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Section 7 <br />QUAtIFZUATION STATiEMENT _ <br />Check one: _ <br />Submitted B : Tidal Basin government Consulting, LLC <br />Y _ _ ., <br />®: Corporation <br />Name: Steven Glenn <br />❑ Partnership <br />Addri ss: 126 Business Park Dr <br />.. _ <br />❑ Indivclual. <br />City, State, Zip Utica, NY 1350- <br />315-797-3035 <br />❑ Other <br />Telephone No. <br />Fax No, 315-797-1090 <br />1, Indicate registration, license numbers or certificate numbers <br />for the businesses or <br />professions, which are the subject of this Proposal. <br />Please arch certit icate of <br />competency and/or state registration. <br />Document # M1000Q000434 <br />2. Have you ever failed to complete any work aivvarded to you? If so, state when,. <br />where and why; <br />No. <br />3. State the names, telephone numbers and last known addresses of three (3) <br />references with the most knowledge of work which you have performed and to,: <br />which you refer (indicate government references T applicable). <br />City of Sunny Isles Beach !Request for Proposals pilaster Debris Monitoring No_ IM4-03 <br />I <br />