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STATEMENT OF BIDDER'S QUALIFICATIONS <br />(To be submitted by the BIDDER ONLY upon the request of the OWNER) <br />To allow the OWNER to deternune the lowest responsible BIDDER, the following informadon <br />shall be provided. Attach sepazate sheets as needed. <br />1. Name of BIDDER <br />2. Type of organization, i.e., corpora.tion, sole proprietor, partnership, etc. <br />3. Permanent main office address. <br />4. When organized. <br />5. If a corporation, where incorporated. <br />6. State how many years have you been engaged in the contracting business under your <br />present firm or trade name, and give all other names under which your organization has <br />operated in the last 10 years. <br />7. State the name of all corporate officers, or partners, or the owners, as appropriate. <br />8. State tke company tax identification number, or, if a sole proprietor, the proprietor's <br />social security number. <br />9. Contracts on hand: (Schednle these, showing aznount of each contract and the appropriate <br />dates and current percent of completion). Provide name, address, and telephone number <br />of the project owner and the engineer. <br />10. General character of work performed by your company. <br />11. Have you ever failed to complete any work awarded to you? <br />12. Have you ever defaulted on a contract? If so, where and why? <br />13. List your important projects recently completed by your company, and for whom, stating <br />the approximate cost for each, and the month and year completed. Provide name, address, <br />and telephone number of the project owner and engineer. <br />14. List your major equipment available for this contract. <br />15. Experience in construction work similar in importance to this pmject. <br />16. Background and experience of the principal members of your organization, including the <br />officers and the proposed Project Superintcndent. <br />20 <br />