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Countywide Bee-Line ParaTransit Innovative - Westchester County ...

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SECTION II<br />

CONTRACTOR PROFILE/STATEMENT OF QUALIFICATIONS<br />

All respondents must use this packet in developing their qualification submission. The<br />

enclosed outline is structured to assist in the evaluation process and has ample<br />

opportunity at its conclusion for submission of additional information which may be<br />

relevant but has not been specifically requested. If insufficient space is provided to<br />

respond to a particular request, please attach exhibits as necessary.<br />

1.0 Identification of Respondent and General Information:<br />

Identification of Respondent<br />

Name of Organization:<br />

Business Address:<br />

Telephone Number: ( )<br />

1.1 Legal Status of Organization (check one):<br />

For-profit corporation or joint venture corporation<br />

Non-profit corporation<br />

Public agency<br />

Other (identify)<br />

1.2 Name of Chief Executive Officer (or Administrator) of Organization:<br />

1.3 Name of individual designated or authorized to bind the organization<br />

contractually:<br />

Name:<br />

Title:<br />

Telephone No. ( )<br />

12

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