undersigned contractor ("Contractor") executes this Affidavit to comply with O.C.G.A 13-10-91 related
to any contract to which Contractor is a party that is subject to O.C.G.A. 13-10-91 and hereby verifies its
compliance with O.C.G.A. 13-10-91, attesting as follows:
a) The Contractor has registered with, is authorized to use and uses the federal work authorization
program commonly known as E-Verify, or any subsequent replacement program;
b) The Contractor will continue to use the federal work authorization program throughout the contract
period, including any renewal or extension thereof;
c) The Contractor will notify the public employer in the event the Contractor ceases to utilize the
federal work authorization program during the contract period, including renewals or extensions
thereof;
d) The Contractor understands that ceasing to utilize the federal work authorization program
constitutes a material breach of Contract;
e) The Contractor will contract for the performance of services in satisfaction of such contract only
with subcontractors who present an affidavit to the Contractor with the information required by
O.C.G.A. 13-10-91(a), (b), and (c);
f) The Contractor acknowledges and agrees that this Affidavit shall be incorporated into any
contract(s) subject to the provisions of O.C.G.A. 13-10- 91 for the project listed below to which
Contractor is a party after the date hereof without further action or consent by Contractor; and
g) Contractor acknowledges its responsibility to submit copies of any affidavits, drivers' licenses, and
identification cards required pursuant to O.C.G.A. 13-10-91 to the public employer within five
business days of receipt.
_____________________________________________ _______________________________________
Federal Work Authorization User Identification Number Date of Authorization
Name of Contractor Project Name and Number
_____________________________________________ _______________________________________
Signatory Name in Print Signature of Authorized Officer or Agent
_____________________________________________ ____________________________
Signatory's Title Date
SUBSCRIBED AND SWORN BEFORE
ME ON THIS ______ DAY OF _____________, 202___.
__________________________________ My Commission Expires: ______________
Notary Public
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 8 of 58
Exhibit C
Systematic Alien Verification for Entitlements (SAVE) Program
Affidavit Verifying Status for Augusta, Georgia Benefit Application By executing this
affidavit under oath, as an applicant for an Augusta, Georgia Business License or
Occupation Tax Certificate, Alcohol License, Taxi Permit, Contract, or other public benefit
as reference in O.C.G.A. Section 50-36-1, I am stating the following with respect to my bid
for an Augusta, Georgia contract for
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
[RFP Project Number and Project Name]
____________________________________________________________________________________
Print name of person applying on behalf of individual, business, corporation, partnership, or other private entity
____________________________________________________________________________________
[Print/Type: Name of business, corporation, partnership, or other private entity]
1. _________ I am a citizen of the United States.
2. _________ I am a legal permanent resident 18 years of age or older.
3. _________ I am an otherwise qualified alien (8 USC 1641) or nonimmigrant under the
Federal Immigration and Nationality Act (8 USC 1101 et seq.) 18 years of age or older and
lawfully present in the United States.*
In making the above representation under oath, I understand that any person who
knowingly and willfully makes a false, fictitious, or fraudulent statement or representation
in an affidavit shall be guilty of a violation of Code Section 16-10-20 of the Official Code
of Georgia.
_____________________________________________
Signature of Applicant
_____________________________________________
Printed Name
_____________________________________________
*Alien Registration Number for Non-Citizens
NOTARY COMMISSIONING
SUBSCRIBED AND SWORN BEFORE ME ON THIS THE ___________ DAY OF ______________, 20____
________________________________________________________
Notary Public
My Commission Expires: _______________________________ NOTARY SEAL
THIS FORM MUST BE COMPLETED AND RETURNED WITH YOUR SUBMITTAL
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 9 of 58
RFP Item #26-176 Geotechnical Testing Services for Construction Projects
RFP Due: Friday, September 11, 2026 @ 11:00 a.m.
Page 10 of 58
T R A D E S E C R E T S T A T U S A F F ID A V IT
A u g u s ta , G e o rg ia
A ll d o c u m e n ts, d a ta , le tte rs a n d g e n e ra te d in fo rm a tio n re c e iv e d b y A u g u sta , G e o rg ia c o n stitu te s a " p u b lic re c o rd " a n d
is su b je c t to d isc lo su re u n d e r th e G e o rg ia O p e n R e c o rd s A c t ("G O R A "). O .C .G .A . 5 0 -1 8 -7 0 e t se q . H o w e v e r, p u rsu a n t to
O .C .G .A . 5 0 -1 8 -7 2 (a )(3 4 ), "[a n ] e n tity su b m ittin g re c o rd s c o n ta in in g tra d e se c re ts th a t w ish e s to k e e p su c h re c o rd s
c o n fid e n tia l u n d e r th is p a ra g ra p h sh a ll su b m it a n d a tta c h to th e re c o rd s a n a ffid a v it a ffirm a tiv e ly d e c la rin g th a t sp e c ific
in fo rm a tio n in th e re c o rd s c o n stitu te tra d e se c re ts p u rsu a n t to A rtic le 2 7 o f C h a p te r 1 o f Title 1 0 [O .C .G .A . 1 0 -1 -7 6 0 e t
se q .].
O .C .G .A . 1 0 -1 -7 6 1 (4 ) d e fin e s " Tra d e se c re t" a s " ... in fo rm a tio n , w ith o u t re g a rd to fo rm , in c lu d in g , b u t n o t lim ite d to ,
te c h n ic a l o r n o n te c h n ic a l d a ta , a fo rm u la , a p a tte rn , a c o m p ila tio n , a p ro g ra m , a d e v ic e , a m e th o d , a te c h n iq u e , a
d ra w in g , a p ro c e ss, fin a n c ia l d a ta , fin a n c ia l p la n s, p ro d u c t p la n s, o r a list o f a c tu a l o r p o te n tia l c u sto m e rs o r su p p lie rs
w h ic h is n o t c o m m o n ly k n o w n b y o r a v a ila b le to th e p u b lic a n d w h ic h in fo rm a tio n :
A . D e riv e s e c o n o m ic v a lu e , a c tu a l o r p o te n tia l, fro m n o t b e in g g e n e ra lly k n o w n to , a n d n o t b e in g re a d ily
a sc e rta in a b le b y p ro p e r m e a n s b y , o th e r p e rso n s w h o c a n o b ta in e c o n o m ic v a lu e fro m its d isc lo su re
o r u se ; a n d
B . Is th e su b je c t o f e ffo rts th a t a re re a so n a b le u n d e r th e c irc u m sta n c e s to m a in ta in its se c re c y ."
T h e re fo re , th e re c o rd s liste d b e lo w a n d a tta c h e d h e re to , th a t w e re su b m itte d w ith
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ re sp o n se to A u g u sta , G e o rg ia R e q u e st fo r P ro p o sa l, R e q u e st fo r Q u o te , o r R e q u e st fo r
Q u a lifie d C o n tra c to r _ _ _ _ _ _ _ _ _ _ _ _ _ _ a re m a rk e d c o n fid e n tia l p u rsu a n t to O .C .G .A . 1 0 -1 -7 6 1 (4 ):
(L ist sp e c ific in fo rm a tio n th a t th e su p p lie r w ish e s to w ith h o ld a n d h o w th a t in fo rm a tio n c o n stitu te s a *
tra d e se c re t)
A d d itio n a l tra d e se c re t in fo rm a tio n re q u e ste d to b e w ith h e ld *
Y o u r c o m p a n y is re q u e ste d to se n d a re d a c te d c o p y o f y o u r su b m itta l. *
U n d e r p e n a lty o f p e rju ry , a c k n o w le d g in g th a t O .C .G .A . 1 6 -1 0 -7 1 p ro v id e s a p e n a lty o f a fin e o f u p to $ 1 ,0 0 0 a n d p o te n tia l
im p riso n m e n t o f o n e to fiv e y e a rs, I a tte st th a t th e sp e c ific in fo rm a tio n in th e re c o rd s liste d a b o v e c o n stitu te s tra d e se c re ts
p u rsu a n t to O .C .G .A . 1 0 -1 -7 6 1 (4 ), a n d re q u e st th a t A u g u sta , G e o rg ia n o t d isc lo se th is p ro te c te d in fo rm a tio n u n d e r th e
G e o rg ia O p e n R e c o rd s A c t ("G O R A ").
S ig n a tu re :
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[S ig n a to ry N a m e in P rin t] [S ig n a to ry 's T itle ] [C o m p a n y N a m e ]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a te : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[S ig n a to ry 's T itle ]
N O T A R Y C O M M IS S IO N IN G
S u b sc rib e d a n d sw o rn b e fo re m e o n th is _ _ _ _ _ _ _ d a y o f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , 2 0 _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
N o ta ry P u b lic
M y C o m m issio n E x p ire s: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ N O T A R Y S E A L
R E TU R N F O R M O N LY IF A P P LIC A B LE .

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