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1 ferrocon <br />DATA QN BIDDER: <br />Abatement Contractor's State License: <br />Submit Copy of License. <br />~ Ifi a partnership, list all partners and their addresses. If a corporation, affix corporate <br />seal: If bid is signed by other than the president or vice president, attach written <br />authority to bind the corporation. If an individual, then so state. Any modifications to a <br />bid shall be over the initials of the person signing the bid or of an agent who supplied <br />written authority with the modification. <br />The Bidder as part of the bid package shall submit a list of a minimum of five (5) previous <br />asbestos, fungal and lead paint abatement projects of a similar scope and size, successfully <br />completed by the Bidder along with the Owner's name, address and telephone number. If the <br />projects were handled by a consulting firm, the name, address, contact and telephone number <br />of the firm shall also be included. <br />LIST FIVE PREVIOUS HAZARDOUS MATERIAL ABATEMENT PROJECTS OF SIMILAR <br />SCOPE (highlight historical projects): <br />1 <br />Owner: <br />Contract Amount: <br />Consultant: <br />Phone No.: <br />Completion Date: <br />Phone No.: <br />2 <br />3. Owner: <br />Contract Amount: <br />Consultant: <br />Phone No.: <br />Completion Date: <br />Phone No.: <br />Phone No.: <br />Completion Date: <br />Phone No.: <br />4. Owner: <br />Contract Amount: <br />Consultant: <br />Phone No.: <br />Completion Date: <br />Phone No.: <br />5 <br />Owner: <br />Contract Amount: <br />Consultant: <br />Owner: <br />Contract Amount: <br />Consultant: <br />Phone No.: <br />Completion Date: <br />Phone No.: <br />Kyle <br />Texas License N <br />Exp:irE <br />BfD FORM FOR HAZARDOUS MATERIAL ABATEME[\IT - PAGE 3 <br />° rroughs <br />'Q-5095 <br />02 .b9.13 <br />1 <br />