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STATEMENT OF BIDDER'S QUALIFICATIONS <br />(To be submitted by the BIDDER ONLY at the time of its Bid) <br />To allow the OWNER to determine the lowest responsible BIDDER, the following <br />information shall be provided. Attach separate sheets as needed. <br />1. Name of BIDDER. ~ ~~~~4 r,,,,, <br />2. Type of organization, i.e., corporation, sole proprietor, partnership, etc. C~~ P. <br />3. Permanent main office address. /X~',~ ~••~` ~ ~"`y~ <br />4. When organized. <br />5. If a corporation, where incorporated. -r~x~~~ <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 />7. State the name of all corporate officers, or partners, or the owners, as appropriate. ~ Q~at i're i <br />8. State the company tax identification number, or, if a sole proprietor, the proprietor's <br />social security number. <br />9. Contracts on hand: (Attach as schedule of these, showing amount of each contract <br />and the appropriate dates and current percent of completion). Provide name, <br />address, and telephone number of the project owner and the engineer. <br />10. General character of work performed by your company. <br />11. Have you ever failed to complete any work awarded to you? If so, provide <br />information about where and why. ti~6 <br />12. Have you ever defaulted on a contract? If so, provide information about where and <br />why. ~J <br />13. List your important projects recently completed by your company and for whom, c~L, of n:~~ aw~ <br />stating the approximate cost for each and the month and year completed. Provide ~~~ °~` 3_~~ `~~ <br />name, address, and telephone number of the project owner and engineer. c;ti ,F uM"`~ °_ <br />14. List your major equipment available for this contract, including the make, model, <br />year, and type of equipment along with its current condition. ~~1~ rkn~k N6E <br />X39 T~.,~r~ L,,..,..;- <br />15. Experience in demolition work similar in importance to this project. ~ ' ~ ~~°~ ,~u~K` <br />S~~ flay ~z rs~..~ i3 <br />16. Background and experience of the principal members of your organization, including <br />the officers and the proposed Project Superintendent. <br />~~ 11 <br />~~-~a~~~e~~~ <br />I p.f'" <br />