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DOCUMENT 00420 <br />INFORMATION REQUIRED FROM BIDDERS <br />GENERAL INFORMATION <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 />1. Provider's Name /Address: R �Tqq—po E r 1 NC' <br />2. Provider's Telephone Number: �305� �I gwo2- <br />3. Provider's License: <br />Primary Classification: <br />4. Number of years as a Provider in construction work of the type involved in this Contract: <br />5. List the names and titles of all officers of Provider's firm: <br />6. Name of person who inspected site or proposed work for your firm: <br />Name: k"C'We 0 0�ZT( <br />Date of Inspection: 3. �� 2 <br />7. What is the last project of this nature you have completed? <br />1 fjE -1tAs l?N cf- ti0pil � J <br />8. Have you ever failed to complete work awarded to you; if so, where and why? <br />KO <br />021/06 00420 -1 0-,-4122.E <br />