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µ1,4a <br /> A Document A305' - 1986 <br /> Contractor's Qualification Statement <br /> The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not <br /> to be misleading. <br /> SUBMITTED TO: <br /> City of Sunny Isles Beach <br /> ADDITIONS AND DELETIONS: <br /> The author of this document has <br /> ADDRESS: added information needed for its <br /> completion.The author may also <br /> City Clerk _ have revised the text of the <br /> 18070 Collins Avenue,4th Floor original AIA standard form.An <br /> Sunny Isles Beach, Fl 33160 Additions and Deletions Report <br /> that notes added information as <br /> SUBMITTED BY: Azulejo Inc. well as revisions to the standard <br /> form text is available from the <br /> author and should be reviewed. <br /> A vertical line in the left margin of <br /> this document indicates where <br /> NAME: Leyvis T. Quintana the author has added necessary <br /> information and where the author <br /> 20200 West Dixie Hwy. has added to or deleted from the <br /> ADDRESS: Suite 805-A. original AIA text. <br /> Aventura, Fl 33180 This document has important <br /> legal consequences. <br /> PRINCIPAL OFFICE:20200 West Dixie Hwy. Suite 805-A. Aventura, Fl 33180 Consultation with an attorney <br /> is encouraged with respect to <br /> its completion or modification. <br /> [X ] Corporation This form is approved and <br /> [ ] Partnership recommended by the American <br /> Institute of Architects(AIA)and <br /> [ ] Individual The Associated General <br /> [ ] Joint Venture Contractors of America(AGC)for <br /> [ ] Other use in evaluating the <br /> qualifications of contractors. No <br /> endorsement of the submitting <br /> NAME OF PROJECT(if applicable): party or verification of the <br /> information is made by AIA or <br /> AGC. <br /> TYPE OF WORK(file separate form for each Classification of Work): <br /> [x] General Construction <br /> [ ] HVAC <br /> [ ] Electrical <br /> [ ] Plumbing <br /> 111 [ ] Other(please specify) <br /> AIA Document A3051'—1986.Copyright ©1964.1969,1979 and 1986 by The American Institute of Architects. All rights reserved. WARNING:This <br /> Ale Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this Ale Document,or 1 <br /> any portion of it,may result in severe civil and criminal'penalties,and will be prosecuted to the maximum extent possible under the law. This <br /> document was produced by AIA software at 13:28:18 on 03/22/2006 under Order No.1000201877_1 which expires on 10/11/2006,and is not for resale. <br /> User Notes: (2533789901) <br />