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Bid Package 08 North Well Field - Garney Construction

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Colorado River Municipal Water District<br />

Ward County Water Supply Expansion Project – <strong>North</strong> <strong>Well</strong> <strong>Field</strong><br />

Yes<br />

No<br />

1d. How many years has your organization been in business as a supplier / contractor under your<br />

present business name and license number:<br />

(years)<br />

1e. Has there been any change in ownership of the firm at any time during the last three years?<br />

NOTE: A corporation whose shares are publicly traded is not required to answer this question.<br />

Yes<br />

No<br />

If “yes”, explain on a separate signed page.<br />

1f. Is the firm a subsidiary, parent, holding company or affiliate of another construction firm?<br />

NOTE: Include information about other firms if one firm owns 50% or more of another, or if an<br />

owner, partner, or officer of your firm holds a similar position in another firm.<br />

Yes<br />

No<br />

If “yes”, explain on a separate signed page.<br />

1g. Where applicable, Contractor possesses a valid and current Contractor’s license for the project in<br />

which it intends to submit a bid and is qualified to do business and is in good standing in the state<br />

where the project is located.<br />

Yes<br />

No<br />

If “yes” please provide the state in which your organization is legally qualified to do business and<br />

indicate below registration or license numbers, if applicable. Attach separate sheet if necessary.<br />

State / Jurisdiction License Number Trade Category<br />

1h. Has your contractor’s license, where required, been revoked or suspended at any time in the last<br />

five years?<br />

Yes No N/A<br />

If “yes” please explain on a separate signed sheet.<br />

1i. Bank Reference:<br />

Financial Institution:<br />

Address:<br />

Telephone Number:<br />

<strong>Bid</strong> Proposal Form – <strong>Bid</strong> <strong>Package</strong> #8<br />

Colorado River Municipal Water District<br />

Ward County Water Supply Expansion Project – <strong>North</strong> <strong>Well</strong> <strong>Field</strong> BP - 9<br />

5/24/2012

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