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 ORIGINATION FORM Proposed Revisions to the Specifications (Please provide all information - incomplete forms will be returned) Contact the State Specifications Office for assistance in completing this form. Daniel Strickland 850-414-4130 Daniel.Strickland@dot.state.fl.us Rebecca Arcia 850-414-4155 Rebecca.Arcia@dot.state.fl.us Darla Hunsicker 850-414-4114 Darla.Hunsicker@dot.state.fl.us Valencia Cunningham 850-414-4101 Valencia.Cunningham@dot.state.fl.us Date: Office: Originator

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