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Please furn. <br />will be kep, <br />qualificatio <br /> <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />CONTRA <br />,sh the information requested belo I <br />: in our files and will be confidenti~l <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 />. Our office will use such information only to verify the <br />'ederal I.D. number. `P~40, q'0 :3 `Z4's~-5 <br />A-1- <br />Ls I X <br />Type of organization, i.e., corporatip <br />n, sole proprietor, partnershi , etc. <br />- W g [ f>- . <br />When organized. .5'r')-1 <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 />~ <br />State the name of all corporate offi <br />ers, or partners, or the owners, as appropriate. <br />t <br />2 <br />List the type of construction perf <br />new home construction, majorcon <br />rnied within the past 12 months, i.e., home remodeling, <br />truction, etc. ~~[7YY7 L= C''D7,,✓xf S 1 <br />Have you ever failed to compl"ete <br />Have you ever defaulted on a cont <br />ny work awarded to you? Md <br />act? If so, where and why? <br />~ <br />List the name, address and phon <br />complete. <br />number of the last three clients in which construction is <br />List experience in construction w <br />oe~' <br />Irk similar in im ortance to this Project. <br />^ A- <br />-;77 <br /> <br />~~~i.~-~~~ <br />