HomeMy WebLinkAboutattestation of qualificationsCI ;v ofMiami, Florida
Commercial Waste Hauling Services RFQ No. 98-99-090
ATTESTATION OF QUALIFICATIONS
RFQ NO.98-99-090
Place an "x" in the box below to indicate the Services for which you are applying:
Specialized Waste
Hauling Services Handling Services <-
Commercial Waste
INSTRUCTIONS: Prospective City-wide haulers are required to answer all sections of this
Attestation. If any section does not apply, indicate "not applicable".
FAILURE TO COMPLETE THE FOLLOWING SECTIONS IN THEIR ENTIRETY AND TO
SUBMIT ALL DOCUMENTS SHALL DISQUALIFY YOUR FIRM FROM PROVIDING
COMMERCIAL HAULING SERVICES WITHIN THE CITY OF MIAMI.
Applicant is not limited only to the spaces provided herein for response and may provide responses
on additional attachments
Name of Applicant: �!� �1 orOE EA) VrR oN,1 E fV T4L s E R.v s n F M' �Ml, �C •
a- s3• AUNirgt7 CN�1 +�oN/ eNT►tG g'g.rtv,'GaOf e f X. F/opkda
Address of Applicant: 33 l N• i J L16 tje. ST, EE , i9-' ' F4, 3 3/ yZ
Date: 3 - O y
I. Identification Information on Applicant
A. Name of Applicant
If the applicant is a partnership or corporation, the narne, business address of the principal
officers and stockholders and any person having any financial or controlling interest in the
partnership or corporation shall be required. Provided, ",however, that if the corporation is a
publicly -owned corporation having more than 25 shareholders, then only the name and
business address of the local manager(s) shall be required. Detail all information below.
p °Err N1 � RODg.14uesti/a�
may, 77/44-s
33!S N,W I/614 STQee-f 6414441• FL, 3 3Iyz
3 31.5- Mir✓ Y 6 r6 SrZoe f A I. Ai FC 3-3(yz
6