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EXPERIENCE QUESTIONNAIRE AND CONTRACTOR'S FINANCIAL STATEMENT <br /> OWNER'S INSTRUCTIONS <br /> The information listed in the Experience Questionnaire and Contractors Financial Statement Forms is required to be <br /> filed with soliciting agencies prior to award of any contract. In order to expedite the processing of contracts, please <br /> complete the enclosed forms in accordance with these instructions. <br /> The bidder is required to complete all the attached forms. If the bidder is a Joint Venture, then each Corporation, <br /> Partnership or Individual that is a party to the Joint Venture must complete, individually, each form. <br /> All references to"fiscal year' in this questionnaire will mean the fiscal year of the bidder filing this form <br /> Heading: <br /> Project Title-Indicate title of project as shown in the specifications. <br /> Location- Project location as shown in the specifications. <br /> Sections 1&2: <br /> Trades or Trades Being Bid- Insert in box(es) on Page 1 the code number(s) listed below which represent the <br /> trade(s)for which you are qualified to bid: <br /> Code <br /> Trade Number <br /> .Building Construction 1 <br /> Electrical 2 <br /> Elevator 3 <br /> Food Service 4 <br /> Heating,Ventilating &Air Conditioning 5 <br /> Laboratory Equipment 6 <br /> ® Landscaping 7 <br /> ® Plumbing 8 <br /> Power Plants(Boilers, Equipment& Piping) 9 <br /> Refrigeration 10 <br /> Roofing 11 <br /> Sanitary (Sewage Treatment Plants, Pumping Stations, etc.) 12 <br /> Other 13 <br /> Sections 3-52: <br /> Complete in accordance with form. <br /> Section 53: <br /> Under "c", list previous business name or names and the number of years you have done business under these <br /> names within the past 10 years. <br /> Section 54: <br /> From your present payroll indicate the number of individuals in each category in the"Current"column. <br /> Estimate the maximum and minimum number of employees over the previous 3 fiscal years in each category. <br /> Sections 55-61: <br /> Complete in accordance with form. <br /> Section 62: <br /> 1) In Column C insert"S" if a subcontractor or"P" if a prime-contractor. The balance of section to be completed <br /> in accordance with form. <br /> 2) Billings for 3 fiscal years-insert year and amount <br /> 3) Work in progress at the end of the past 3 fiscal years-same as above. <br /> If additional space is required, please attach supplementary pages. <br /> DBC5085 1 <br /> Revised 1/98 <br />