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(If an Individual) (SEAL) <br /> Signature of Bidder <br /> Tax ID #: <br /> Business Address & <br /> 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 /> (If a Corporation) <br /> Corporate Name Insituform Technologies USA, LLC (SEAL) <br /> By -' y-Janet Hass, Contracting & Attesting Officer <br /> Vice-President <br /> Business Address & 17988 Edison Avenue, Chesterfield, MO 63005 <br /> Email Address jhass@aegion.com <br /> Names of Officers Ralph E. Western <br /> President <br /> Monta M. Bolles <br /> Secretary <br /> John Heggemann <br /> Treasurer <br /> r <br /> Attest: tz , Jana Lause, Contracting & Attesting Officer <br /> Secretary <br /> 17 <br />