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{,. }' te,. t r •� + 'Sr 'S.Z + `�- 'A� • Y ( _.-..'*` d. , . ;f•,' ,+f� 3i' [ 3. ¢"` i <br /> � -. �:art 'r,lgF4 i-i�'S <br /> 3 ..�# .r•4 t .. .t -+r. � 8 � <br /> CITY OF-SUNNY ISLES <br /> * ''C. mks- x ti 18070•CaIIFns Avenue r ti fy '� `r + <br /> '. F-F't 'ik' ♦ -3 a rrt.'b- �a speer "Y <br /> >a ',z " h ' ' �s 4tiSun ty.!1SIes Beealych Florida:3316,0,L . , � , , sem" ''<F� <br /> .44):�<' ,t�� tib, `305 947 0606 �, F <br /> 7t r �. <br /> 4,2!‘"0.4;?'". 4 .. '' '`.ti,p F' c.c 4' , 'T ' '� -'✓try '> '• • ,, 2 WW.W SIoptimal 'y 7 •K.; u - �. <br /> Cr,),OF SUS P� <br /> , <br /> Section 7 <br /> QUALIFICATION STATEMENT <br /> Check one: <br /> Submitted By: t$Q X �roGrc 4�(�e,YGi-}�c�Tt.C,XC Corporation <br /> Name: Cic,60r Le_ Bexr ic3n i ❑ Partnership <br /> Address: Ioob3 Sayucfa,6S Or. W, Su 4e 121 ❑ Individual <br /> City, State, Zip 2, vera. Beca,int 4(, 32Ogz ❑ Other <br /> Telephone No. (5tot ) 436 — 3 3.3•-• <br /> Fax No. <br /> 1. Indicate registration, license numbers or certificate numbers for the businesses or <br /> professions, which are the subject of this Proposal. Please attach certificate of <br /> competency and/or state registration. <br /> ePf-r6 e S-ee a4 thCir+; fes' ca-ksS 4/\ 5 <br /> s hch ; . 4`s Form . (Abele_e <br /> . as t L ` or 9 tv -Ones 'AFP <br /> 2. Have you ever failed to complete any work awarded to you? If so, state when, <br /> where and why: <br /> No., <br /> 3. State the names, telephone numbers and last known addresses of three (3) <br /> references with the most knowledge of work which you have performed and to <br /> which you refer (indicate government references if applicable). <br /> City of Sunny Isles Beach I Request for Proposals Disaster Debris Monitoring No. 18-04-03 <br />