necessary, add separate sheets.
All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If
BIDDER Name: VL
\ . C. a Ly oe
Permanent Main VY Ne SEAS ke \ | \ j OWA 4]
City/Town State ZIP _|
Office Address: Street # ad name
\ | Where incorporated? NAGSS! ON ETA
When, was it organized: MNO
Yes j [No | Is the BIDD ER registered with the Secretary of State to do business in NH?
For how many years has your firm eNgaged in the coNtracting business under its present name? |
Please list previous firm names and dates if applicable. i AS Yeas,
Tt GU
,__ Years Previous Name
NAD,
L :
Contrac Compleat sch edule o < sho win it an Ke a oF nact and the appr oximat e anticipated
dates or comple 10 ‘ \ \ /
Cescribe the general character of WORK performed by Oo mpany.
. : . 6
Laticnss, \Kolel Main, 32 so? Roadurs CONS dio,
) >) S
| Have you ever failed to complete any WORK awarded you in the scheduled contract
[1 Yes "Ave time, including approved time extensions? if so where and why?
Have you ever defaulted oN a contract? If so where and why?
CJ Yes
J Yes
| °
{ Have you ever had liquidated damages assessed on a contract? If so where and why?
_ List the more important contracts recently executed by your company:
Month/Year
cent Contract N imate Cost
Recent Contract Name 7 Approximate Cos Completed
a = bp es \
VI Ser Ohara 7
tenths de aateca oft dcy oT ng, Se) a
- 7
a #
#
2?
# - \
: rn
we Pampers oe a
List your major equipment available for this contract: (Attach additipfal sheets as necesan.)
(\ ; f ee
loase [oe -CMachacd V7
Page 10 of 17
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