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CONTRACTOR NPPLICATION <br />Please furnish the information requested below. Attach additional sheets as needed. This information <br />will be kept in our files and will be confidential. Our office will use such informarion only to verify the <br />qualifications of the contractor on this project. <br />Name, address, phone number, and Federal I.D. number. 00 i <br />,I r,c. 9cJ 3- 7ii~ - 33 13 <br />2. Type of organization, i.e., corporation, sole proprietor, partnership, etc. <br />r 2 - <br />3. When organized. <br />4. If a cocporation, where incorporated. <br />State how many years you have been engaged in the contracting businass under your present <br />firm or trade name, and give all other names under which yow organization has operated in <br />the last 10 years. !:Z v2 z_ <br />6. State the name of all corporate officers, or partners, or the owners, as appropriate. <br />^ L--[ 1z <br />List the type of construction performed within the past 12 months, i.e., home remodeling, <br />new home construction, major cflnstruction, etc. /VEAJ rnL l' ~.~ST~avc7'~~7'n1 <br />Have you ever failed ta complete any work awarded to you? Alv <br />9. Have you ever defaulted on a contract? If so, where and why? h!v <br />10. List the name, address and phone number of the last three clients in which construction is <br />complete. h4 Ti-i a7zmm E~rJ~~ 7P3` 12-z7-7 <br />IZG 6,E NC"/q'T V.l g/>xTZ;/li, J7< • _ ~ ~J Ci 1 -T-0 <br />L-f~i-nftt~ D4i= f ilz/4. Zv~ /y/AJ•Ni /-~lUAI dn1~. ?„,n 'Loc: '7'/3 <br />11, List experience in construction work similar in impoctance to this project.1?rz6~; ,Z-.n <br />;30 o &-/-7ryr s.1-'J PA rc r 5. j1v ry 1?-,>x-r AIve&')~'~AF- _ <br />V' jG1- G' <br />I~ <br />