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12. Background and experience of the principal mcmbcrs of your organization, including the <br />officers and the proposed project manager, <br />13. List two major suppliers from whom you purchasc the majority of your supplies. <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 camers for the last 5 years. <br />16. List any ciaim made against you by your employees or thirci pazties 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 proce.edings, and mediation in <br />which you have been a plaintiffor defendant involving any owner, architect or enginecr 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 attachcd shcct. <br />18. The undersigned hereby authorizes aad requests any person, fiim, 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 day of 2012. <br />Name of Bidder <br />By. <br />Title: <br />- - 205 <br />