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Supplement to Indian River County aid 2017034 — CR512 WESTBOUND RESURFACING (ROSELAND ROAD TO <br />US 1) AND CR512 EASTBOUND RESURFACING (EASY STREET TO USI) <br />1. List all full depth reclamation projects completed by your firm as Prime Contractor in the past five years <br />(attach additional copies of this sheet, as necessary). List ONLY full depth reclamation projects, do not include <br />any other types of work. For each project, indicate whether mixing work was self -performed or completed by <br />a specialty subcontractor. For projects completed by a subcontractor, provide that firm's name. Ensure client <br />references listed below are accurate. <br />}. 3. <br />a3080 ew � e <br />e l .rl l icor t� <br />Hasa Boulevard <br />DOT / Robert Martens <br />February 2017 <br />Self <br />T5514 <br />(321) 631-6564 <br />robert.martens@dot.state.fl.us <br />Solid Waste Transfer <br />Martin County BOCC / John Polley <br />February 2017 <br />Self <br />Facility Repavement <br />(772) 288-5481 <br />pur—d1V@rnart1n.fI.us <br />CR 512 (125th Av to 1-95) <br />Indian River County/Kimberly Graham <br />May 2016 <br />Mixing - Self <br />(772) 226.1568 <br />Injection - Contracted with <br />kgraham@ircgov.com <br />Asphalt Recycling, Inc. <br />Timber Ridge <br />Ft. Pierce, Fl. <br />March 2009 <br />Contracted with Asphalt Recycling, Inc. <br />HOA phone number: <br />772) 562-9031 <br />Castaway Cove 111 <br />Vero Beach, Fl. <br />October 2011 <br />Contracted with Asphalt Retyding, Inc. <br />Port of Sanford <br />Seminole County Port Authorithy <br />August 2010 <br />Mixing - Self <br />Injection - Contracted with <br />Asphalt Recycling, Inc. <br />2. Indicate which of the following applies to your bid: <br />® My firm will perform the reclamation work.and have the following equipment available to perform <br />the work: R -M 500 Caterpillar Reclaimer/Mixer equip with computer AC Injection <br />❑ We will utilize <br />as subcontractor for the reclamation. <br />Corporation Name: uIon Industries.Anc.State of Incorporation: F ori a <br />By: (SEAL) <br />Signature <br />Scott Fowler <br />Typed or Print N e <br />Attest: Fowler <br />Signature of Corporate 3eer-etafy- <br />Assistant Secretary <br />February 28. 2017 <br />Date <br />Vice Prp_c_ident <br />Title <br />(SEAL) ` <br />184 <br />