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<br />~ <br /> <br />., . <br /> <br />... <br /> <br />... <br /> <br />... <br /> <br />~ <br /> <br />~ <br /> <br />I. <br /> <br />~ <br /> <br />!! <br /> <br />~ <br /> <br />!! <br />~ <br /> <br />......, <br />~ <br /> <br />~ <br />~ <br />~ <br /> <br />Iii <br />- <br /> <br />iii <br />-'" <br /> <br />!II <br /> <br />Iii <br />- <br /> <br />D <br /> <br />ii <br />- <br /> <br />Ii <br />- <br /> <br />Ii <br />-'" <br /> <br />~ <br /> <br />~ <br /> <br />Iii <br />-'" <br /> <br />~ <br /> <br />Iii <br />... <br /> <br />~ <br /> <br />3 <br /> <br />DOCUMENT 00420 <br /> <br />INFORMATION REQUIRED FROM BIDDERS <br /> <br />GENERAL INFORMATION <br /> <br />The Bidder shall furnish the following information. Failure to comply with this requirement may cause its <br />rejection. Additional sheets shall be attached as required. <br /> <br />1. <br /> <br />Contractor's Name and Address: .vItA <: MSCYC.-/A7EJ lAIC. <br />/7>>77 /.kv Ll vE <br />,.j/(jiECJI-i ~flr?j)Pv'5, /S( ?7:.?xJ/ Y <br />/ <br /> <br />2. <br /> <br />~o~ - ~?-( - ( 2~ J :;xJ y- - 8 "24- - 0004- <br />/ <br /> <br />(c (~C oi010 (' ) ( C(!-#' f1./2t3 ) <br />t:;'cz/1k/l L!.,L c.<>AhI2Ls.( 71J1Z - <br />/ <br /> <br />Contractor's Telephone and Fax Numbers: <br /> <br />3. <br /> <br />Contractor's License: <br />Primary Classification: <br /> <br />4. <br /> <br />Number of years as a Contractor in construction work of the type involved in this Contract: <br />3/ i;J'arJ- <br />I <br /> <br />List the names and titles of all officers of Contractor's firm: <br /> <br />5. <br /> <br />MAIl-7/d /!/;A / ?r7f:'J/OF'NT j c5"t=O?FTMt( <br />/t1(~tAP/ htA / VJeF P/JFS/OEA.lj <br /> <br />6. <br /> <br />Name of person who inspected site or proposed work for your firm: <br /> <br />Name: <br /> <br />MLl/1..7/A../ 1(' L4 <br />11/?-0~7 <br />/ I <br /> <br />Date of Inspection: <br /> <br />7. <br /> <br />What is the last project of this nature you have completed? <br /> <br />81sc~11/1F /:7U//) (5'12 - 5) /)fUJ/v57tUf.CrI6N <br />I <br /> <br />8. <br /> <br />Have you ever failed to complete work awarded to you; if so, where and why? <br /> <br />~ <br /> <br />9. <br /> <br />Name three individuals or corporations for which you have performed work and to which you refer: <br /> <br />FDOI <br /> <br />(/{I!JN II~J;rl f//.1/?/O ctJ.'3/?EIVJ.); CST) (I2!JHo;J (4:;7FU1) <br />/ <br />Holt ul/!Je)tJj) 0(1/ . Alt=-tu H;w!i/la~ (STFVt Me (!tJF -:< <br />hOSHr: !:.t/rA~t2) <br /> <br />ell <br /> <br /> <br />Oct. 2007 <br /> <br />00420-1 <br />