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, RETLTRN WTTH BID <br /> DATE June 5 ,2019 <br />� (If an Individual) (SEAL) <br /> Signature of Bidder <br />, Tax ID#: <br /> Business Address & <br /> 1 Email Address <br />' (If a Co-Partnership) <br /> Firm Name (SEAL) <br />' By: <br />' Business Address & <br /> Email Address <br />, Names of All <br /> Members of Firm <br />, <br />, (If a Corporation) <br /> Corporate Name Insituform Technologies USA,LLC (SEAL j <br />' anet Hass, Contracting&Attesting Officer <br /> By: <br /> Vie�-F��s�� <br />, Business Address & <br /> Email Address 17988 Edison Avenue, Chesterfield,MO 63005 <br />' jhass@aegion.com <br /> Names of Officers Charles R. Gordon, President& CEO <br />' President <br />, Mark A. Menghini, Sr. VP, General Counsel & Secretary <br /> Secretary <br />� enneth L. Young, Sr. VP, Treasurer& Controller <br /> Treas rer <br />' Attest: Y <br /> � <br />' �� <br /> istlanda Adkins, Cont cting&Attesting Officer <br />, 16 <br />