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REGULAR MEETING OF THE WELLINGTON VILLAGE COUNCIL

REGULAR MEETING OF THE WELLINGTON VILLAGE COUNCIL

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Wellington Council Meeting April 10, 2012 Page 76 of 384<br />

BIDDER'S GENERAL INFORMATION:<br />

The Bidder shall furnish the following information. Additional sheets shall be attached as required.<br />

Failure to complete Item Nos. 1, 3, and 8 will cause the bid to be non-responsive and may cause its<br />

rejection. In any event, no award will be made until all of the Bidder's General Information (i.e.,<br />

items I through 9 inclusive) is delivered to the CITY.<br />

(1) CONTRACTOR'S name and address:<br />

___________________________________________________________________<br />

___________________________________________________________________<br />

___________________________________________________________________<br />

(2) CONTRACTOR'S telephone number: _______________________________________<br />

(3) CONTRACTOR'S license: Primary classification ______________________________<br />

State License Number _________________________________________________<br />

Supplemental classifications held, if any: ___________________________________<br />

Name of Licensee, if different from (1) above: _______________________________<br />

____________________________________________________________________<br />

____________________________________________________________________<br />

(4) Name of person who inspected site of proposed WORK for your firm:<br />

Name: __________________________ Date of Inspection: _____________________<br />

(5) Name, address, and telephone number of surety company and agent who will provide the<br />

required bonds on this contract: _____________________________________________<br />

____________________________________________________________________<br />

____________________________________________________________________<br />

(6) ATTACH TO THIS BID the experience resume of the person who will be designated as<br />

supervisor for this project.<br />

(7) ATTACH TO THIS BID a financial statement (If Required), references, and other<br />

information, sufficiently comprehensive to permit an appraisal of CONTRACTOR'S current<br />

financial condition. (Not Required)<br />

BID NO. 2012-008 37

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