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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 herein <br /> contained . Failure to comply with these requirements may be considered sufficient justification to <br /> disqualify a Bidder. Additional sheets shall be attached as required . <br /> ' Documentation Submitted with the Bid No : 5102South County WTP <br /> for Wellfield Rehab Phase II <br /> ' 1 • Contractor ' s Name / Address : _ . Layne Christensen Company ; 2740 Mine & Mill Road ; <br /> Lakeland FL 33801 <br /> ' 2 . Contractor' s Telephone & FAX Numbers : Phone : ( 863 ) 666 - 2433 <br /> Toll —Free : 888 224 - 2269 ;; Fax . 863 665 - 2196 <br /> 3 , Contractor ' s License No : QB-0005143 ( Layne Christensen Com an ) <br /> CB—C056732 Wilks W . Turney , Jr . <br /> 4 . Number of years as a Contractor in construction work of the type involved in' this contract : <br /> 5 • What is the last project of this nature that you have completed ? <br /> ' 6 . Have you ever failed to complete work awarded to you , and if so, where and wiry? <br /> 7 . List the names and titles of ALL officers of Contractor ' s firm : <br /> ' ( See attached . ) <br /> ' 8 . Name of person who inspected site or proposed work for your firm : <br /> Name : Date of Inspections : <br /> ' NOTE : If requested by the County, the Bidder shall furnish a not rized finan sta ment, <br /> references and other information , sufficiently comprehensive tp P rmit an app <br /> rais of leis current <br /> financial condition . <br /> B <br /> (Signatur ) <br /> Doyle Go dman General Manager <br /> (Position or Title) <br /> ae) <br /> ' September 22 , 2003 <br /> (Date) <br /> ' 6706-38392\ 8 /20/03 <br /> 00456- 1 VRB <br />