All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized, IF
necessary, add separate sheets.
i, rant {-
BIDDER Name: Velen SACL CI\ Per t +
Permanent Main “~~ CNY Oo | We ANeact ke VAG, Osa
Office Address: Street # and name ____ City/Town ~ _ State ZIP
When, was it organized: WX\0. [ Where incorporated? W\(\<
“plves | ~CINo | Is the BIDDER registered with the Secretary of State to do business in NH?
For how many years has your firm eNgaged in the coMtracting business under its present name? es
OS Yeas
Please list previous firm names and dates if applicable.
_,_ Years Previous Name
2
NZ
cates of conipleagh sch aduie o rdist sho win g gross ar yount ofea oF fact and the appr oximat é anticipated
dates of comiledph P| Wat hod. v
Describe the general character of WORK performed by yourco mpany.
' ~
tations, Weel Dan Sayer Roadusau ons inctio,
SNS Y
Have you ever failed to complete any WORK awarded you in the scheduled contract
[Yes five time, including approved time extenslons? if so where and why?
Have you ever defaulted of a coMtract? If so where and why?
(CJ Yes ate
| Have you ever had liquidated damages assessed on a contract? If so where and why?
[J Yes .
List the more important contracts recently executed by your company:
nt ar
Recent Contract Name Approximate Cost Month/Ye
Cy os bo eta bs \ 4 / Completed
YEO Se OAC hOG7
, tote ae ture ol ht re te
h 3
: g
+ Q * 7
a 7
List your major equipment available for this contract: (Attach additipfial sheets as necesan.)) =
SAO NYY Cwachod w
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