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I . <br /> 11 . ' • . . . <br /> _ .CITY OF SUNNY ISLES BEACH _ - <br /> 8070 Collins Avenue- - - <br /> Sunny Isles Beach,Florida 33160 o` - <br /> ti�""Y'`FJo <br /> . • 305.947.0606 - <br /> . <br /> G or - . <br /> G • <br /> C'1'of su^i"- <br /> I • <br /> Section 7 <br /> IQUALIFICATION STATEMENT • <br /> Check one: <br /> • Submitted B : Tidal.Basin Government Consulting, LLC <br /> Y ® Corporation <br /> Name: Steven Glenn <br /> • ❑ Partnership <br /> Address: 126 Business Park Dr <br /> ❑ Individual <br /> City, State, Zip Utica, NY 13502. ❑ Other <br /> ITelephone No. 315-797-3035 • <br /> Fax No. 315-797-1090 <br /> 1 <br /> • 1. Indicate registration, license'numbers or certificate numbers for the businesses or <br /> I professions, which are the subject of this Proposal. Please attach certificate of <br /> competency and/or state registration. <br /> Document # M10000000434 • <br /> I . <br /> 2. Have you ever failed to complete any work awarded to you? If so, state when, <br /> Iwhere and why: <br /> No. <br /> I - . <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 /> 1 which you refer (indicate government references if applicable). <br /> 1 City of Sunny Isles Beach 'Request for Proposals Disaster Debris Monitoring No. 18-04-03 44 . " <br /> • <br /> I ' <br /> 1 • <br /> I <br />