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(10 <br /> hinErIrir3 nrsiv== rrP =row= moa coNTINSWr wsi27e-05-:t-00e7 <br /> CONTRACMING ODMICAMIna MCI) ETHECEIRY ROOF R£Paxas <br /> stamEttOIS nsaa/MA/. DISASL2a•n5L3 <br /> Pmt Su tver FORM <br /> a.. GENERAL ItE11Q_RliATION: Offeror moat suha;.t Survey Fora, (oily cumulated try <br /> the project owner's, and Company Specialized C pr+ance forms with thP.T <br /> initial offeror. <br /> Contractor's flame: GESS ?J!J/1Agyrgye,74_,/ <br /> Andress: ! 8S /Qvea[cre Telephone Ftumc_r: (7G 3) 54.7,x'-54.7,x'— MAP. <br /> .CiYbe 5 V a Point of C.ontt. cc: 74 3 %a .. J.-6,3c. <br /> tiame/Location of Projact: C�et.e7 JCy dy(Jr J�Qzj!!S Lcia <br /> Q f19 4,/..e de,/ colaOtY v,,,i,Gv /4naG,e4 <br /> Contractor Performed as the Q Prine Contractor, the 0 Sub-Contractor. <br /> B. RESPONDENT MNEOR*EATION: <br /> Name of Respondent:ZYb.sL EbSO..Lf d Title: Z5?dial-/-Ens]//Egli <br /> Address: g.rrtantip .L6 <br /> and65 A✓. Telephone Number: 757-7a4-690c <br /> _ 1vp 7' ,4ur//JLos ttd4 Ta. itucrb _ ?$7- 7,39-h5 tg <br /> -5An_fu,9n, fie <br /> C. PERE»Gr M ION: Choose the number on the scale of 1 to G.that <br /> most acctimtely describes the contractor's perionmence or situation. <br /> 1 2 3 ) 4 5 ! e <br /> Tn ent-147=,-- tia'taaal lona Sats efnctm y Very Good tCepaostl <br /> Miry. <br /> 'ariomanrn ee fence No record of Performance ee_ ormance e.•r+'n-ince <br /> did not meet did not meet ' past • mat contract met all met all <br /> .mast mope -erfornance requirements contract contract <br /> contractual contractual or the - There requirements requirements <br /> requirements. requirements record is were seem and exceeded and exceeded <br /> There were There were inconclusive minor mase to the many to the <br /> serious problems, . problems-and government's government's <br /> problems and same of a cotrective benefit. bamefit. <br /> the serious actsons Thera were a. .Problaas, if <br /> .contractees eataxe, for caten by the low minor any, eaca <br /> corrective which contractor p, tarry negligible <br /> attlune were corrective ware which the and were <br /> ineffective. action was eariefacto_y contractor resolved in a <br /> only - resolved in timely, <br /> maryinnttya t. 1y, 'highly <br /> effective.. I affective effective <br /> manner. mamm <br /> 4. <br /> Ceres Environmental Services, Inc. Page 6-32 <br />