Packet: Tiffin Regular City Council Meeting (04/21/2026)

PROPOSAL (CONT.) Project Name: Roberts Ferry Road & Village Drive Traffic Signal Improvements PROPOSAL: PART G – IDENTITY OF BIDDER The Bidder shall indicate whether the bid is submitted by a/an: Individual, Sole Proprietorship Bidder Partnership Corporation Signature Limited Liability Company By: Name (Print/Type) Joint-venture: all parties must join-in and execute all documents Title Other Street Address The Bidder shall enter its Public Registration Number ___ ___ ___ ___ ___ - ___ ___ issued By the Iowa Commissioner of Labor Pursuant City, State, Zip Code Section 91C.5 of the Iowa Code. Telephone Number Type or print the name and title of the company’s owner, president, CEO, etc. if a different person than entered above. Failure to provide said Registration Number shall result in the bid being read under advisement. A contract will not be executed Name until the Contractor is registered. Title NOTE: The signature on this Proposal must be an original signature in ink; copies, facsimiles, or electronic signatures will not be accepted. Proposal PP-4 Roberts Ferry Road & Village Drive Traffic Signal Improvements