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12. Background and experience of the principal members of your organization, including the <br />officers and the proposed project manager. n~~~~ /-2 ~f,C ~ L ~T <br />13. List two major suppliers from whom you purchase the majority of your supplies. <br />~r-"_/=l~ `7 - ~ t~ l ~ r J~ • ,r ~ : /~T= - ~-L=71 f-S ( L ~b <br />14. List two financial institutions with which you have established credit. <br />15. State the name, address and phone number of each of your Workmen's Compensation <br />insurance carriers for the last 5 years. <br />16. List any claim made against you by your employees or third parties for personal injury, <br />death, or property damage in each of the last 3 years. <br />17. List any and all litigation including arbitration, administrative proceedings, and mediation in <br />which you have been a plaintiff or defendant involving any owner, architect or engineer over <br />the past 5 years This list should be in sufficient detail to explain the positions of the various <br />parties and the ultimate outcome as to damages awarded (if any). This list shall be <br />considered material as respects the final awarding of any contract connected with the bid. <br />(state "none" or submit information on attached sheet. <br />18. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish <br />any information requested by the OWNER in verification of the recitals comprising this <br />Contractor Application. <br />Dated at this Z ~-G> day of 2010. <br />Narne of Bidder <br />; <br />By: <br />Title: ~ ,I1 f F/v ~ l~ <br />