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<br /> <br /> <br /> <br /> <br /> The Bidder as pat t of the bid package shaft submit a list of a minimum of five (5) previous <br /> asbestos, fungal and [ead paint abatement projects of a sfmf[ar scopes and size, sucooessfuiiy <br /> completed by the Bidder along with the Oymer's name, address and telephane number. If the <br /> pro s were handled by a consulting firm, the name, address,. contact and telephones number <br /> of the fart shall. also be included. <br /> <br /> LIST FIVE PREVIOUS HAZARDOUS MATERIAL REMEDIATION PROJECTS OF SIMILAR <br /> SCOPE (highlight historical and municipal projects). <br /> <br /> 1 Owner. See Attached Phone No.: <br /> Contract Amount,: Completion Bate:: <br /> Consultant- Phone No.- <br /> <br /> 2. Cyr: Phone, No-: <br /> Contract Amount: Completion Date: <br /> Consultant- Phone loo.: <br /> <br /> 3. sec: Phone loo.: <br /> <br /> Contract Amount: Completion Date: <br /> Consultant: Phone No.: <br /> <br /> 4. Owner. Phone No.: <br /> Contract Amount- Completion Date: <br /> Consultant- Phone NG.: <br /> <br /> 5. Owner Prone No.: <br /> Contact. Amount Completion Gate: <br /> Consultant hone (het.: <br /> <br /> ADDITIONAL ITEMS REQUIRED WITH BID: The following items are additionally required as <br /> part of this raid submittal. <br /> <br /> 1. INSURANCE CERTIR-CATES. <br /> <br /> 2. CONTRACTOR'S QUAUFiCATION ST°A.TEM,ENT- Completed ALA Document A34'5. <br /> <br /> 3. A notarized statement, signed by an office' of the company, containing the follovAng <br /> information of a statement of negative of the saute; <br /> a) A record of citations issued by, Federal, State€ or Local regulatory agencies reEating <br /> to asbestos, fungal mold) and lead paint abatement ae~E * for the Contracting <br /> company and any and all affatiate. tnc Jude projects, elates and resoMions. <br /> <br /> <br /> <br /> kyt~lghs n <br /> 10-509xas 'arse No. 0107 <br /> 'Tt_4Q.t <br /> FOR HAZARDOUS MATERIALS REMEDiAT ON - PAGE 4 <br /> Bf. EC3I W <br /> <br /> - 173 <br />