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HomeMy WebLinkAboutQualification Statement4.3. Qualification Statement (Page 9 of 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: MCO Environmental, Inc. COMPANY OFFICERS: President Cruz Hernandez Otazo Secretary Julio Otazo COMPANY OWNERSHIP: Cruz Hernandez Otazo Vice President Treasurer Julio Otazo LICENSES: Julio Otazo Cruz Hernandez Otazo % of ownership 4.S % of ownership % of ownership % of ownership 1. County or Municipal Occupational License No. 215 0 0 4— 3 / 2 7 4 0 9 9— 2 / 2 2 9 6 3 6— 6 (attach copy with bid) General Building Contractor Specialty Mechanical Contractor 2. Occupational License Classification 3. Occupational License Expiration Date: September 3 0, 2 0 0 6 4. Metro -Dade County Certificate of Competency No. C G C 0 0 4 5 5 2, P C C 0 5 4 9 3 7, C J C 0 4 6 2 71 (attached copy if requested in Bid or RFP) Z A 0 0 0 018 9 5. Social Security or Federal I.D. No. 6 5 — 0 0 7115 5 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: 2 0 \ILA i2 S' 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: 2-0 YILA el Cfty of Mlamf Page 51 Bid No. 05-06-011 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 REP with whom you have done business with in the past three (3) years: AGENCY/FIRM NAME/ADDRESS DATE OF PROJECT DESCRIPTION OF PROJECT City of Miami 02/21/06 Jose Marti Teatro. '444 SW 2nd Avenue Asbestos Abatement Miami, Fl. 33130 CONTACT PERS ON: M r . Cedric Mar PHONE NO.: (3 0 5) 416 --1 191 AGENCY/FIRM NAME/ADDRESS DATE OF PROJECT DESCRIPTION OF PROJECT Miami Dade Aviation Dept. 12/2005 4200 NW 36 Street, Bldg. 5A Miami, F1. 33122 MIA Bldg. 60 (861/862) Asbestos Abatement Interior Demolition CONTACTPERSON: Mr. Foster Mack PHONENO.:(305)876-8326 AGENCY/FIRM NAME/ADDRESS DATE OF PROJECT Miami Dade County Public School 12525 NW 28 Avenue Term Asbestos Abatement Miami, El. 33167 Contract Mold Remediation DESCRIPTION OF PROJECT ' Various School Location CONTACTPERSON: Mr. Ralph Cruz —Munoz PHONENO.:(305) 995-4592 AGENCY/FIRM NAME/ADDRESS DATE OF PROJECT DESCRIPTION OF PROJECT University of Miami 04/12/06 Sylvester Cancer Center 1400 N'W 10 Avenue Roof Garden Floor Asbestos Abatement Miami, Fl. 33136 CONTACT PERSON: Mr. Gabriel Nunez PHONENO.:(305) 243-6241 FAILURE TO FULLY. COMPLETE, AND RETURN TIIIS FORM MAY DISQUALIFY YOUR BID. City of Miami Page 52 Bid No. 05-06-011