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<br /> RFP # 23-04-02 Page 40 <br /> <br />CITY OF SUNNY ISLES BEACH <br />18070 Collins Ave. | Sunny Isles Beach, FL 33160 <br />305.792.1707 | sibfl.net | Purchasing@sibfl.net <br />Section 7 <br />QUALIFICATION STATEMENT <br /> Check one: <br />Submitted By: Corporation <br />Name: Partnership <br />Address: Individual <br />City, State, Zip Other <br />Telephone No. <br />Fax No. <br /> <br />1. Indicate registration, license numbers or certificate numbers for the businesses or professions, <br />which are the subject of this Proposal. Please attach certificate of competency and/or state <br />registration. <br /> <br /> <br /> <br />2. Have you ever failed to complete any work awarded to you? If so, state when, where and why: <br /> <br /> <br /> <br />3. State the name of the individual who will have personal supervision of the work: <br /> <br /> <br />5. References for which your firm has provided or has an active contract for Disaster <br />Debris Monitoring Services within the past five (5) years: <br /> <br /> Agency Name: <br /> Contact Name: <br /> Phone No.: <br /> Email: <br /> Contract Term date: <br /> <br /> Agency Name: <br /> Contact Name: <br /> Phone No.: <br /> Email: