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EXPERIENCE QUESTIONNAIRE AND CONTRACTOR'S FINANCIAL STATEMENT <br /> Project Title GOVERNMENT CENTER, POLICE FACILITY AND L BRst for <br /> CITY OF SUNNY ISLES BEACH <br /> Location 393-401 Sunny Isles Boulevard, City of Sunny Isles Beach, Floida <br /> (Between the Eastbound Sunny Isles Blvd.and Westbound Sunny Isles Blvd, <br /> West of Collins Ave . , A1A) . <br /> Insert code number of trade or trades for which you are qualified to bid on the basis of previous experience in <br /> accordance with attached detailed instructions, each in its respective box below. <br /> 1. <br /> 13 GENERAL CONTRACTOR <br /> 2. <br /> 3. Is your organization currently pre-qualified with any governmental agency? Yes If so, Alpaca list <br /> Miami-Dade County Public Schools <br /> 4. Have you, in the previous five years, been denied a contract award on which you submitted the low bid in <br /> competitive bidding, or been refused prequalfication? <br /> If so, please list and describe NO <br /> HEWETT-KIER <br /> 5. Submitted by CONSTRUCTION, INC. 6. (Check below) <br /> 1888 N.W. 23rd Street ACorporation QC ) <br /> Address Pompano Beach, FL 33069-139RCo-partnership ( ) <br /> An Individual ( ) <br /> Date AUGUST 19 , 1999 AJointVenture ( ) <br /> The contractor acknowledges that this Experience Questionnaire and Financial Statement is made for the express <br /> purpose of inducing the Owner to whom it is submitted to award a contract to the contractor. Further, the contractor <br /> acknowledges that the agency may at its discretion, by means which the Owner may choose, determine the truth and <br /> accuracy of all statements made by the contractor herein. <br /> • <br /> DBC5085 2 <br /> Revised 1/98 <br />