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SECTION 00456 <br /> GENERAL INFORMATION REQUIRED OF BIDDERS <br /> The undersigned Bidder Guarantees the truth and accuracy of all statements and answers <br /> i sufficient <br /> justification to disqualify a Bidder. Additional sheets shall be attached as required . <br /> herein contained . Failure to comply with these requirements may be considered <br /> Documentation Submitted with the Bid No : UCP 2208 for 16 " Brine Pipeline on 58th A <br /> from 77th St . to 57th St . & East on 57th to Bent <br /> 1 . Contractor' s Name / Address : Tri - Sure Corporation Pines RIB Site <br /> P . 0 . Box 653 Auburndale F1 33823 <br /> 2 . Contractor' s Telephone & FAX Numbers :863 -,967 - 5506 863 - 967 - 5506 ( phone ) <br /> 863 - 551 - 9746 ( fax ) <br /> 3 . Contractor's License No : CU Co 40079 <br /> 4 . Number of years as a Contractor in construction work of the type involved in this <br /> Contract:_ 29 years <br /> 5 . What is the last project of this nature that you have <br /> completed ? Indian River County ( 16 " Force Main on Old Dixie ) <br /> 6 . Have you ever failed to complete work awarded to you , and if so , where and <br /> why? NO <br /> 7 . List the names and titles of ALL officers of Contractor' s firm : <br /> Names H Chambers President <br /> Glenda M Chambers Sec . -Treas . <br /> .Jason Chqmhprs Vice President <br /> 8 . Name of person who inspected site or proposed work for your firm : <br /> Name : __ Jason ha bars Date of Inspections : 4 / 7 / 03 <br /> NOTE: If requested by the County, the Bidder shall furnish a notariz financial statem n rences and other <br /> Information, sufficiently comprehensive to permit an appraisal of his financial <br /> By : <br /> (Signature) <br /> V ' 15e President <br /> (Position or Title) <br /> —April 9 � 2003 <br /> (Date) <br /> 00456 - 1 <br /> 13ASP0cifi=ions\00456 General Information required of Bidders.doc <br />