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CONTR.ACTOR APPLICATION <br />Please fumish 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 information only to verify the <br />qualifications of the contractor on this project. <br />1. Name, address, phone number, and Federal I.D. number. i~ <br />-~bx.-4u~-.~r~~.. <br />z~ 7nY - 331i-3 <br />2. Type of organization, i.e., corporation, sole proprietor, partnersbip, etc. <br />3. When organized./ c~ -5- <br />4. If a corporation, where incorporated. <br />State how many years you have been engaged in the contracting businsss under your present <br />fum or trade name, and give all other naznes under which yow organization has operated in <br />the last 10 years. ~:I V2 S_ <br />6. State the name of all corporate oflicers, or partners, or the owners, as appropriate. <br />7. List the type of construction performed within the past 12 mon#hs, i.e., home remodeling, <br />new home construction, major canstruction, etc. NE~ %lo ~wL , sr~vc ri e f/ <br />8. Have you ever failed to complete any work awarded to you? "v <br />9. Have you ever defaulted on a contract? If so, where and why? <br />10. List the name, address and phone number of the last three clients in which construction is <br />complete.~ 7 s-..5' 2 z 7-~ <br />5G ' <br />I~G ~ i 5'G <br />Tej'v«-,45 DA T, 2e-, z: -Tt 5i <br />11. List experience in construction work similar in importance ta this project. 1?rLl3 <br />1 R? D fn J 4. L .jr7~, n rr . ,w . rv . .c <br />