HomeMy WebLinkAboutQualification Statement 34.3. Qualification Statement (Page 'lot 2)
INSTRUCTIONS:
This questionnaire is to be included with your bid. Do not leave any questions unanswered. When the question
does not apply, write the word(s) "None", or "Not Applicable", as appropriate. Please print.
COMPANY NAME:
Cross Environmental. Services, Inc.
COMPANY OFFICERS:
President
Clyde A. Biston Vice President James L. Smith
Secretary Terry D. McKnight Treasurer Sharon Rosenbauer
COMPANY OWNERSHIP:
Clyde A. Biston
100 % of ownership
% of ownership
% of ownership
% of ownership
LICENSES:
1. County or Municipal Occupational License No. 554766-7
(attach copy with bid)
2. Occupational License Classification
3. Occupational License Expiration Date:
9/30/06
4. Metro -Dade County Certificate of Competency No. N/A Reg. Certified Contractor CGC062981
(attached copy if requested in Bid or RFP)
5. Social Security or Federal I.D. No.
196 General Building Contractor
59-2866646
EXPERIENCE:
6. Number of Years your organization has been in business: 18 Years
7. Number of Years experience BIDDER/PROPOSER (person, principal of firm, owner) has had in operation
of the type required by the specifications of the Bid or RFP: 18 Years
8. Number of Years experience BIDDER/PROPOSER (firm, corporation, proprietorship) has had in
operation of the type required by the specifications of the Bid or RFP: 18 Ycars
City of Miami Page 29
Bid No. 06-06-006
Bid Response Form — Qualification Statement (Page 2 of 2)
9, Experience Record: List references who may be contacted to ascertain information on past and/or present
contracts, work, jobs, that BIDDER/PROPOSER has performed of a type similar to that required by
specifications of the City's Bid or RFP with whom you have done business with in the past three (3) years:
AGENCY/FIRM NAME/ADDRESS DATE OF JOB DESCRIPTION OF JOB
*** PLEASE SEE LISTS ATTACHED OF CURRENT TERM CONTRACTS AND COMPLETED TERM CONTRACTS***
CONTACT PERSON: PHONE NO,:
AGENCY/FIRM NAME/ADDRESS DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
AGENCY/FIRM NAME/ADDRESS DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
AGENCY/FIRM NAME/ADDRESS DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
FAILURE TO FULLY COMPLETE. AND RETURN THIS FORM MAY DISQUALIFY YOUR BID.
*** SEE LISTS ATTACHED***
City of Miami Page 30
Bid No. 06-06-006