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2000-122
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2000-122
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Last modified
3/22/2024 1:29:12 PM
Creation date
3/22/2024 1:00:20 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Grant
Approved Date
04/18/2000
Control Number
2000-122
Agenda Item Number
11. G.5.
Entity Name
McCulley Marine Services, Inc.
Subject
Grant Agreement FWCC No. 99087 Artificial Reef Project
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• <br />• <br />• <br />INFORMATION REQUIRED OF BIDDERS <br />GENERAL INFORMATION <br />THE UNDERSIGNED BIDDER GUARANTEES THE TRUTH AND ACCURACY OF ALL <br />STATEMENTS AND ANSWERS HEREIN CONTAINED. FAILURE TO COMPLY WITH THIS <br />REQUIREMENT MAY BE CONSIDERED SUFFICIENT JUSTIFICATION TO DISQUALIFY A <br />BIDDER. ADDITIONAL SHEETS SHALL BE ATTACHED AS REQUIRED. <br />1. Contractors Name/Address Mdd,44(eg HiARr� Si�ur� •s =w <br />2 y/ 9 d,-. F"1: ?"14- F/ 3Y4V 5 <br />2. Contractor's Telephone & FAX Numbers: s--11- I/0- G Air? <br />Fir : S-6 /- 5460 - 9 -0/ <br />3. Contractbrs License: <br />4. Number of years as a Contractor in construction work of the type involved in this <br />contract: ✓R f <br />5. What is the last project of this nature that you have completed? <br />PIN!L/CS e-0 t4-, FSA• <br />6. Have you ever failed to complete work awarded to you; if so, where and why? <br />7. List the names and titles of all officers of Contractors firm: <br />/1%Ar��ant�if�A✓1 {YI �L�y�/iy %�/'GS/c/w� <br />8. Name of person who inspected site or proposed work for your firm: Name: Date of <br />Inspection: ZY'c/i— W. M cru !f• y <br />NOTE: If requested by the County, the Bidder shall famish a notarized financial statement, references and <br />other Information, sufficiently comprehensive to permit an appraisal of his cu rent fin ncial condition. <br />(Bi der) <br />QUESTIONNAIRE <br />Q - 1 <br />
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