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To: +19037850308 fa)c; +1903785p308 RBgp 2 aP 9 416t20104;43 <br />STA'rEMENT 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 responsibie BIDDER, the f'ollowing information <br />shall be provided,,. ,~itach separate stzeets as needed. <br />1 • Name of BIDDER <br />~t ~l~ L- ~fn;T~ui.;~p^; r.,n.;4y <br />2. Type of arganization, i,e., eotporatian, sole proprietor, partnershiP, etc. <br />n - <br />L r.• ~-p~~c;-`~,; n <br />3. Permanent main of#ice address. <br />'e,e~,V A 7=c? U <br />4• When organrzed. - <br />.i ~='t ` C'9 <br />5- If a cor'oration, whexe incorporated. <br />~ <br />6. State haw many years have you been engaged in the cantracting business under your <br />present fum or trade naine, and give a11 other names under which your otganirat,ton has <br />operated in the lasi 10 years. f . tfrLQ.4 G' <br />C . n t-E < ~ j:n xl <br />e~C.2~~. «n <br />7. State the name of aI1 corporate o~cers, c~r partners, or the awners, as apprnpriate. <br />g. Siate the company tax identification number, or, if a sole proprietor, the proprietor's <br />social secwrity number. <br />5'-f ) 0 y <br />9. Contracts on hand: (Scheduie these, showing annount of each contract and the appropriate <br />dates and cturent percent of completion). Provide name, address, and telephone number <br />of the project owner and the engineer. <br />S +='e ~c "~`tz c l ~ +~r w_`~" • <br />10• General character of work performed by your company. <br />~rl J~F I~ h{/ w: 1 r !-lj[:T -.[?~i_ 4.YtiL•l ,~]i?ttiG 1~ St/iFC'. <br />11, Have you ever failed to complete any work awarded lo you? <br />!~i o 12. Have you ever defauIted on a contract? If so, where and why? <br />W ) <br />13. List yaur impartant projecrs reeently completed by your comparry, and for whom, staCing <br />the approximate cost for each, and the nnonth and year completed_ Provide name, address, <br />and telephone.number of the project owner and engineer. <br />5eG ii,1n~ <br />14. I,ist your major equipment avatlable for this contract. <br />~ TL kev~4ry; Tt, 15 t=, . tk o- ri5~ r.-•,- <br />~ ar,tinna.. <br />15. Experience in construction work sitnilar in importance to this project. <br />16. IIackground and expetience of the principal members of your ozganiralion, including the <br />off cers a,nd the proposed Project Superintendent. <br />j t.'^6: - C,. +t0. c' ~l rrrc'rr i~'~'y <br />a aq - G <br />