0040522831__QUESTIONNAIRE_OF_BIDDERS_RESPONSIBILITY.doc

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WI-IRON RIVER NFH-PROPANE
Solicitation number
140F0621Q0037
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ATTACHMENT No. 1

RFQ# 140F0621Q0037

QUESTIONNAIRE OF BIDDERS RESPONSIBILITY

Bidder's Name: ______________________________________________________________________________________________

Address: ______________________________________________________________________________________________

Telephone #: ______________________________________________________________________________________________ Facsimile #: ______________________________________________________________________________________________ Email: ______________________________________________________________________________________________ How long in present business? ________________________________ Type of Organization:

[ ] Individual

[ ] Individual doing business as a Firm [ ] Partnership

[ ] Joint Venture [ ] Corporation, Incorporated under the laws of the State of ___________________________________ [ ] Non-Profit Organization Names of Officers, Owners, or Partners:

Owners or Partners: _________________________________________________________________________________________ President: _________________________________________________________________________________________

Vice President: __________________________________________________________________________________________ Treasurer: __________________________________________________________________________________________

Secretary: __________________________________________________________________________________________ Individuals and their telephone numbers authorized to sign bids, offers, and contracts in your name:

1. _____________________________________________________

2. _____________________________________________________ Name, address, and telephone number of persons for organization of similar projects completed during the past three years. (Preferably Government Type - (Federal, State, and County):

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________ Name and telephone number of person for organization of similar projects in progress:

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

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