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<br /> <br /> <br /> <br /> <br /> I rerracon <br /> ADDITIONAL ITEMS REQUIRED WITH BID: The following items are additionally required as <br /> part of this bid submittal. <br /> <br /> 1. INSURANCE CERTIFICATES. <br /> <br /> 2. CONTRACTOR'S QUALIFICATION STATEMENT: Completed AIA Document A305. <br /> <br /> 3. A notarized statement, signed by an officer of the company, containing the following <br /> information of a statement of negative of the same: <br /> a) A record of citations issued by Federal, State, or Local regulatory agencies relating <br /> to asbestos, fungal(mold) and lead paint abatement activity for the Contracting <br /> company and any and all affiliate. Include projects, dates and resolutions. <br /> <br /> b) Situations in which an asbestos, fungal and lead related contract has been <br /> terminated including projects, dates and reasons for terminations. <br /> <br /> c) A listing of any asbestos, fungal or lead -related legal proceedings/claims in which <br /> the Bidder (or employees scheduled to participate in this project) have participated or <br /> are currently involved. Include descriptions of role, issue and resolution to date. <br /> 4. Name of supervisor and/or supervisors who will work on the project. Include a detailed <br /> description of his/her experience with references and years of experience. <br /> <br /> 5. Contractor will provide the name and appropriate permit information of the waste <br /> transporter and their insurance certificate. <br /> <br /> 6. Contractor will provide the name of the landfill at which the asbestos, fungal and lead <br /> waste will be disposed. <br /> <br /> END OF BID FORM <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 1 <br /> 'Kyle Burroughs <br /> Texas Licelns(No~10-5095 <br /> Expires )~:09.13 <br /> BID FORM FOR HAZARDOUS MATERIAL ABATEMENT - PAGE 4 <br /> <br /> <br /> <br /> <br /> - 123 <br />