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QUESTIONNAIRE SHEET <br /> Bidder is to provide the following information . If additional information is submitted, it should be <br /> included as a separate attachment. <br /> PLEASE PRINT OR TYPE <br /> Firm Name: RPIZI4 iJo K ar qA <br /> President/CEO: 61WI . / <br /> Business/Address: - e 2. ' 90 " �q vc- -di 30 3 <br /> ✓ rice FL 3294• /0 <br /> Telephone: ( 77:-,7 ) d 9 9 - 0,;,2 6 .5 <br /> Prior Performance: <br /> 1 . Please name three (3) references for which you have performed work <br /> which the County may contact ( include addresses and telephone numbers) : <br /> Company Name: 5gedDrzro6j &oc -r- C � 3 <br /> Address: 530o '7 "3 " s t V&zon gn- fl F-L 3�7796 "7 <br /> Contact Name:13c6 We 7 .4 & ///s TZTelephone Number:(7ri J 77C -51 o <br /> Company Name : � A uR . nG6 U � � �= cLcr3 <br /> Address : 3 �W96 <br /> Contact Name: gc-L-q A1,4 C, Telephone Number(7/7:2 )770 - 51o ? <br /> Company Name: coq eoq tE2 rctl4^10 CLE 4 ✓i ✓E <br /> Address: P o . f3 r ;4 'Ino g 6 3 t,; .i 6,y-s Fc 3ay -76 <br /> Contact Name: cwcleR z K ,jcHE. 1 Telephone Number: o 72 I u '73 2(�- �26 <br /> 2 . State Number of years experience as a contract provider for each reference: <br /> A26 kZ1rn A; WIAI 77, / 5 Y & A7jeJ <br /> k5G44 A ) J06- 14 %vl �C44eJ' <br /> 3 . liow many years has your organization been in business? 010 years. <br /> 5# 10DaiD6-E Gv4•• C CLvr3 <br /> 4W <br /> Page 11 of 16 <br />