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r <br />~ STATEMENT OF BIDDER'S QUALIFICATIONS <br />~ (To be submitted by the BIDDER ONLY upon the request of the OWNER) <br />To allow the OWNER to determine the lowest responsible BIDDER, tlle following iilformatioll <br />~ shall be provided. Attach separate sheets as needed. ~ <br />1. Name of BIDDER <br />~ <br />~ 2. Type of organization, i.e., corporation, sole proprietor, partnership, etc. <br />~ 3. Permanent main office address. <br />4• When organized. <br />5. If a corporation, where incorporated. <br />6. State how many years have you been eilgaged iii the contracting business under your <br />present finn or trade name, and give all other names under which your organization has <br />operated in the last 10 years. <br />7. State the name of all corporate officers, or partners, or the owners, as appropriate. <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: (Schedule these, showing amount of each contract and the appropriate <br />dates and current percent of completion). Provide name, address, and telephone number <br />of the project owner ajld the engineer. <br />10. Genera] character of work performed by your company. <br />11. Have you ever failed to complete any work awarded to you? <br />12. Have you ever defaulted on a contract? If so, where and why? <br />13. List your important projects recently completed by your company, and for whom, stating <br />the approximate cost for each, and the month and year completed. Provide name, address, <br />and telephone number of the project owner and engineer. <br />14. List your major equipment available for this contract. <br />15. Experience in construction work similar in importance to this project. <br />16. Background and experience of the principal members of your organization, including the <br />officers and the proposed Project Superintendent. <br />19 <br />i;0 0". <br /> <br />