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DOCUMENT 00 46 17 <br /> BIDDERS PROOF OF RESPONSIBILITY <br /> This Bidders Proof of Responsibility must be submitted in accordance with Article 3,01 of the Instructions to <br /> Bidders; <br /> On all contracts, bidder must submit a full and complete statement sworn to before any officer authorized to <br /> administer oaths of financial ability,equipment,experience in the work prescribed,and such other matters as the <br /> municipality may require for the protection and welfare of the public. <br /> The objective of the questionnaire Is not to discourage bidding or make it difficult for qualified bidders to file bids. <br /> Neither is It intended to discourage beginning contractors. It is intended to make it possible for the Owner to have <br /> exact information on financial ability,equipment and experience involved in awarding contracts to parties <br /> unfamiliar to the Owner.Owner reserves the right to require additional information before awarding the contract in <br /> order to determine qualification for the work, <br /> The contents of this questionnaire will be considered confidential. <br /> This questionnaire is to be submitted to the following;the outside clearly marked"BIDDERS PROOF OF <br /> RESPONSIBILITY": <br /> Attn: Colin Fitzgerald <br /> Short Elliott Hendrickson inc. <br /> 3535 Vadnais Center Drive <br /> St. Paul, MN 55110-5196 <br /> 651.490.2000 <br /> it is recommended that this questionnaire be returned by Registered Mail. <br /> If the Owner is not satisfied with the sufficiency of the answers to the questionnaire a financial statement may be <br /> required or they may reject the bid or require additional information. <br /> STATEMENT OF BIDDER'S QUALIFICATIONS <br /> 1, Name of Bidder 1''1 <br /> 2. Bidder's Address: 1 t `�-k f A t- ,rz,. 5 <br /> 3. When Organized: 4-4�1 1t`1 <br /> 4. Where Incorporated: 10I.'v,J j� T <br /> 5. How many years have you been engaged in the contracting business under the present firm name: <br /> 23 'f EAU- <br /> 6. <br /> A 6. Contracts on hand(attach a list of present contracts, including a schedule as to estimate completion date <br /> and gross amount of each contract). <br /> 7. General character of work performed by your firm. <br /> 11`4"*-- -ice t J a=,s, f MAPLE P- <br /> 8. Have you ever failed to complete any work awarded to you: <br /> Yes No ) , If so,attach a statement detailing where and why. <br /> 9. Have you ever defaulted on a contract: <br /> Yes No . If so,attach a statement detailing where and why. <br /> Bidders Proof of Responsibility <br /> ELKMU 132517 00 4517-1 <br /> 83 <br />