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<br />STATEMENT OF BIDDER'S QUALIFICATIONS <br /> <br />(To be submitted by the BIDDER ONLY at the time of its Bid) <br /> <br />To allow the OWNER to determine the lowest responsible BIDDER, the following <br />information shall be provided. Attach separate sheets as needed. <br /> <br />1. Name of BIDDER. <br /> <br />2. Type of organization, i.e., corporation, sole proprietor, partnership, etc. <br /> <br />3. Permanent main office address. <br /> <br />4.' When organized. <br /> <br />5. If a corporation, where incorporation. <br /> <br />6. State how many years you have been engaged in the contracting business under <br />your present firm or trade name, and give all other names under which your <br />organization has operated in the last 10 years. <br /> <br />7. State the name of all corporate officers, or partners, or the owners, as appropriate. <br /> <br />8. State the company tax identification number, or, if a sole proprietor, the proprietor's <br />social security number. <br /> <br />9. Contracts on hand: (Schedule these, showing amount of each contract and the <br />appropriate dates and current percent of completion). Provide name, address, and <br />telephone number of the project owner and the engineer. Provide name, address, <br />and telephone number of the project owner and engineer. <br /> <br />10. General character of work performed by your company. <br /> <br />11. Have you ever failed to complete any work awarded to you? If so, provide <br />information about where and why. <br /> <br />12. Have you ever defaulted on a contract? If so, provide information about where and <br />why. <br /> <br />13.' List your important projects recently completed by your company and for whom, <br />stating the approximate cost for each and the month and year completed. Provide <br />name, address, and telephone number of the project owner and engineer. <br /> <br />14. List your major equipment available for this contract. <br /> <br />13 <br />