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Agreement and Insurance Certification

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We have reviewed the standard agreement for Engineering orArchitectural or Landscape Architectural Services that are required for the project listed below, and hereby certify that we will, if selected for the project, enter into this standard agreement for this project and meet all insurance requirements listed therein.

This Certification is intended for the use of the City of Albuquerque only, in conjunction with the award of the Engineering or Architectural or Landscape Architectural Services Agreement for Project:

 

Project Name  ______________________________________________________________________

 

Project Number ________________

 

Date _______________________   Firm Name ____________________________________________

 

Signature  ________________________________________________________

 

Title _____________________________________________________________

 

STATE OF NEW MEXICO            )
                                             )  ss.
COUNTY OF BERNALILLO        )

 

The above Certification was subscribed before me, the undersigned authority, by:

 

_______________________________________________________________,

 

who swore upon oath that this Certification was signed of free act and deed, on this

 

_______ day of ___________________, 20_____.

 

_______________________________________________________________

(Notary Public)

 

My commision expires: __________________________

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