sub-contractor pre-qualification questionnaire for ... - STV Group, Inc.

ev. 6.12.2013A material false statement or omission made in connection with this application is sufficient cause for denial of the application or revocation of a priorapproval thereby precluding the business applicant from performing work for STV Construction, Inc.Application must be signed by the President or CEO of the applicant firm.I, , being duly sworn, state that I am of(Name, print) (Title) - President or CEO (Business Applicant name)and that I have read and understood the questions contained in this application. I certify that to the best of my knowledge the information given in responseto each question and the appendices is full, complete and truthful. I acknowledge that STV Construction, Inc. may, be means it deems appropriate,determine the accuracy and truth of the statements made in the application. I recognize that all the information submitted is for the express purpose of inducingSTV Construction, Inc. to pre-qualify a contractor and does not assure that it will be deemed qualified. I authorize STV Construction, Inc.to contact any entity named in the application for the purposes of verifying the information supplied by the applicant.(Signature)(Date)Sworn to before me this day of 2013Notary PublicCompleted applications, with supporting documentation, are required for your firm to be considered for the pre-qualification list.Applications must be bound and tabbed per the 12 items above and hand delivered by no later than July 10, 2013 to:STV Construction, Inc.Field Office31 Fleet Walk, Apt. 3HBrooklyn, NY 11201Attention: Michael Colban, Project ManagerPh. (347) 586-0722Michael.Colban@stvinc.comProvide a response to all questions. Attach additional sheet(s) of paper to this application as needed to respond fully to all questions.Page 14 of 14