3-00 60 00 Statement of Bidder Qualifications.pdf

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NOBLE HOUSE STATEMENT OF BIDDER QUALIFICATIONS BID DOCUMENTS

STATEMENT OF BIDDER QUALIFICATIONS

All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, add separate sheets for items marked with an asterisk (*).

1. Name of Bidder:

2. Permanent main office address:

3. Year Organized: 4. State where incorporated:

5. How many years have you been engaged in this industry under your present firm name?

6. *Existing or Active Contracts: (Schedule these, showing gross amount of each contract and the approximate anticipated dates of completion.)

Contract Name

Contact Name &

Telephone

Gross Amount Anticipated Date of

Completion

7. *General character of work performed by your company. Explain.

8. Have you ever failed to complete any work awarded to you? Yes No

If yes, explain where and why.

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9. *Have you ever defaulted on a contract? Yes No

If yes, explain.

10. *If applicable to this bid, list the more important structures recently erected by your company, approximate cost for each, and the month and year completed.

Structure

Cost

MM/YY

Completed

11. *List your major equipment and resources available for this contract (e.g. vehicles, industrial equipment, personnel).

12. *If applicable to this bid, experience in work similar in scope and importance to this project. (List name of reference and contact information.)

13. Background and experience of the principal members of your personnel, including the officers. Furnish resumé(s) if available.

14. *Financial statement no more than sixty (60) days old and containing not less than that required in the following form. For corporate bidders, the corporation’s most recent annual report of not more than two (2) years old may be substituted in lieu of the following Balance Sheet in order to satisfy this requirement

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(Name of Firm)

BALANCE SHEET

AS OF

ASSETS

CURRENT ASSETS

Cash $ Joint Venture Accounts $ Accounts Receivable $ Notes Receivable $ Accrued Interest on Notes $

Deposits $ Materials & Prepaid Expense $

Total Current Assets $

FIXED ASSETS – NET $

OTHER ASSETS $

TOTAL ASSETS $

LIABILITIES AND CAPITAL

CURRENT LIABILITIES

Accounts Payable $

Notes Payable $

Accrued Interest on Notes $

Provision for Income Taxes $

Advances Received from Owners $ Accrued

Salaries $

Accrued Payroll Taxes $

Other $

Total Current Liabilities $

OTHER LIABILITIES $

CAPITAL

Capital Stock $

Authorized & Outstanding Shares Par Value $

Earned Surplus $

TOTAL LIABILITIES AND CAPITAL $

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15. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the Authority? Yes No

16. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information requested by the Authority in verification of the recitals comprising this State of Bidder’s Qualifications.

Dated at AM/PM this day of , 20

Name of Company:

Authorized Signature:

Name of Signatory Party :

(Print or Type)

Title of Signatory Party:

STATE OF )

COUNTY OF )

being duly sworn deposes and says that

(Name of Authorized Representative) he is the of

(Title) (Name of Company) and that the answers to the foregoing questions and all statements therein contained are true and correct.

Sworn to before me this day of , 20

(Notary Public)

My Commission expires:

(Bidder may submit additional information if desired)