HomeMy WebLinkAboutSTATEMENT OF BIDDER'S QUALIFICATIONS_Rev_0Will you, upon request, fill out a detailed financial statement and furnish any other information that may be
required by the City of Waterloo, Iowa? _________________
Five Sullivan Brothers CC Kitchen Plmb Improvements 00 41 00
City of Waterloo STATEMENT OF BIDDER’S QUALIFICATIONS
INVISION #16021 Page 1 of 2
STATEMENT OF BIDDER’S QUALIFICATIONS
(To be submitted by the Bidder only upon the specific request of the City of Waterloo, Iowa.)
All questions must be answered and the date given must be clear and comprehensive. This statement must be
notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any
additional information he desires.
1. Name of bidder.
2. Permanent main office address.
3. When organized.
4. If a corporation, when incorporated.
5. How many years have you been engaged in the contracting business under your present firm or trade
name?
6. Contracts on hand: (Schedule these, showing amount of each contract and the appropriate anticipated
dates of completion.)
7. General character of work performed by your company.
8. Have you ever failed to complete any work awarded to you? If so, where and why?
9. Have you ever defaulted on a contract? If so, where and why?
10. List the more important projects recently completed by your company, stating the approximate cost for
each, an the month and year completed.
11. List your major equipment available for this contract.
12. Experience in construction work similar in importance to this project.
13. Background and experience of the principal members of your organization, including the officers.
14. Credit available: $ _______________________________.
15. Give bank reference: ______________________________.
16. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be
required by the City of Waterloo, Iowa? _________________
Five Sullivan Brothers CC Kitchen Plmb Improvements 00 41 00
City of Waterloo STATEMENT OF BIDDER’S QUALIFICATIONS
INVISION #16021 Page 2 of 2
17. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information
requested by the City of Waterloo, Iowa, in verification of the recitals comprising this Statement of Bidder’s
Qualifications.
Dated at __________________________, this __________ day of _________________________, 200__.
___________________________________
(Name of Bidder)
By: _______________________________
Title: ___________________________
State of ____________ )
) ss:
County of ___________ )
__________________________________, being duly sworn deposes and says that he is
________________________________________ of
_________________________________________________________________ and that the answers
(Name of Organization)
to the foregoing questions and all statements therein contained are true and correct.
___________________________________
Subscribed and sworn to before me this _____________ day of _____________________________, 200___.
___________________________________
Notary Public
My commission expires _____________________, ______.