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12. Background and experience of the principal members of your organization, including the <br />officers and the proposed project manager. <br />- 4°7 `~r2 S~=~-~ E~z <br />C=c'6712I ~~Z.t i 1L~ ~R+IJ ~L_ Si T~r~4T /.'~L (3 i r Li~~~ <br />' l 17 ~y25 L-=~K <br />13. List two major suppliers from whom you purchase the majority of your supplies. <br />7°a ivt= i s ,r?4 r~ ~ s, <br />14. List two financial institutions with which you have established credit. <br />I L= 25/-~LC ~•~%1( ~ tR72 l ~ I iC : <br />S i~•~. ,~.~~i.~ 7~lCi,~- t~~ - l7cK.~t~~. i~, <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 claim made against you by your employees or third parties for personal injury, <br />death, or property damage in each of the last 3 years. dV ovv4~ <br />17. List any and all litigation including arbitration, administrative proceedings, and mediation in <br />which you have been a plaintiff or defendant invalving any owner, architect or engineer 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 awazded (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 attached sheet. /Vonr,== <br />18. The undersigned hereby authorizes and requests any person, fiim, or corporation to furnish <br />any information requested by the OWNER in verification of the recitals comprising this <br />Contractor AppIication. <br />Dated at Pq 2~ S.' x, , this ' L n day of ~pp- i1 , 2012. <br />Name of Bidder ~ <br />By: 4,~_ec 7 l. t <br />Title: ~/-~~`-riIt V2 <br />