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<br />II <br /> <br />I <br /> <br />DOCUMENT 00420 <br /> <br />I <br /> <br />INFORMATION REQUIRED FROM BIDDERS <br /> <br />GENERAL INFORMATION <br /> <br />I <br /> <br />The Bidder shall furnish the following information. Failure to comply with this requirement may cause <br />its rejection. Additional sheets shall be attached as required. <br /> <br />Provider's Name/Address: :Pros J S~~ 'E~b <br />a- <br /> <br />1. <br /> <br /> <br />I <br /> <br />I <br /> <br />2. <br /> <br />Provider's Telephone Number: <br /> <br />3DS q t'1.t=tl.i2lt2 <br /> <br />3. <br /> <br />Provider's License: E -I (g R4 <br />Primary Classification: e.~~ ~~/tJ~tJ6 <br /> <br />I <br /> <br />4. <br /> <br />I <br /> <br />Number of years as a P!ovider in construction work of the type involved in this Contract: <br />11 ~mV"S <br /> <br />5. List the names and titles of all officers of Provider's firm: <br /> <br />II <br />I <br /> <br />Jteili" O( -h 2- <br />.~ Dr-t1 1- <br />ad- luY-Q <br /> <br />PresJa~ <br />0Fn (..Q (Y){U'\agu <br />ks-t. 'tlf:;t:j(o. rYlaVV:iQlf <br /> <br />6. Name of person who inspected site or proposed work for your firm: <br /> <br />Name: ~(k- l)v ~ 2- <br /> <br />Date of Inspection: dlu~ ~ <br /> <br />7. What is the last project of this nature you have completed? <br /> <br />.~ <br />I <br /> <br /> <br />u~ <br /> <br /> <br />s, <br /> <br />8. Have you ever failed to complete work awarded to you; if so, where and why? <br /> <br />"-' 0 . <br /> <br />05/06 <br /> <br />00420- ] <br /> <br />03-4 122.E <br />