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Please furn <br />will be kep <br />qualificatio <br /> <br />3. <br />6. <br />7. <br />g. <br />9. <br />10. <br />CONTFrA <br />ish the information requested belo <br />: in our files and will be confidenti <br />ns of the contractor on this project. <br />Name, address, phone number, and <br />TOR APPLICATION <br />. Attach additional sheets as needed. This information <br />l. Our office will use such inforniation only to verify the <br />'ederal I.D. number. 'pt-74d, Cf'03 7<'s"S <br />Fiar i 64f - <br />Type of organization, i.e., corporati <br />pn, sole proprietor, partnershi , etc. <br />When organized. .5'r~) <br />If a corporation, where incorporate <br />State how many years you have be <br />firm or trade name, and give all ot <br />the last 10 years. <br />. <br />n engaged in the contracting business under your present <br />er names under which your organization has operated in <br />State the name of all corporate ;offi <br />Y 4... 4-~ ~ lzd ti-( r I <br />ers, or partners, or the owners, as appropriate. <br />l2. <br />t ' <br />(Z <br />List the type of construction perf <br />new home construction, maj or;con <br />rnled within the past 12 months, i.e., home remodeling, <br />truction, etc.,~~~_~L-~ <br />Have you ever failed to complete <br />e <br />Have you ever defaulted on a cont <br />ny work awarded to you? <br />act? If so, where and why? Cud <br />List the name, address and phon <br />complete. ~ ,4 Di L <br />number of the last three clients in which construction is <br />2. <br />List experience in construction w <br />rk similar in im ortance to this project. <br />T <br />~L;n~►.~~'~~ 1Q ~ <br />~-►.~I ~i~t~ l~N~ ~nl ~ .~C <br />T <br />0, a 0 1 <br />~ <br /> <br />T-- ~ <br />G <br />