HomeMy WebLinkAboutQualification Statement 94.3. Qualification Statement (Page Iof 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. PIease print, COMPANY NAME: NO O /' i!'1 Airier (7Q/4 &t1Pry [.Oo'V7:7r2
COMPANY OFFICERS:
President iJ Q I? C Q i)d_/ D Vice President
Secretary Treasurer
COMPANY OWNERSHIP:
e c,f�achcCL
% of ownership
% of ownership
% of ownership
% of ownership
LICENSES:
l . County or Municipal Occupational License No.
(attach copy with bid)
2. Occupational License Classification
3. Occupational License Expiration Date:
4. Metro -Dade County Certificate of Competency No.
(attached copy if requested in Bid or RFP)
Social Security or Federal I.D. No.
33- 09595-75
EXPERIENCE:
6. Number of Years your organization has been in business: 3 CD
7. Number of Years experience BIDDER/PROPOSER (person, primal of firm, owner) has had in operation
of the type required by the specifications of the Bid or RFP:
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:
City of Miami Page 27
Sid No, 05-06-034