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r of skm 0— <br />Income taxes asvances, accrued salaries, and ac rind payroll taxes, <br />e. Other liabilities, i.e., capital, czpital stock, authorized and outstanding shares per values, <br />earned surplus, and retained earnings, and <br />f. Name of firm preparing financial statement and date thereof <br />Z. Bankruptcie,: <br />a. Has the ContrMor_ or any of itb parents or suMiGianes, ever lima a BanRITIptcy <br />Petition filed In Its name voluntarily or Invoiunzariiy? try yes, speciry I9aie, <br />circumstances_ antl resoiauon). <br />Flas any majority bRarenolae, ever had a Bankrupt,y Petition filed in his/her <br />name voluntarii, or Involuntarily? (If yes, seeciry date, circumstances, and <br />resolation). <br />C. Loan,: I, this Contractor in default on any loan agreement or financing <br />agreement with any bank, finandal Institution, or other entity? (If yes, specify <br />details, circumstances, and prospects for resolution). <br />H. Declaration <br />r declare under penalty or perjury that the roregoing Inrormadon Is true ana correFE <br />ExecuEM onQ- I I - i idate) <br />Authorized representative (print): i- 4 <br />Authorized representative (signature): <br />I. Disaster Recove,T Services <br />Pro,-i8c li,z ar olU government agencies for which the Proposer provided emergency <br />aisasrer recovery service wimin zRo i-zz -i- (6) ,tea Prv.iac pro;vct/event title and brief <br />City of sunny Isles BeacR 116 is -u3-0/- Parlts anE recreational Facilities [anascapc IGlointcn- me Jcrr;cc9 <br />Lum' Landscaping, i.e. X <br />