13-EXHIBIT M GSA527 Contractor Qualifications.doc.pdf

SECTION I - GENERAL INFORMATION

1A. NAME 2. TYPE OF ORGANIZATION (Check one)

A. SOLE PROPRIETORSHIP F. LIMITED LIABILITY COMPANY

1B. STREET ADDRESS B. GENERAL PARTNERSHIP G. JOINT VENTURE

C. LIMITED PARTNERSHIP H. TRUST

1C. CITY 1D. STATE 1E. ZIP CODE D. CORPORATION I. OTHER (Specify below)

E. SUBCHAPTER S CORPORATION

3. TAXPAYER ID NUMBER 4. DATE ORGANIZATION ESTABLISHED 5. STATE OF INCORPORATION

6. TRADE STYLE NAME (Provide a copy of filing) 7. KIND OF PRODUCT OR SERVICE PROVIDED

8. FORMER BUSINESS NAME 10. INVENTORY VALUATION METHOD

A. LIFO

C. AVERAGE COST

9. KIND OF BUSINESS

A. MANUFACTURER D. RETAILER

B. FIFO

D. OTHER (Specify) B. CONTRACTOR E. OTHER (Specify)

C. WHOLESALER

11. OWNERSHIP INFORMATION-PARTNERS-PRINCIPAL STOCKHOLDERS-OTHERS

NAME

TITLE

(If partner, state G(General) or L(Limited) in column) PERCENT

BUSINESS OWNED

ACTUAL TITLE G OR L

12. PARENT COMPANY (If applicable)

13. IF "YES" TO ANY QUESTION BELOW, PROVIDE DETAILED

INFORMATION IN SECTION VIII, REMARKS YES NO

A. HAVE YOU, OR ANY OF YOUR AFFILIATES EVER FILED FOR BANKRUPTCY?

A. NAME

B. DO YOU HAVE ANY JUDGMENTS, LIENS, OR PENDING SUITS?

B. CITY C. STATE C. DO YOU HAVE ANY CONTINGENT LIABILITIES?

D. HAVE YOU OR ANY OF YOUR AFFILIATES DISCONTINUED BUSINESS

OPERATIONS WITH OUTSTANDING DEBTS?

SECTION II - GOVERNMENT FINANCIAL AID AND INDEBTEDNESS

14A. ARE YOU DELINQUENT ON ANY FEDERAL DEBT (OMB CIRCULAR A-129)

(If "Yes", provide detailed information, Section VIII, Remarks)

YES NO

14B. DO YOU OWE THE

GOVERNMENT

FOR ANY

CONTRACT OR

OTHER CLAIMS?

YES NO

IF "YES", COMPLETE THE ITEMS BELOW

AGENCY CLAIM AMOUNT PAYMENT MATURITY BALANCE

15A. AGENCY INVOLVED WITH DELINQUENCY 15B. AMOUNT OF DELINQUENCY ($)

16. ARE YOU

CURRENTLY

RECEIVING

GOVERNMENT

FINANCING?

YES

NO (Go to Section III )

17. COMPLETE ITEMS BELOW IF APPLICABLE

TYPE OF FINANCING AUTHORIZED ($) IN USE ($) GOVERNMENT AGENCY INVOLVED

A. INDUSTRIAL REVENUE BONDS

B. GUARANTEED LOANS

C. ADVANCED PAYMENTS

D. PROGRESS PAYMENTS

E. OTHER (Specify)

CONTRACTOR'S QUALIFICATIONS AND FINANCIAL INFORMATION

SECTION VII - CONSTRUCTION/SERVICE CONTRACTS INFORMATION (Public Buildings Service Contracts Only)

CONTRACTS IN FORCE

ITEM 48. CONTRACT 1 49. CONTRACT 2

A. Location

B. Owner's Name

C. Address

STREET ADDRESS STREET ADDRESS

CITY STATE ZIP CODE CITY STATE ZIP CODE

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

ITEM 50. CONTRACT 3 51. CONTRACT 4

B. Owner's Name

CITY STATE ZIP CODE CITY STATE ZIP CODE

D. Type of Work

E. Contract Amount ($)

F. Percent Completed

G. Estimated Completion Date

LARGEST JOBS YOU HAVE COMPLETED IN THE LAST FIVE YEARS

ITEM 56. JOB 1 57. JOB 2

B. Contact's Name

CITY STATE ZIP CODE CITY STATE ZIP CODE

D. Telephone

AREA CODE NUMBER EXTENSION AREA CODE NUMBER EXTENSION

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

ITEM 58. JOB 3 59. JOB 4

CITY STATE ZIP CODE CITY STATE ZIP CODE

D. Telephone

AREA CODE NUMBER EXTENSION AREA CODE NUMBER EXTENSION

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

ITEM 60. JOB 5 61. JOB 6

CITY STATE ZIP CODE CITY STATE ZIP CODE

D. Telephone

AREA CODE NUMBER EXTENSION AREA CODE NUMBER EXTENSION

E. Type of Work

F. Contract Amount ($)

G. Amount Sublet ($)

LIST COMPANIES FROM WHOM YOU OBTAIN SURETY BONDS

ITEM 62. SURETY COMPANY 1 63. SURETY COMPANY 2

A. Company Name B. Contact's Name

C. Telephone

AREA CODE NUMBER EXTENSION AREA CODE NUMBER EXTENSION

D. Fax

AREA CODE NUMBER AREA CODE NUMBER

E. Address

CITY STATE ZIP CODE CITY STATE ZIP CODE

64. PRESENT AMOUNT OF BONDING

COVERAGE ($)

65. HAS YOUR APPLICATION FOR SURETY

BOND EVER BEEN DECLINED? (If Yes, please provide detailed information in

Remarks)

66. DURING THE PAST 2 YEARS, HAVE YOU BEEN CHARGED WITH A

FAILURE TO MEET THE CLAIMS OF YOUR SUBCONTRACTORS OR

SUPPLIERS? (If Yes, please provide detailed information in Remarks)

YES NO YES NO

SECTION VIII - REMARKS

REMARKS (Cite those sections of the form relating to your remarks. If additional space is required, attach additional sheet(s).)

CERTIFICATION

For the purpose of establishing financial responsibility with, or procuring credit from the U.S. General Services Administration, we furnish the above as a true and correct statement of our financial condition and further certify that all other statements are true and correct. There has been no material change in the applicant's financial condition since the date of the above statement. We agree to notify you immediately in writing of any materially unfavorable change in our financial condition. In the absence of such notice or of a new and full financial statement, this is to be considered as a continuing statement.

NAME OF BUSINESS BY (Signature of Authorized Official)

NAME OF AUTHORIZED OFFICIAL (Type or print) DATE

TITLE OF AUTHORIZED OFFICIAL (Type or print)