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BIDDERS QUALIFICATION STATEMENT <br />(Completion of this statement with the Bid is required) <br />SUBMITTED TO: <br />City of North Olmsted <br />5200 Dover Center Road <br />North Olmsted, Ohio 44070 <br />Attn: Office of the Mayor <br />SUBMITTED FOR: <br />Recreation Center Vending, Services <br />in the City of North Olmsted <br />SUBMITTED BY: <br />Name: <br />Address: <br />Gentlemen: <br />l~~x ~.I~ SN,~d~- <br />The undersigned certifies under oath the truth and correctness of all statements and of all answers to <br />questions made hereinafter. <br />NOTE: Attach separate sheets as required to answer every question, <br />noting section number for each answer. <br />1.0 How many years has your organization been in business as a contractor? f~~trc,/' S <br />2.0 How many years has your organization been in business under its present name? ~Jl ~/eci.r S <br />3.0 Do you plan to subcontract any part of this project? If so, give details. ~/D <br />4.0 Has any construction contract to which you have been a party been terminated by the owner; have <br />you ever terminated work on a project prior to its completion for any reason; has any surety <br />which issued a performance bond on your behalf ever completed the work in its own name or <br />financed such completion on your behalf; has any surety expended any monies in connection with <br />a contract for which they furnished a bond on your behalf? If the answer to any portion of this <br />question is "yes", please furnish details of all such occurrences including name of owner, <br />architect or engineer, and surety, and name and date of project. ~ ~ <br />BQS-1 <br />(Print or Type Name of Bidder) ~ <br />(/A Corporation/A Partnership/An IndividuaUA Joint Venture) <br />[Bidder to strike out the inapplicable terms.] <br />