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<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 />1, Contractor's Name/Address: ~ 0... "y\ C f2- L ~_ ~ Y\ 0 <br />;:), - /'V'-R <br />.;2.6) <br /> <br />( ~OS) 1-6 (~C; ICf?L( <br /> <br />Contractor's License: e ('.... -t I .?J 0 0\ d- ==t ;;J Cj <br />Primary Classification: 0 ~ f e c. rL; cc<..- <br /> <br />3, <br /> <br />DOCUMENT 00420 <br /> <br />INFORMATION REQUIRED FROM BIDDERS <br /> <br />GENERAL INFORMATION <br /> <br /> <br /> <br />(. <br /> <br />2. <br /> <br />Contractor's Telephone Number: <br /> <br />4. Number of years as a Contractor in construction work of the type involved in this Contract: <br />i5 -t <br /> <br />6. <br /> <br />7. <br /> <br />8, <br /> <br />04/08 <br /> <br />5, List the names and titles of all officers of Contractor's firm: <br /> <br />ruQ.\OS- CJ~nceL J{L. <br />('__fA Y2. I OS G~ Y\ GeL Sit. <br />lJ ) \ \ to. VV\ 0 JL s~ Y2- \ II 0 Y1 <br /> <br />Name of pers~m who inspected site or proposed work for your firm: <br /> <br />Name: ~~o.... Y\ ~~YV7'YVla ~ <br /> <br />05 /09 / 0 ~ <br />I 1 <br /> <br />Date of Inspection: <br /> <br />What is to QthOject of this n;re yo Ct <br /> <br /> <br />Have you ever failed to complete work awarded to you; if so, where and why? <br /> <br />00 <br /> <br />00420-1 <br /> <br />06-5723 <br />